HIV Clinical Trial
Official title:
Pharmacotherapy Follow-up in Older HIV-infected Patients: Impact on Cardiovascular Risk and Quality of Life
Cardiovascular diseases (CVD) are the main cause of death in Spain. In HIV patients, the
uncontrolled viral replication, antiretroviral therapy (ART) and coinfections contribute to
develop metabolic diseases and increase the prevalence of risk factors for CVD. These
patients are aging which results in a higher probability of comorbidities, increased number
of medications, possibility of having a negative outcome associated with medication (NOM)
and increased cardiovascular risk (CVR). Various studies have established that
pharmaceutical care (PC) results in better control of cardiovascular risk factors.
The purpose of this study is to evaluate the impact of pharmaceutical care achieved through
pharmacotherapy follow-up on cardiovascular risk and health related quality of life (HRQoL)
of HIV patients older than 50.
Quasi-experimental clinical study, pre-post intervention, performed with one patient cohort.
Study will be carry out at a tertiary hospital. The population will be constituted of
patients who receive care from the outpatient department of the pharmacy service in use of
antiretroviral therapy.
Variables will be obtained from patients' clinical histories, from dispensing records and
through interviews with patients.
Main variables:
- cardiovascular risk estimated according to Systematic Coronary Risk Evaluation (SCORE)
and Registre Gironí del Cor (REGICOR) equations
- HRQoL measured by the Short-Form 36-Item Health Survey (SF-36) and Medical Outcomes
Study HIV Health Survey (MOS-HIV) questionnaires.
Other variables: sociodemographic, clinical, pharmacological, related to CVR, related to NOM
and to the interventions.
Interventions will be performed every two months until complete 12 months of follow-up.
Pharmacotherapy follow-up will be conducted according to the Dader method. The interventions
will be health education for lifestyle modification, improve adherence and aimed to the
resolution of NOM and drug-related problems.
;
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label
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