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Background Frailty adversely affects health and quality of life of people with HIV (PWH). A multidisciplinary-team (MDT) was established to perform a Comprehensive Geriatric Assessment (CGA) and to address modifiable risk factors in elderly PWH. Methods PWH aged over 80 years were reviewed by a dedicated HIV/geriatric clinic at Chelsea and Westminster Hospital. Descriptive statistics were used to report the variables of interest. Results Sixty-three PWH were reviewed, with a median age of 82 (IQR 80–86). Fifty-seven (88%) were men. The median number of co-morbidities was five (IQR 4–7) and polypharmacy was seen in 55 (85%), with a median of six (IQR 5–8) co-medications reported. The median Rockwood Clinical Frailty Score was two (IQR 2–5). Antiretrovirals were modernised in 18 (29%) individuals; co-medication changes and de-prescribing was recommended in 39 (62%). Conclusion A MDT approach helped reducing polypharmacy and frailty, suggesting that specialised tools and MDT input are key to identify medical and social concerns in elderly PWH.
Varadarajan et al. (Mon,) studied this question.