Assessing intrinsic capacity for person‐centred HIV care: a cross‐sectional study in ageing populations in Malaysia and Hong Kong DOI Creative Commons
Reena Rajasuriar,

Syaza Fatnin Binti Hisham,

Justin Heejoon Lim

и другие.

Journal of the International AIDS Society, Год журнала: 2024, Номер 28(1)

Опубликована: Дек. 26, 2024

Abstract Introduction WHO's Integrated Care for Older People (ICOPE) proposes we measure the functional construct of intrinsic capacity (IC) to monitor and identify individuals with age‐associated vulnerabilities. Assessments IC may be useful address evolving, non‐HV care needs ageing people HIV (PWH). However, date, its utility within context has not been assessed. Methods Participants included 200 PWH attending out‐patient (2021−2023) in Universiti Malaya Medical Centre, Malaysia 101 community controls aged 35 years above. The ICOPE framework was adapted derive aggregate scores (ranging 0–6) encompassing five domains cognition, sensory (hearing vision), mobility, mood vitality. Multivariable analyses were used explore association multiple health outcomes including frailty, difficulties performing instrumental activities daily living (IADL) inflammatory markers. Area under receiver operator characteristic (AUC‐ROC) calculated predict frailty IADL deficits current cohort an independent 275 from Hong Kong (HK). Results Median (interquartile range, IQR) age among 50 (42−56) (39−59) years, respectively. There more males (83% vs. 56%, p <0.001). All received antiretroviral therapy (ART) a median duration 11 (8−14) years. Aggregate lower but significantly different compared controls, (5.4 5.6, = 0.093) performed worse than only cognitive domain. independently associated (OR 0.17 95% CI 0.07−0.42, <0.001), 0.25 0.14−0.46, <0.001) all other patient‐reported correlated IL‐6 sCD14 sCD163 levels. well identifying (AUC‐ROC ≥ 0.80) HK Malaysian cohorts modestly 0.64) deficits. Conclusions is good composite non‐HIV, physical social vulnerabilities on ART should complement disease‐based monitoring routine care. validated larger, longitudinal diverse settings.

Язык: Английский

Declined intrinsic capacity predicts long-term mortality in Chinese older adults: Beijing Longitudinal Study of Aging DOI

Yiming Pan,

Xiaxia Li,

Li Zhang

и другие.

Maturitas, Год журнала: 2024, Номер 188, С. 108082 - 108082

Опубликована: Июль 27, 2024

Язык: Английский

Процитировано

0
Association Between Intrinsic Capacity and Hospital Admission Among Older Adults in the Emergency Department DOI
Chia‐Hung Lin,

Chien-Chien Tseng,

Shiow‐Ching Shun

и другие.

Journal of Applied Gerontology, Год журнала: 2024, Номер unknown

Опубликована: Окт. 16, 2024

This prospective cohort study assessed the impact of intrinsic capacity on hospital admissions among older adults after an Emergency Department (ED) visit. Assessing 1132 patients according to WHO’s Integrated Care for Older People guidelines between March 1 and August 30, 2022, we found that 784 (69.26%) were admitted. The admission group demonstrated significantly lower scores (mean ± SD, 2.92 1.29) compared discharge (3.44 1.23; p < .001). Multivariable logistic regression showed higher associated with odds (adjusted ratio [aOR] = 0.81; 95% CI: 0.71–0.92; Notably, malnutrition had (OR 3.12; 2.16–4.50; These findings underscore importance integrating assessment traditional clinical indicators in emergency care adults.

Язык: Английский

Процитировано

0
Assessing intrinsic capacity for person‐centred HIV care: a cross‐sectional study in ageing populations in Malaysia and Hong Kong DOI Creative Commons
Reena Rajasuriar,

Syaza Fatnin Binti Hisham,

Justin Heejoon Lim

и другие.

Journal of the International AIDS Society, Год журнала: 2024, Номер 28(1)

Опубликована: Дек. 26, 2024

Abstract Introduction WHO's Integrated Care for Older People (ICOPE) proposes we measure the functional construct of intrinsic capacity (IC) to monitor and identify individuals with age‐associated vulnerabilities. Assessments IC may be useful address evolving, non‐HV care needs ageing people HIV (PWH). However, date, its utility within context has not been assessed. Methods Participants included 200 PWH attending out‐patient (2021−2023) in Universiti Malaya Medical Centre, Malaysia 101 community controls aged 35 years above. The ICOPE framework was adapted derive aggregate scores (ranging 0–6) encompassing five domains cognition, sensory (hearing vision), mobility, mood vitality. Multivariable analyses were used explore association multiple health outcomes including frailty, difficulties performing instrumental activities daily living (IADL) inflammatory markers. Area under receiver operator characteristic (AUC‐ROC) calculated predict frailty IADL deficits current cohort an independent 275 from Hong Kong (HK). Results Median (interquartile range, IQR) age among 50 (42−56) (39−59) years, respectively. There more males (83% vs. 56%, p <0.001). All received antiretroviral therapy (ART) a median duration 11 (8−14) years. Aggregate lower but significantly different compared controls, (5.4 5.6, = 0.093) performed worse than only cognitive domain. independently associated (OR 0.17 95% CI 0.07−0.42, <0.001), 0.25 0.14−0.46, <0.001) all other patient‐reported correlated IL‐6 sCD14 sCD163 levels. well identifying (AUC‐ROC ≥ 0.80) HK Malaysian cohorts modestly 0.64) deficits. Conclusions is good composite non‐HIV, physical social vulnerabilities on ART should complement disease‐based monitoring routine care. validated larger, longitudinal diverse settings.

Язык: Английский

Процитировано

0