Quantitative characterization of persistent disorders of blood and immune system functions using a score in patients with HIV infection for reflection in the International Classification of Functioning, Disability and Health
Elena M. Ugleva , Tatyana Yu. Yamshchikova , Oksana N. Vladimirova , Lyudmila A. Karasaeva
Medical and Social Expert Evaluation and Rehabilitation ›› 2021, Vol. 24 ›› Issue (4) : 25 -32.
Quantitative characterization of persistent disorders of blood and immune system functions using a score in patients with HIV infection for reflection in the International Classification of Functioning, Disability and Health
BACKGROUND: There is a need to optimizethe continuity between the various organizations involved in the rehabilitation of the sick and disabled. The application of the International Classification of Functioning, Disabilities and Health will allow overcoming the existing barriers of interdepartmental interaction.
AIMS: to create a scoring system for persistent disorders of the blood and immune system as determinants of ICF in patients with HIV infection.
MATERIALS AND METHODS: A random sampling method was used to perform a retrospective analysis of 100 protocols for conducting a medical and social examination of citizens with HIV infection and AIDS. The average age of those surveyed was 39 years. Men predominated (64%). The first group of disability is set at 21%, the second ― 45%, the third group ― 25%.
RESULTS: The most significant persistent disorders of body functions in patients with HIV infection were identified in the immune system (p ≤0.01).
CONCLUSIONS: The relationship between the severity of persistent disorders of the immune system and the disability group was revealed: among the disabled of the first and second groups, severe and extremely severe problems were statistically significantly more common (p ≤0.01), which confirms the possibility and necessity of using the international classification of functioning in people with HIV infection/AIDS in the form of a scoring as a way to reflect the quantitative characteristics of persistent disorders of the blood and immune system, including in disabled people.
HIV infection / AIDS / disability / international classification of functioning / scoring
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