A Pilot Project for PLWH Aged 65-75: Preventing the Development of Frailty
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age65-74
SponsorCentre Hospitalier Universitaire Saint Pierre
About this trial
In ageing populations, the main risk is the development of a syndrome of frailty, characterized by the addition of polymorbidity, polymedication, psychosocial difficulties, cognitive disorders, ... This functional decline is linked to a reduction in the person's functional reserves, and will lead to an increase in health problems, hospitalizations and, ultimately, mortality. People living with HIV (PLWH) over 50 develop the same kind of comorbidities as HIV-uninfected people over 75 years-old.
In Belgium, the care of PLWH\< 75 years with frailty syndrome is not reimbursed by healthcare insurance, and geriatric assessment and management is therefore not possible in this age group, despite the very real need.
Goals of this project are:
1. Determine the proportion and characterize the population of PLWH aged 65 and over who screen positive using the Fried scale 2. Validate the application of the Fried scale in a population of PLWH 3. Offer a care pathway model to prevent the onset of frailty in people screened as at-risk and who do not benefit from routine screening or care pathway reimbursement.
Projets proposal:
* Systematic screening of all PLWH aged 65-74 at the MIA Center, by the nurse prior to physician consultation, using the Fried scale. * Send all PLWH aged 65-74 who screen positive to Geriatric One Day for an ergo-geriatric consultation to confirm the risk of frailty and set up a preventive care pathway * After treatment, perform a patient satisfaction questionnaire + a new Fried scale at one year
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
living with HIV
between 65-74 years
Disqualifiers
none
Trial population
all PLWH followed at the MIA center between 65 and 74 years included
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
Not listed
Trial groups
No trial groups listed
Trial outcomes
Primary outcomes
1
number of PLWH between 65 and 74 years with frailty
Using Fried scale and complete geriatic assesment The Fried scale is a widely recognized assessment tool designed to evaluate frailty in older adults, particularly those aged 65 and above. It helps identify individuals at increased risk of adverse health outcomes, such as falls, hospitalization, disability, and mortality. The assessment is based on five key criteria: unintentional weight loss, exhaustion, low physical activity, slowness, and weakness, with each positive criterion scoring one point. Scores of 0 indicate a robust individual, 1-2 suggest a state of pre-frailty, and ≥3 confirm frailty.
Time frame
BaselineSecondary outcomes
1
Number of PLWH with a Fried test detecting frailty
Fried scale
Time frame
Baseline2
Number of PLWH with Fried scale detecting pre-frailty condition
Fried scale
Time frame
Baseline3
Results of Fried scale at one year
Fried scale performed one year after the first Fried scale in those with a abnormal Fried scale at baseline ( \>/=2)
Time frame
one year after the first Fried scale performed at baselineOther outcomes
1
Validate the application of the Fried scale in a population of PLWH
compared the number of the PLWH with an Fried scale of a score \>/= 2 and the number of PLWH with frailty assessed by a complete geriatrician estimation
Time frame
This analyse will be done at the end of the study when all patients will have complete the evaluation at one year.Sponsors and contacts
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Source ClinicalTrials.gov