@article{ref1,
title="Falls in HIV-infected patients: a geriatric syndrome in a susceptible population",
journal="Journal of the International Association of Providers of AIDS Care",
year="2013",
author="Ruiz, Marco Andres and Reske, Tom and Cefalu, Charles and Estrada, John",
volume="12",
number="4",
pages="266-269",
abstract="Background:Falls is a common geriatric syndrome that has not been well characterized in HIV-infected populations.Methods:We retrospectively reviewed our database and identified patients who fell over the last 12 months.Results:Thirty-two patients were identified (incidence rate of 16 × 1000 patients per year). Twenty-five percent were female and 75% male. Sixty-seven percent were African American with 33% Caucasians. Average age was 48.19, number of years with HIV infection on average was 9.38 years, mean CD4 count 347.2 cell/mm(3), mean HIV viral load was 31 379 copies/mL. The average number of medications was 8.7 with a mean of 3.48 comorbidities. The mean vitamin D level was 27.20. Sixty-two percent of patients were compliant with antiretroviral therapy. Univariate and multivariate analysis showed that number of medications (< .005 medications; P < .005), more than 3 comorbidities (P < .005), and noncompliance (P < .001) were related to falls in this population.Conclusion:Falls is a common geriatric syndrome. Associated risk factors in our cohort included number of medications, more than 3 comorbidities, and noncompliance. Larger studies are needed to properly characterize this geriatric syndrome in HIV-infected patients. As HIV-infected populations age, a shift into a more comprehensive geriatrics care including fall risk evaluation may be needed.<p /> <p>Language: en</p>",
language="en",
issn="2325-9574",
doi="10.1177/2325957413488204",
url="http://dx.doi.org/10.1177/2325957413488204"
}