A Web-Based Tool for a Complete Evaluation of Fragility in Senior Hiv+ Patients

Stud Health Technol Inform. 2019:261:299-302.

Abstract

Background: after the discovery of the antiretroviral therapy, life expectancy of HIV+ patient has become longer and this meant that he would start ageing. International literature demonstrated that the HIV+ patient is more fragile than any other person of the same age and that doesn't present the viral infection.

Objective: design, development and test of a new web-based instrument to allow the self-administration of the new questionnaire SELFY MPI created during the European project Effichronic. Materials & Methods: between June and September 2018, a group of senior 50 HIV+ patients, was involved. The questionnaire SELFY MPI enables to collect data about quality of life and cognitive functions.

Results: the developed web-instrument collects pseudo-anonymous data into the Liguria HIV Network database. The subsequent statistical analysis highlighted a correlation between the two outcomes of SELFY MPI and the laboratory exam's parameter TCD4+ and viral load.

Conclusions: the great potentiality of this instrument is not only the support given to clinical research about the effects of HIV on chronical disease management but it can be also used as a follow-up instrument to evaluate different aspects of the geriatric patient life during the years.

Keywords: Chronical diseases management; Follow-up instrument; Multidimensional Prognostic Index; Pseudo-anonymization.

MeSH terms

  • Aged
  • Frail Elderly
  • Frailty*
  • HIV
  • HIV Infections* / complications
  • Humans
  • Internet*
  • Male
  • Patient Generated Health Data*
  • Quality of Life*
  • Surveys and Questionnaires