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Geriatrics

Opinion | Expanding evidence for clinical care of older adults: beyond clinical trial traditions and finding new approaches.

23 Jul, 2021 | 10:31h | UTC

Expanding Evidence for Clinical Care of Older Adults: Beyond Clinical Trial Traditions and Finding New Approaches – JAMA (free for a limited period)

 

ICU Survivorship—The relationship of delirium, sedation, dementia, and acquired weakness.

21 Jul, 2021 | 10:32h | UTC

ICU Survivorship—The Relationship of Delirium, Sedation, Dementia, and Acquired Weakness – Critical Care Medicine

 

Systematic review: In hospitalized non‐ICU patients, multicomponent non-pharmacological interventions are estimated to reduce the incidence of delirium by 43% compared to usual care.

20 Jul, 2021 | 10:07h | UTC

Non‐pharmacological interventions for preventing delirium in hospitalised non‐ICU patients – Cochrane Library

Summary: Non-drug approaches for preventing delirium in adults receiving care in hospital outside of intensive care and high dependency units – Cochrane Library

 

AHA/ASA Scientific Statement: Primary Care of Adult Patients After Stroke.

18 Jul, 2021 | 23:20h | UTC

Primary Care of Adult Patients After Stroke: A Scientific Statement From the American Heart Association/American Stroke Association – Stroke

News release: Comprehensive primary care is vital to holistic care and optimal recovery after a stroke – American Heart Association

 

Commentary on Twitter

 

Review: Parkinson disease-associated cognitive impairment.

18 Jul, 2021 | 23:17h | UTC

Parkinson disease-associated cognitive impairment – Nature Reviews Disease Primers (free for a limited period)

Infographic: Parkinson disease-associated cognitive impairment

 

One COVID vaccine dose yields good protection in elderly, 2 studies find.

14 Jul, 2021 | 11:15h | UTC

One COVID vaccine dose yields good protection in elderly, 2 studies find – CIDRAP

Original study 1: Vaccine effectiveness of the first dose of ChAdOx1 nCoV-19 and BNT162b2 against SARS-CoV-2 infection in residents of long-term care facilities in England (VIVALDI): a prospective cohort study – The Lancet Infectious Diseases

Original Study 2: Effectiveness of BNT162b2 and ChAdOx1 nCoV-19 COVID-19 vaccination at preventing hospitalisations in people aged at least 80 years: a test-negative, case-control study – The Lancet Infectious Diseases

 

Commentary on Twitter (thread – click for more)

 

Clinical Practice Guideline for Postoperative Rehabilitation in Older Patients With Hip Fractures.

12 Jul, 2021 | 01:39h | UTC

Clinical Practice Guideline for Postoperative Rehabilitation in Older Patients With Hip Fractures – Annals of Rehabilitation Medicine

Related: Guideline for the perioperative management of hip fractures 2020

 

M-A: Are antimicrobial stewardship interventions effective and safe in long-term care facilities?

8 Jul, 2021 | 08:52h | UTC

Are antimicrobial stewardship interventions effective and safe in long-term care facilities? A systematic review and meta-analysis – Clinical Microbiology and Infection

 

A narrative review of evidence to guide deprescribing among older adults.

8 Jul, 2021 | 08:51h | UTC

A narrative review of evidence to guide deprescribing among older adults – Journal of General and Family Medicine

Related: Polypharmacy, inappropriate prescribing, and deprescribing in older people: through a sex and gender lens. (several resources on the subject)

 

Clinical guidelines for female lower urinary tract symptoms.

8 Jul, 2021 | 08:44h | UTC

Clinical Guidelines for Female Lower Urinary Tract Symptoms – International Journal of Urology

 

Delirium in COVID-19: can we make the unknowns knowns?

2 Jul, 2021 | 11:17h | UTC

Delirium in COVID-19: can we make the unknowns knowns? – Intensive Care Medicine

 

Commentary on Twitter

 

Guideline | Perimenopause and Postmenopause – Diagnosis and Interventions.

28 Jun, 2021 | 09:32h | UTC

Perimenopause and Postmenopause – Diagnosis and Interventions. Guideline of the DGGG and OEGGG (S3-Level, AWMF Registry Number 015-062, September 2020) – Geburtshilfe Frauenheilkd

 

Cohort study: no association was found between statin therapy and cognitive decline or incident dementia in older adults.

23 Jun, 2021 | 10:14h | UTC

Effect of Statin Therapy on Cognitive Decline and Incident Dementia in Older Adults – Journal of the American College of Cardiology

Commentaries: Statin Therapy Not Associated With Cognitive Decline, Dementia in Older Adults, Study Says – American College of Cardiology AND Effect of Statins on Cognitive Decline and Dementia in Older Adults – American College of Cardiology

 

AGS publishes updated AGS Minimum Geriatrics Competencies for Graduating Medical Students.

22 Jun, 2021 | 09:59h | UTC

News release: AGS publishes updated AGS Minimum Geriatrics Competencies for Graduating Medical Students – American Geriatrics Society

Recommendations: Minimum Geriatric Competencies for Medical Students

 

Study shows overuse of levothyroxine in patients with subclinical hypothyroidism despite evidence of no benefit.

22 Jun, 2021 | 09:57h | UTC

Levothyroxine Use in the United States, 2008-2018 (free for a limited period)

Editorial: Overuse of Levothyroxine in Patients With Subclinical Hypothyroidism: Time to “Leve”-Out-Thyroxine – JAMA Internal Medicine (free for a limited period)

Related: RCT: Levothyroxine does not reduce the risk of developing depressive symptoms in older adults with subclinical hypothyroidism (studies and guidelines on the subject)

 

Cohort study: the use of potentially inappropriate medications in adults with chronic kidney disease is common and linked to increased risk of hospitalization, mortality, and falls.

11 Jun, 2021 | 08:11h | UTC

Risk of Potentially Inappropriate Medications in Adults With CKD: Findings From the Chronic Renal Insufficiency Cohort (CRIC) Study – American Journal of Kidney Diseases (link to abstract – $ for full-text)

 

Commentary on Twitter

 

Infographic | Benefits and harms of exercise therapy in people with multimorbidity.

10 Jun, 2021 | 09:32h | UTC

Infographic. Benefits and harms of exercise therapy in people with multimorbidity – British Journal of Sports Medicine

 

Commentary on Twitter

 

M-A: Effectiveness of telerehabilitation in physical therapist practice.

10 Jun, 2021 | 09:29h | UTC

Effectiveness of Telerehabilitation in Physical Therapist Practice: An Umbrella and Mapping Review With Meta–Meta-Analysis – Physical Therapy & Rehabilitation Journal

 

FDA approvement of Alzheimer’s drug sparks controversy among doctors.

9 Jun, 2021 | 08:18h | UTC

News release: FDA Grants Accelerated Approval for Alzheimer’s Drug – U.S. Food & Drug Administration

Commentaries: ICER Issues Statement on the FDA’s Approval of Aducanumab for Alzheimer’s Disease – Institute for Clinical and Economic Review AND Landmark Alzheimer’s Drug Approval Confounds Research Community – Nature AND FDA approves Alzheimer’s drug from Biogen, against experts’ advice – NBC News AND F.D.A. Approves Alzheimer’s Drug Despite Fierce Debate Over Whether It Works – The New York Times (a few articles per month are free) AND Alzheimer’s drug approved despite doubts about effectiveness – Science (a few articles per month are free) AND The FDA Has Approved A New Alzheimer’s Drug — Here’s Why That’s Controversial – NPR AND Opinion: Bad medicine: aducanumab is a lackluster drug with a high price tag – STAT

 

RCT: Early, intensive mobilization poststroke may harm patients.

6 Jun, 2021 | 23:45h | UTC

Fatal and Nonfatal Events Within 14 days After Early, Intensive Mobilization Poststroke – Neurology

 

M-A: The benefit of dysphagia screening in adult patients with stroke.

6 Jun, 2021 | 23:43h | UTC

The Benefit of Dysphagia Screening in Adult Patients With Stroke: A Meta‐Analysis – Journal of the American Heart Association

 

RCT: Prophylactic post-exposure prophylaxis with Bamlanivimab reduced the incidence of Covid-19 among residents and staff of skilled nursing and assisted living facilities.

4 Jun, 2021 | 10:40h | UTC

Effect of Bamlanivimab vs Placebo on Incidence of COVID-19 Among Residents and Staff of Skilled Nursing and Assisted Living Facilities: A Randomized Clinical Trial – JAMA

Editorial: Bamlanivimab for Prevention of COVID-19

 

Covid-19: Pfizer-BioNTech vaccine is “likely” responsible for deaths of some elderly patients, Norwegian review finds.

28 May, 2021 | 08:22h | UTC

Covid-19: Pfizer-BioNTech vaccine is “likely” responsible for deaths of some elderly patients, Norwegian review finds – The BMJ

 

Commentary on Twitter

 

Advance Care Planning for people with dementia: recognizing moral dilemmas faced by physicians.

28 May, 2021 | 08:14h | UTC

Advance Care Planning for people with dementia: recognising moral dilemmas faced by physicians – The Mental Elf

Original study: Which moral barriers and facilitators do physicians encounter in advance care planning conversations about the end of life of persons with dementia? A meta-review of systematic reviews and primary studies – BMJ Open

 

Pessaries for pelvic organ prolapse – looking at the Cochrane evidence.

24 May, 2021 | 08:17h | UTC

Pessaries for pelvic organ prolapse – looking at the Cochrane evidence – Evidently Cochrane

Original Review: Pessaries (mechanical devices) for managing pelvic organ prolapse in women – Cochrane Library

 

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