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Frailty, Incontinence, and Falls Among People Living With HIV

  • Korean Journal of Occupational Therapy
  • Abbr : Korean J of Occup Ther
  • 2020, 28(1), pp.167-180
  • DOI : 10.14519/kjot.2020.28.1.12
  • Publisher : Korean Society Of Occupational Therapy
  • Research Area : Medicine and Pharmacy > Working Therapeutics
  • Received : October 1, 2019
  • Accepted : February 11, 2020
  • Published : March 30, 2020

Amber B. Armstead 1 J. Michael Wilkerson 2 Gretchen Gemeinhardt 2 Alan Nyitray 3 Diane M. Collins 1

1University of Texas Medical Branch
2University of Texas Health Science Center (UTHealth) School of Public Health
3Medical College of Wilsconsin

Accredited

ABSTRACT

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.

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