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J Am Dent Assoc. 2007 Nov;138(11):1468-75.

Comorbidities in older patients with HIV: a retrospective study.

Author information

1
Oral Pathology, School of Dentistry, University of São Paulo, Avenida Professor Lineu Prestes 2227, São Paulo, SP, Brazil. mhcgmaga@usp.br

Abstract

BACKGROUND:

The number of older adults with HIV is increasing. The authors conducted a retrospective study to determine the prevalence of selected comorbidities that may affect the delivery of oral health care to this population.

METHODS:

The authors reviewed the charts of 162 patients with HIV who were 50 years or older who had sought dental treatment from 2000 through 2006. The authors abstracted patients' self-reported clinical comorbidities and laboratory-verified HIV-related and hematologic values.

RESULTS:

A total of 88.8 percent of the study subjects had at least one comorbidity. Comorbidity prevalence was 44.4 percent for hepatitis C virus, 41.4 percent for hypertension, 16.7 percent for psychiatric disorders, 16.1 percent for chronic obstructive pulmonary disease, 15.4 percent for anemia and 14.8 percent for heart disease. Significantly more subjects with a CD4+ cell count of less than 200 per cubic millimeter were anemic compared with subjects with counts of 200/mm(3) or more.

CONCLUSIONS:

HIV-positive patients 50 years or older have a broad range of comorbidities that may affect the provision of oral health care.

CLINICAL IMPLICATIONS:

Whether these patients have clinically severe or less well-controlled comorbidities that may require modification of oral health care treatment remains to be determined.

PMID:
17974644
[Indexed for MEDLINE]
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