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Hip Fracture Rates in Nursing Home Residents With and Without HIV

Published:September 25, 2021DOI:https://doi.org/10.1016/j.jamda.2021.08.040
      Persons with HIV have near-normal life expectancy with antiretroviral treatment,
      • van Sighem A.I.
      • Gras L.A.
      • Reiss P.
      • et al.
      ATHENA National Observational Cohort Study
      Life expectancy of recently diagnosed asymptomatic HIV–infected patients approaches that of uninfected individuals.
      and so more individuals will develop chronic conditions and require nursing home (NH) care. The number of NH residents with HIV increased by 71% from 2000 to 2010.
      • Miller S.C.
      • Cai S.
      • Daiello L.A.
      • et al.
      Nursing home residents by human immunodeficiency virus status: Characteristics, dementia diagnoses, and antipsychotic use.
      Persons with HIV may develop low bone mineral density (BMD) as a result of the infection and its treatment, thereby increasing fracture risk.
      • Brown T.T.
      • Qaqish R.B.
      Antiretroviral therapy and the prevalence of osteopenia and osteoporosis: A meta-analytic review.
      ,
      • Goh S.S.L.
      • Lai P.S.M.
      • Tan A.T.B.
      • Ponnampalavanar S.
      Reduced bone mineral density in human immunodeficiency virus-infected individuals: A meta-analysis of its prevalence and risk factors.
      However, little information exists about hip fractures in NH residents with HIV.
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