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Table 1 Frailty, comorbidity, geriatric syndromes, mortality, and QOL in older adults with HIV by sex

From: Effects of frailty, geriatric syndromes, and comorbidity on mortality and quality of life in older adults with HIV

 

Total

Men

Women

p

Patients. N (%)

796

602 (75.9)

194 (24.1)

Frailty

 Frailty. N (%)

46 (5.8)

35 (5.8)

11 (5.7)

1

 Prefrailty. N (%)

417 (52.7)

311 (51.6)

106 (54.6)

0.50

Comorbidity

  ≥ 3 comorbidities. N (%)

306 (38.4)

218 (36.2)

88 (45.4)

0.02

 Hypertension. N (%)

228 (28.7)

182 (30.2)

46 (23.8)

0.09

 Type 2 Diabetes. N (%)

107 (13.5)

89 (14.9)

18 (9.3)

0.04

 Dyslipidemia. N (%)

348 (43.8)

259 (43.2)

89 (45.9)

0.50

 Osteoarthritis. N (%)

167 (21.2)

102 (17.1)

65 (34)

0.01

 Chronic renal failure. N (%)

50 (6.3)

40 (6.7)

10 (5.2)

0.60

 Cancer. N (%)

55 (6.9)

43 (7.2)

12 (6.2)

0.70

 History of cancer. N (%)

59 (7.4)

34 (5.7)

25 (12.9)

0.01

 COPD. N (%)

87 (11)

63 (10.5)

24 (12.5)

0.40

 Psychiatric disorders. N (%)

73 (9.3)

51 (8.6)

22 (11.4)

0.20

Geriatric Syndromes

  ≥ 1 geriatric syndrome. N (%)

389 (48.9)

272 (45.2)

117 (60.3)

0.01

 Falls. N (%)

124 (15.6)

81 (13.5)

43 (22.2)

0.01

 Depression. N (%)

213 (26.8)

153 (25.5)

60 (30.9)

0.10

 Cognitive impairment. N (%)

96 (12.1)

71 (11.8)

25 (12.9)

0.70

 Malnutrition risk. N (%)

143 (18.1)

101 (16.9)

42 (21.8)

0.10

Quality of life

 Fair or poor. N (%)

(57.7)

337 (55.7)

124 (63.3)

0.06

Mortality

 VACS Index score. Median (p25-p75)

22 (17–29)

18 (12–29)

23 (18–33)

0.01

 Estimated risk of all-cause 5-year mortality by VACS Index. Median (p25-p75)

7.8 (5.8–11.3)

6.2 (4.2–11.3)

8.4 (6.2–13.8)

0.01

  1. Frailty and prefrailty defined according to Frailty Phenotype. The GS considered were falls, cognitive impairment, depression, and risk of malnutrition. Cognitive impairment defined as MOCA test score < 20 points. Depression defined as SF-GDS score ≥ 6 points. Falls: at least one fall in the last year. Risk of malnutrition defined as MNA-SF score < 11 points. QOL evaluated by self-assessment and categorized into very good, good, fair, or poor. The Veterans Aging Cohort Study Index is a score created by summing pre-assigned points for age, CD4 count, HIV-1 RNA, hemoglobin, platelets, AST, ALT, creatinine, and viral hepatitis C infection. The higher the score the higher the risk of all-cause mortality. The risk can be estimated using the VACS index calculator (https://www.mdcalc.com/calc/2201/veterans-aging-cohort-study-vacs-1.0-index)