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

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Abstract

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.

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About the authors

Elena M. Ugleva

St. Petersburg Institute of advanced training of doctors-experts

Email: uglevaem@mail.ru
ORCID iD: 0000-0002-1130-5913
SPIN-code: 8589-8371

MD, Cand. Sci. (Med.), Associate Professor

Russian Federation, 11/12 B. Sampsonievskij av., 194044, Saint-Petersburg

Tatyana Yu. Yamshchikova

St. Petersburg Institute of advanced training of doctors-experts

Email: tania@tirn.spb.ru
ORCID iD: 0000-0003-2883-0033
SPIN-code: 4985-2190

MD, Cand. Sci. (Med.), Assistant Professor

Russian Federation, 11/12 B. Sampsonievskij av., 194044, Saint-Petersburg

Oksana N. Vladimirova

St. Petersburg Institute of advanced training of doctors-experts

Email: vladox1204@yandex.ru
ORCID iD: 0000-0001-6692-2882
SPIN-code: 6405-4757

MD, Dr. Sci. (Med.), Associate Professor

Russian Federation, 11/12 B. Sampsonievskij av., 194044, Saint-Petersburg

Lyudmila A. Karasaeva

St. Petersburg Institute of advanced training of doctors-experts

Author for correspondence.
Email: ludkaras@yandex.ru
ORCID iD: 0000-0001-5621-0240
SPIN-code: 9544-3108

MD, Dr. Sci. (Med.), Professor

Russian Federation, 11/12 B. Sampsonievskij av., 194044, Saint-Petersburg

References

  1. ZdravMedInform. Online directory of Healthcare and Medicine. ICF. (In Russ). Available from: https://zdravmedinform.ru/. Accessed: 01.11.2021.
  2. HIV infection in adults. Clinical recommendations. Moscow: National Association of Specialists in the Prevention, Diagnosis and Treatment of HIV infection; National Virological Association; 2020. 230 p. (In Russ).
  3. Order of the Ministry of Labor and Social Development of the Russian Federation No. 585n dated August 27, 2019 “On classifications and criteria used in the implementation of medical and social expertise of citizens by Federal state institutions of medical and social expertise”. (In Russ). Available from: https://www.garant.ru/products/ipo/prime/doc/72921006/. Accessed: 01.11.2021.
  4. Patent for Russian Federation RU 2310392 C2. Kovalev DV, Kubaichuk AB, Pasechnik PV, et al. A method for determining the rehabilitation potential of a disabled person. (In Russ). Available from: https://www.elibrary.ru/item.asp?id=37723003. Accessed: 01.11.2021.
  5. Methodological recommendations for the Pilot project “Development of the medical rehabilitation system in the Russian Federation”. “Practical application of evaluation scales in medical rehabilitation. 2015–2016”. (In Russ). Available from: https://vrachirf.ru/storage/db/6d/b8/10/6e/89/38/92/49b0-0eaacd-8fd4e7.pdf. Accessed: 01.11.2021.
  6. Medical Toxicity Scale (CTCAE criteria version 4.03; 2010). Available from: http://www.bionco.ru/tables/common-toxicity-criteria/. Accessed: 01.11.2021.
  7. Rukavitsyn OA. Anemia. A short guide for practitioners of all specialties. Moscow: GEOTAR-Media; 2018. 176 p. (In Russ).

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