Short Assessment for People with Human Immunodeficiency Virus (HIV) Aged 50 Years or Older: Essential Tests from Comprehensive Geriatric Assessment

<b>Background:</b> Comprehensive geriatric assessments (CGAs) are necessary to address the needs of people with human immunodeficiency virus infection (PWH) aged ≥ 50 years and ensure that they receive high-quality care. We aimed to identify the most effective tests from an extensive CGA...

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Main Authors: Jordi Puig, Pau Satorra, Ana Martínez, Sandra González, Roberto Güerri-Fernández, Itziar Arrieta-Aldea, Isabel Arnau, Anna Prats, Vira Buhiichyk, Cristian Tebe, Eugenia Negredo
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Language:English
Published: MDPI AG 2025-06-01
Series:Viruses
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Online Access:https://www.mdpi.com/1999-4915/17/7/887
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author Jordi Puig
Pau Satorra
Ana Martínez
Sandra González
Roberto Güerri-Fernández
Itziar Arrieta-Aldea
Isabel Arnau
Anna Prats
Vira Buhiichyk
Cristian Tebe
Eugenia Negredo
author_facet Jordi Puig
Pau Satorra
Ana Martínez
Sandra González
Roberto Güerri-Fernández
Itziar Arrieta-Aldea
Isabel Arnau
Anna Prats
Vira Buhiichyk
Cristian Tebe
Eugenia Negredo
author_sort Jordi Puig
collection DOAJ
description <b>Background:</b> Comprehensive geriatric assessments (CGAs) are necessary to address the needs of people with human immunodeficiency virus infection (PWH) aged ≥ 50 years and ensure that they receive high-quality care. We aimed to identify the most effective tests from an extensive CGA to develop a short CGA. <b>Methods:</b> This observational, cross-sectional, and analytical study was conducted in three phases: (1) describing PWH aged ≥ 50 and matched controls; (2) jointly analyzing data to identify the most effective tests from the original CGA and develop a short version; and (3) applying the short CGA separately to both groups. <b>Results:</b> The most effective tests—the Lawton scale, SPPB, Barber questionnaire, Pittsburgh Sleep Quality Index, and Cognitive Complaints questionnaire—were used to create a short CGA. It identified abnormalities in 77% of PWH flagged by the full CGA, though 65% with the normal short CGA results had at least one abnormal result in the full version. Most false negatives were due to the excluded Hearing-Dependent Activities scale. <b>Conclusions:</b> These findings represent an initial step toward developing a short CGA for an easy and rapid identification of PWH aged ≥ 50, beyond a frailty assessment, who may benefit from early clinical management.
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spelling doaj-art-28deeb1ffabe46119b7a82d055ad867e2025-08-20T03:56:49ZengMDPI AGViruses1999-49152025-06-0117788710.3390/v17070887Short Assessment for People with Human Immunodeficiency Virus (HIV) Aged 50 Years or Older: Essential Tests from Comprehensive Geriatric AssessmentJordi Puig0Pau Satorra1Ana Martínez2Sandra González3Roberto Güerri-Fernández4Itziar Arrieta-Aldea5Isabel Arnau6Anna Prats7Vira Buhiichyk8Cristian Tebe9Eugenia Negredo10Fundació Lluita Contra Les Infeccions, Department of Infectious Diseases, Hospital Universitari Germans Trias i Pujol, Germans Trias i Pujol, 08916 Badalona, SpainBiostatistics Support and Research Unit Germans Trias i Pujol Research Institute and Hospital (IGTP), 08916 Badalona, SpainFundació Lluita Contra Les Infeccions, Department of Infectious Diseases, Hospital Universitari Germans Trias i Pujol, Germans Trias i Pujol, 08916 Badalona, SpainFundació Lluita Contra Les Infeccions, Department of Infectious Diseases, Hospital Universitari Germans Trias i Pujol, Germans Trias i Pujol, 08916 Badalona, SpainHospital del Mar, 08003 Barcelona, SpainHospital del Mar, 08003 Barcelona, SpainHospital del Mar, 08003 Barcelona, SpainFundació Lluita Contra Les Infeccions, Department of Infectious Diseases, Hospital Universitari Germans Trias i Pujol, Germans Trias i Pujol, 08916 Badalona, SpainFundació Lluita Contra Les Infeccions, Department of Infectious Diseases, Hospital Universitari Germans Trias i Pujol, Germans Trias i Pujol, 08916 Badalona, SpainBiostatistics Support and Research Unit Germans Trias i Pujol Research Institute and Hospital (IGTP), 08916 Badalona, SpainFundació Lluita Contra Les Infeccions, Department of Infectious Diseases, Hospital Universitari Germans Trias i Pujol, Germans Trias i Pujol, 08916 Badalona, Spain<b>Background:</b> Comprehensive geriatric assessments (CGAs) are necessary to address the needs of people with human immunodeficiency virus infection (PWH) aged ≥ 50 years and ensure that they receive high-quality care. We aimed to identify the most effective tests from an extensive CGA to develop a short CGA. <b>Methods:</b> This observational, cross-sectional, and analytical study was conducted in three phases: (1) describing PWH aged ≥ 50 and matched controls; (2) jointly analyzing data to identify the most effective tests from the original CGA and develop a short version; and (3) applying the short CGA separately to both groups. <b>Results:</b> The most effective tests—the Lawton scale, SPPB, Barber questionnaire, Pittsburgh Sleep Quality Index, and Cognitive Complaints questionnaire—were used to create a short CGA. It identified abnormalities in 77% of PWH flagged by the full CGA, though 65% with the normal short CGA results had at least one abnormal result in the full version. Most false negatives were due to the excluded Hearing-Dependent Activities scale. <b>Conclusions:</b> These findings represent an initial step toward developing a short CGA for an easy and rapid identification of PWH aged ≥ 50, beyond a frailty assessment, who may benefit from early clinical management.https://www.mdpi.com/1999-4915/17/7/887HIVgeriatric assessmentaginggeriatric syndromespsychosocial factorsearly management
spellingShingle Jordi Puig
Pau Satorra
Ana Martínez
Sandra González
Roberto Güerri-Fernández
Itziar Arrieta-Aldea
Isabel Arnau
Anna Prats
Vira Buhiichyk
Cristian Tebe
Eugenia Negredo
Short Assessment for People with Human Immunodeficiency Virus (HIV) Aged 50 Years or Older: Essential Tests from Comprehensive Geriatric Assessment
Viruses
HIV
geriatric assessment
aging
geriatric syndromes
psychosocial factors
early management
title Short Assessment for People with Human Immunodeficiency Virus (HIV) Aged 50 Years or Older: Essential Tests from Comprehensive Geriatric Assessment
title_full Short Assessment for People with Human Immunodeficiency Virus (HIV) Aged 50 Years or Older: Essential Tests from Comprehensive Geriatric Assessment
title_fullStr Short Assessment for People with Human Immunodeficiency Virus (HIV) Aged 50 Years or Older: Essential Tests from Comprehensive Geriatric Assessment
title_full_unstemmed Short Assessment for People with Human Immunodeficiency Virus (HIV) Aged 50 Years or Older: Essential Tests from Comprehensive Geriatric Assessment
title_short Short Assessment for People with Human Immunodeficiency Virus (HIV) Aged 50 Years or Older: Essential Tests from Comprehensive Geriatric Assessment
title_sort short assessment for people with human immunodeficiency virus hiv aged 50 years or older essential tests from comprehensive geriatric assessment
topic HIV
geriatric assessment
aging
geriatric syndromes
psychosocial factors
early management
url https://www.mdpi.com/1999-4915/17/7/887
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