Clinical Characteristics and Outcomes of Older People Living with HIV in Hua Hin Hospital, 2018 - 2019
Keywords:
HIV, AIDS, aging, comorbidityAbstract
Objective: With the advent of antiretroviral therapy (ART), HIV-positive people are living longer lives with conditions associated with aging. Nevertheless, limited information regarding this older population exists. This study aimed to characterize the clinical status, healthcare service utilization and the outcome of patients diagnosed with HIV above the age of 50 and associated factors.
Methods: A cross-sectional study was conducted at Hua Hin Hospital. The data of patients who visited at the HIV clinic from 1 July 2018 to 30 June 2019 were extracted from the electronic medical records. We assessed the clinical characteristics including chronic comorbidities and treatment outcomes. The data were analyzed using Spearman correlation, chi-square test and Fisher exact test to explore the association between variables of interest with statistical significance at .05.
Results: The total of 307 HIV patients were included in this study which 49.2% of them had at least 1 comorbidity and 22.5% had more than 2 non-AIDS related comorbidities. Almost all were retained in care (94.5%) and virally suppressed (97.9%). The statistical analyses showed that a number of comorbidities associated with amount of comedication, OPD visit and hospitalization. Moreover, gender, age and CD4 count were also associated with being retained in care (p-value < .05).
Conclusion: The finding underscores significant characteristics and chronic comorbidities in older HIV patients. Accordingly, comprehensive interdisciplinary care approach is warranted due to the complexity of clinical care in this aging population.
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