T. Wenzel et al., Influence of HIV-infection on the Karnofsky score and general social functioning in patients with hemophilia, HAEMOSTASIS, 28(2), 1998, pp. 106-110
Quality of live, defined by different models, has become a major focus of r
esearch in chronic disorders. Patients with hemophilia have been found to s
uffer seriously from the impact of HIV infection. To compare the impact of
HIV infection on HIV-positive and HIV-negative patients, we evaluated a gro
up of 60 patients, 30 being positive and 30 negative, suffering from hemoph
ilia, using the Karnofsky index of functioning besides more general social
and clinical data. Most patients (n = 53) suffered from hemophilia A. The m
ean Karnofsky score decreased from 65.22 to 63.43 in the HIV-infected group
between 1988 and 1991, but increased from 77.7 to 82.2 in the HIV-negative
group; differences were not significant, though differences were significa
nt between the HIV-infected and HIV-negative groups. The Karnofsky score re
mained constant or increased in 26 (86.6%) of the HIV-negative patients, in
contrast to 50% in the infected group. Seven patients, all from the infect
ed group, had died in 1991. The initial Karnofsky score was not a prognosti
cator of survival. The group as a whole was socially well integrated. Conse
quently, the Karnofsky score can be a useful instrument in evaluating the g
lobal quality of live in HIV-infected patients, though a careful evaluation
of results is necessary and a low initial score does not predict survival.