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KMID : 0603920200280010167
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Journal of Korean Academy of Occupational Therapy
2020 Volume.28 No. 1 p.167 ~ p.180
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Frailty, Incontinence, and Falls Among People Living With HIV
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Armstead Amber B.
Wilkerson J. Michael
Gemeinhardt Gretchen
Nyitray Alan
Collins Diane M.
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Abstract
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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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KEYWORD
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Frailty, Incontinence, HIV, Occupational therapy, Falls
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