دورية أكاديمية

Neurocognitive status and risk of mortality among people living with human immunodeficiency virus: an 18-year retrospective cohort study.

التفاصيل البيبلوغرافية
العنوان: Neurocognitive status and risk of mortality among people living with human immunodeficiency virus: an 18-year retrospective cohort study.
المؤلفون: Naveed Z; Department of Epidemiology, College of Public Health, University of Nebraska Medical Center, 984355 Medical Center, Omaha, NE, 68198-4395, USA., Fox HS; Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE, USA., Wichman CS; Department of Biostatistics, University of Nebraska Medical Center, Omaha, NE, USA., Alam M; Department of Biostatistics, University of Nebraska Medical Center, Omaha, NE, USA., May P; Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE, USA., Arcari CM; Department of Epidemiology, College of Public Health, University of Nebraska Medical Center, 984355 Medical Center, Omaha, NE, 68198-4395, USA., Meza J; Department of Biostatistics, University of Nebraska Medical Center, Omaha, NE, USA., Totusek S; Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE, USA., Baccaglini L; Department of Epidemiology, College of Public Health, University of Nebraska Medical Center, 984355 Medical Center, Omaha, NE, 68198-4395, USA. lorena.baccaglini@unmc.edu.
المصدر: Scientific reports [Sci Rep] 2021 Feb 12; Vol. 11 (1), pp. 3738. Date of Electronic Publication: 2021 Feb 12.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101563288 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-2322 (Electronic) Linking ISSN: 20452322 NLM ISO Abbreviation: Sci Rep Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : Nature Publishing Group, copyright 2011-
مواضيع طبية MeSH: Cognitive Dysfunction/*mortality , Cognitive Dysfunction/*physiopathology , HIV Infections/*mortality, Adult ; Anti-Retroviral Agents/therapeutic use ; Cognition/physiology ; Cognitive Dysfunction/virology ; Cohort Studies ; Databases, Factual ; Executive Function/physiology ; Female ; HIV/metabolism ; HIV/pathogenicity ; HIV Infections/drug therapy ; HIV Infections/physiopathology ; Humans ; Male ; Middle Aged ; Neurocognitive Disorders/mortality ; Neurocognitive Disorders/physiopathology ; Neurocognitive Disorders/virology ; Proportional Hazards Models ; Retrospective Studies ; Risk Factors ; United States/epidemiology
مستخلص: HIV-related neurocognitive impairment (NCI) may increase the risk of death. However, a survival disadvantage for patients with NCI has not been well studied in the post-combination antiretroviral therapy (cART) era. Specifically, limited research has been conducted considering the reversible nature and variable progression of the impairment and this area demands further evaluation. We performed multivariable Cox proportional hazards modeling to assess the association between baseline NCI (global T scores) and mortality. A joint modeling approach was then used to model the trajectory of global neurocognitive functioning over time and the association between neurocognitive trajectory and mortality. Among the National NeuroAIDS Tissue Consortium's (NNTC) HIV-infected participants, we found a strong negative association between NCI and mortality in the older age groups (e.g., at age = 55, HR = 0.79; 95% CI 0.64-0.99). Three neurocognitive sub-domains (abstraction and executive functioning, speed of information processing, and motor) had the strongest negative association with mortality. Joint modelling indicated a 33% lower hazard for every 10-unit increase in global T scores (HR = 0.67; 95% CI 0.56-0.80). The study identified older HIV-infected individuals with NCI as a group needing special attention for the longevity of life. The study has considerable prognostic utility by not only predicting mortality hazard, but also future cognitive status.
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معلومات مُعتمدة: U24 MH100928 United States MH NIMH NIH HHS; U24MH100925 National Institutes of Health (NIH); U24 MH100931 United States MH NIMH NIH HHS; U24 MH100930 United States MH NIMH NIH HHS
المشرفين على المادة: 0 (Anti-Retroviral Agents)
تواريخ الأحداث: Date Created: 20210213 Date Completed: 20211228 Latest Revision: 20220226
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC7881128
DOI: 10.1038/s41598-021-83131-1
PMID: 33580123
قاعدة البيانات: MEDLINE
الوصف
تدمد:2045-2322
DOI:10.1038/s41598-021-83131-1