@article{ART002572160},
author={Amber B. Armstead and J. Michael Wilkerson and Gretchen Gemeinhardt and Alan Nyitray and Diane M. Collins},
title={Frailty, Incontinence, and Falls Among People Living With HIV},
journal={Korean Journal of Occupational Therapy},
issn={1226-0134},
year={2020},
volume={28},
number={1},
pages={167-180},
doi={10.14519/kjot.2020.28.1.12}
TY - JOUR
AU - Amber B. Armstead
AU - J. Michael Wilkerson
AU - Gretchen Gemeinhardt
AU - Alan Nyitray
AU - Diane M. Collins
TI - Frailty, Incontinence, and Falls Among People Living With HIV
JO - Korean Journal of Occupational Therapy
PY - 2020
VL - 28
IS - 1
PB - Korean Society Of Occupational Therapy
SP - 167
EP - 180
SN - 1226-0134
AB - Introduction: Age-related co-morbidities are common among persons living with chronic Human ImmunodeficiencyVirus (HIV). However, data are largely absent on the relationship between frailty and incontinence as related tofalls—common age-related co-morbidities—among people living with chronic HIV (PLWH).
Methods: To inform hospital-based Occupational Therapy (OT) services for PLWH, we performed a case-controlstudy using extracted data from the electronic medical records of PLWH who had received OT at a large academichospital. Two-hundred-and-four subjects were included in the final dataset; sixty-eight were cases that reporteda fall within the last 12 months, while 136 were controls which were PLWH who had not sustained a fall.
Results: The association between falls and frailty indicated that persons categorized as ‘pre-frail’ with balance deficitswere more likely to fall (OR=2.77 [1.18-6.52]). Women who lacked insurance were less likely to fall (OR=0.38[0.18-0.82]) and (OR=0.29 [0.09-0.88]) respectively. The association between incontinence and falls amongPLWH were not statistically significant in a multivariate adjusted regression model (OR=1.38 [.59-3.22]).
Conclusion: Our findings suggest further examination of the person factors of PLWH who are categorized clinicallyas ‘pre-frail’ or ‘frail’ may improve health outcomes and reduce falls when paired with occupation-basedinterventions.
KW - Frailty;Incontinence;HIV;Occupational therapy;Falls
DO - 10.14519/kjot.2020.28.1.12
ER -
Amber B. Armstead, J. Michael Wilkerson, Gretchen Gemeinhardt, Alan Nyitray and Diane M. Collins. (2020). Frailty, Incontinence, and Falls Among People Living With HIV. Korean Journal of Occupational Therapy, 28(1), 167-180.
Amber B. Armstead, J. Michael Wilkerson, Gretchen Gemeinhardt, Alan Nyitray and Diane M. Collins. 2020, "Frailty, Incontinence, and Falls Among People Living With HIV", Korean Journal of Occupational Therapy, vol.28, no.1 pp.167-180. Available from: doi:10.14519/kjot.2020.28.1.12
Amber B. Armstead, J. Michael Wilkerson, Gretchen Gemeinhardt, Alan Nyitray, Diane M. Collins "Frailty, Incontinence, and Falls Among People Living With HIV" Korean Journal of Occupational Therapy 28.1 pp.167-180 (2020) : 167.
Amber B. Armstead, J. Michael Wilkerson, Gretchen Gemeinhardt, Alan Nyitray, Diane M. Collins. Frailty, Incontinence, and Falls Among People Living With HIV. 2020; 28(1), 167-180. Available from: doi:10.14519/kjot.2020.28.1.12
Amber B. Armstead, J. Michael Wilkerson, Gretchen Gemeinhardt, Alan Nyitray and Diane M. Collins. "Frailty, Incontinence, and Falls Among People Living With HIV" Korean Journal of Occupational Therapy 28, no.1 (2020) : 167-180.doi: 10.14519/kjot.2020.28.1.12
Amber B. Armstead; J. Michael Wilkerson; Gretchen Gemeinhardt; Alan Nyitray; Diane M. Collins. Frailty, Incontinence, and Falls Among People Living With HIV. Korean Journal of Occupational Therapy, 28(1), 167-180. doi: 10.14519/kjot.2020.28.1.12
Amber B. Armstead; J. Michael Wilkerson; Gretchen Gemeinhardt; Alan Nyitray; Diane M. Collins. Frailty, Incontinence, and Falls Among People Living With HIV. Korean Journal of Occupational Therapy. 2020; 28(1) 167-180. doi: 10.14519/kjot.2020.28.1.12
Amber B. Armstead, J. Michael Wilkerson, Gretchen Gemeinhardt, Alan Nyitray, Diane M. Collins. Frailty, Incontinence, and Falls Among People Living With HIV. 2020; 28(1), 167-180. Available from: doi:10.14519/kjot.2020.28.1.12
Amber B. Armstead, J. Michael Wilkerson, Gretchen Gemeinhardt, Alan Nyitray and Diane M. Collins. "Frailty, Incontinence, and Falls Among People Living With HIV" Korean Journal of Occupational Therapy 28, no.1 (2020) : 167-180.doi: 10.14519/kjot.2020.28.1.12