Evidence map›Paper›PMID 27516622›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2017

Frailty and Cause-Specific Hospitalization Among Persons Aging With HIV Infection and Injection Drug Use.

Damani A Piggott, Abimereki D Muzaale, Ravi Varadhan, Shruti H Mehta, Ryan P Westergaard, Todd T Brown, Kushang V Patel, Jeremy D Walston, Sean X Leng, Gregory D Kirk

Abstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Article
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  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. The gut microbiome and frailty.Translational research : the journal of laboratory and clinical medicine · 2020
    Review
  18. Frailty in People Living with HIV.Current HIV/AIDS reports · 2020
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Damani A PiggottDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Abimereki D MuzaaleDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Ravi VaradhanDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Shruti H MehtaDepartment of Epidemiology, Johns Hopkins School of Public Health, Baltimore, Maryland.
Ryan P WestergaardDepartment of Medicine, University of Wisconsin School of Medicine and Public Health, Madison.
Todd T BrownDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Kushang V PatelDepartment of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle.
Jeremy D WalstonDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Sean X LengDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Gregory D KirkDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Funding

Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
Technological Assessment and Solutions Core - RC4P30AG021334 · NIA · JOHNS HOPKINS UNIVERSITY · PI Jeremy D Walston · 2003 to 2026
$33.2M
The AIDS Linked to the Intravenous Experience (ALIVE) StudyU01DA036297 · NIDA · JOHNS HOPKINS UNIVERSITY · PI Gregory D Kirk, Shruti H Mehta · 2014 to 2026
$28.9M
INCIDENCE OF HIV INFECTIONS IN A COHORT OF IV DRUG USERSR01DA012568 · NIDA · JOHNS HOPKINS UNIVERSITY · PI MEHTA, SHRUTI H · 1999 to 2017
$15.5M
Real Time Methods for Quantifying Exposure to Illicit Drugs & Psychosocial StressU01DA023832 · NIDA · JOHNS HOPKINS UNIVERSITY · PI KIRK, GREGORY D · 2007 to 2010
$1.9M
Mentoring in Endocrine and Metabolic Abnormalities in HIV and AgingK24AI120834 · NIAID · JOHNS HOPKINS UNIVERSITY · PI BROWN, TODD T · 2015 to 2025
$1.8M
Epidemiology and Mechanisms of Accelerated Aging in HIV InfectionRC1AI086053 · NIAID · JOHNS HOPKINS UNIVERSITY · PI KIRK, GREGORY D · 2009 to 2010
$995k
Barriers to Effective HIV Care for Injection Drug Users After Release from PrisonK23DA032306 · NIDA · UNIVERSITY OF WISCONSIN-MADISON · PI WESTERGAARD, RYAN PATRICK · 2012 to 2016
$975k
Patient-Oriented Research and Mentorship in HIV and Non-Communicable DiseasesK24AI118591 · NIAID · JOHNS HOPKINS UNIVERSITY · PI KIRK, GREGORY D · 2015 to 2019
$766k
Determinants and Consequences of Frailty among Aging HIV-infected PersonsK23AI108357 · NIAID · JOHNS HOPKINS UNIVERSITY · PI PIGGOTT, DAMANI · 2013 to 2016
$731k
NCATS NIH HHS UL1 TR001079NIAID NIH HHS K23 AI108357NIAID NIH HHS K24 AI118591NIAID NIH HHS K24 AI120834NIAID NIH HHS RC1 AI086053NIA NIH HHS P30 AG021334NIDA NIH HHS K23 DA032306NIDA NIH HHS R01 DA012568NIDA NIH HHS U01 DA023832NIDA NIH HHS U01 DA036297
6 · The paper itself

Abstract

Background: Hospitalization events exact a substantial toll across the age spectrum. Frailty is associated with all-cause hospitalization among HIV-uninfected adults aged 65 years and older. Limited data exist on the frailty relationship to hospitalization among HIV-infected persons or those aged less than 65 years. Comparative investigation of the frailty relationship to specific classes of hospitalizations has rarely been reported among adults of any age. This study sought to determine the frailty relationship to three distinct classes of hospitalization events among HIV-infected persons and their uninfected counterparts. Methods: Frailty was ascertained semiannually among persons with prior injection drug use using the five Fried phenotypic domains. Hospitalization events were categorized using Agency for Healthcare Research and Quality clinical classification software into chronic, infectious, and nonchronic, noninfectious conditions. Cox proportional hazards models were used to examine the frailty relationship to time to first hospitalization event. Results: Among 1,303 subjects, mean age was 48 years; 32% were HIV-infected. Adjusting for sociodemographics, comorbidity, substance use, and HIV disease stage, time-updated frailty status was associated with risk for all hospitalization classes. Baseline frailty was significantly associated with all-cause (hazards ratio [HR] 1.41; 95% confidence interval [CI], 1.06, 1.87), chronic (HR 2.13; 95% CI, 1.46, 3.11), and infectious disease hospitalization (HR 2.51; 95% CI, 1.60, 3.91) but not with nonchronic, noninfectious hospitalization risk (HR 1.09; 95% CI, 0.74, 1.61). Conclusion: The frailty phenotype predicts vulnerability to chronic and infectious disease-related hospitalization. Frailty-targeted interventions may mitigate the substantial burden of infectious and chronic disease-related morbidity and health care utilization in HIV-infected and uninfected populations.

Indexed as

AgedChronic DiseaseFemaleFrail ElderlyHIV InfectionsHospitalizationHumansMaleMiddle AgedRisk FactorsSubstance Abuse, IntravenousChronic diseaseHIV/AIDSInfectionInjection drug use

Identifiers

PMID27516622
PMCPMC6075460

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.