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Frailty in Aging HIV-Positive Individuals: An Evolving Healthcare Landscape.
Mansour, Mohammad; Augustine, Monisha; Kumar, Mahendra; Butt, Amna Naveed; Thugu, Thanmai Reddy; Kaur, Parvinder; Patel, Nipakumari J; Gaudani, Ankit; Jahania, M Bilal; Jami, Elhama; Sharifa, Mouhammad; Raj, Rohan; Mehmood, Dalia.
Afiliación
  • Mansour M; General Medicine, University of Debrecen, Debrecen, HUN.
  • Augustine M; General Medicine, Jordan University Hospital, Amman, JOR.
  • Kumar M; Medicine, Kasturba Medical College, Manipal, Manipal, IND.
  • Butt AN; Medicine, Sardar Patel Medical College, Bikaner, Bikaner, IND.
  • Thugu TR; Medicine/Internal Medicine, Allama Iqbal Medical College, Lahore, PAK.
  • Kaur P; Internal Medicine, Sri Padmavathi Medical College for Women, Sri Venkateswara Institute of Medical Sciences (SVIMS), Tirupati, IND.
  • Patel NJ; Internal Medicine, Crimean State Medical University, Simferopol, UKR.
  • Gaudani A; Internal Medicine, Soochow University, Suzhou, CHN.
  • Jahania MB; Graduate Medical Education, Jiangsu University, Zhenjiang, CHN.
  • Jami E; Internal Medicine, Combined Military Hospital (CMH) Lahore Medical College and Institute of Dentistry, Lahore, PAK.
  • Sharifa M; Internal Medicine, Herat Regional Hospital, Herat, AFG.
  • Raj R; Medicine, University of Aleppo, Faculty of Medicine, Aleppo, SYR.
  • Mehmood D; Internal Medicine, Nalanda Medical College and Hospital, Patna, IND.
Cureus ; 15(12): e50539, 2023 Dec.
Article en En | MEDLINE | ID: mdl-38222136
ABSTRACT
The life expectancy of people living with HIV (PLWH) has greatly increased due to advancements in combination antiretroviral treatment (cART). However, this longer life has also increased the prevalence of age-related comorbidities, such as frailty, which now manifest sooner in this group. Frailty, a term coined by the insurance industry, has been broadened to include physical, cognitive, and emotional elements and has been recognized as a critical predictor of negative health outcomes. With the median age of PLWH now in the mid-50s, treating frailty is critical given its link to chronic diseases, cognitive decline, and even death. Frailty assessment tools, such as the Frailty Phenotype (FP) and the Frailty Index (FI), are used to identify vulnerable people. Understanding the pathophysiology of frailty in PLWH indicates the role of immunological mechanisms. Frailty screening and management in this group have progressed, with specialized clinics and programs concentrating on multidisciplinary care. Potential pharmacotherapeutic solutions, as well as novel e-health programs and sensors, are in the future of frailty treatment, but it is critical to ensure that frailty evaluation is not exploited to perpetuate ageist healthcare practices. This narrative review investigates the changing healthcare environment for older people living with HIV (OPLWH), notably in high-income countries. It emphasizes the significance of identifying and managing frailty as a crucial feature of OPLWH's holistic care and well-being.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies / Risk_factors_studies Idioma: En Revista: Cureus Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies / Risk_factors_studies Idioma: En Revista: Cureus Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos