Risk factors for cognitive decline in persons with HIV
2024

Risk Factors for Cognitive Decline in Persons with HIV

publication Evidence: moderate

Author Information

Author(s): Henderson Merle, Winston Alan

Primary Institution: Imperial College London

Hypothesis

What are the risk factors contributing to cognitive decline in persons with HIV in the modern antiretroviral therapy era?

Conclusion

Cognitive decline in persons with HIV is likely multifactorial, influenced by both HIV-related and non-HIV-related factors, especially age-related comorbidities.

Supporting Evidence

  • Cognitive disorders persist in persons with HIV despite effective antiretroviral therapy.
  • Age-related comorbidities are significant contributors to cognitive decline in this population.
  • New recommendations for defining cognitive impairment in HIV patients have been proposed.

Takeaway

People with HIV can have trouble thinking clearly, and this can be caused by many things, including getting older and having other health problems.

Potential Biases

There is a risk of over-diagnosing cognitive impairment due to high false-positive rates in existing diagnostic criteria.

Limitations

The study highlights the need for better definitions and understanding of cognitive impairment in persons with HIV, as existing criteria may over-diagnose impairment.

Participant Demographics

The study discusses cognitive decline in persons with HIV, particularly focusing on an aging population.

Digital Object Identifier (DOI)

10.1097/QCO.0000000000001080

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