Older HIV-infected adults: complex patients— geriatric syndromes (II)

L. Bertagnoli, P. Iannuzzi, S. Ciccone, M. Canevelli, Emanuele Marzetti, G. Guaraldi, M. Cesari

Risultato della ricerca: Contributo in rivistaArticolo in rivista


With the widespread adoption of highly active antiretroviral therapy (HAART), HIV infection starts to be considered one of the many chronic illnesses of advanced age. A growing proportion of the affected patients is presently older than 50. It has been suggested that HIV infection may today represent a model of accelerated and accentuated ageing. The need for a closer collaboration between geriatricians and HIV physicians is being growingly recognised to better address the priorities and needs of HIV patients. The final aim behind the generation of such synergies resides in the design of personalised plans of interventions. These plans should stem from the results of a comprehensive assessment of the individual spanning clinical, environmental, and psychosocial domains. Through the early identification of stressors and risk factors potentially disrupting the homeostatic balance of frail patients (including those living with HIV), it might be possible to protect the “biologically old” (but not necessarily “chronologically old”) HIV-infected people from developing detrimental geriatric syndromes. In this article, specific features making the ageing HIV population of special interest for geriatric medicine, and the importance of a multidisciplinary model of care are described. The final objective is to stress how the only way for adequately tackling the multifaceted frailty condition of people with HIV is to implement novel models of care based on the comprehensive geriatric assessment.
Lingua originaleEnglish
pagine (da-a)213-218
Numero di pagine6
RivistaEuropean Geriatric Medicine
Stato di pubblicazionePubblicato - 2019


  • Ageing
  • Comprehensive geriatric assessment
  • Frailty
  • Geriatric syndromes
  • Geriatrics
  • HIV


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