Geriatrics
SR | Barriers and facilitators to deprescribing of cardiovascular medications
27 Jan, 2023 | 12:09h | UTCRelated:
SR | Oral nutritional interventions in frail older people who are malnourished or at risk of malnutrition
26 Jan, 2023 | 12:25h | UTC
M-A | Effectiveness of outpatient geriatric rehabilitation after inpatient geriatric rehabilitation or hospitalization
15 Jan, 2023 | 19:48h | UTC
Development of telehealth principles and guidelines for older adults: a modified Delphi approach
13 Jan, 2023 | 13:32h | UTC
SR | Non‐pharmacological interventions for sleep disturbances in people with dementia
13 Jan, 2023 | 13:19h | UTCNon‐pharmacological interventions for sleep disturbances in people with dementia – Cochrane Library
Summary: Non-medicine interventions for sleep problems in dementia – Cochrane Library
Cancer care for people with dementia: literature overview and recommendations for practice and research
11 Jan, 2023 | 14:14h | UTC
Podcast | Delirium in the hospital
11 Jan, 2023 | 14:12h | UTC#375 Delirium in the Hospital featuring Dr. Esther Oh – The Curbsiders
Review | Predictors of early heart failure rehospitalization among older adults with preserved and reduced ejection fraction
11 Jan, 2023 | 13:58h | UTC
Updated Guidance | Acute, periprocedural and long-term antithrombotic therapy in older adults.
16 Dec, 2022 | 13:51h | UTCCommentary: Antithrombotic Therapy in Older Adults: Key Points – American College of Cardiology
RCT | Mindfulness training and exercise did not improve cognitive function in older adults.
15 Dec, 2022 | 13:48h | UTCEffects of Mindfulness Training and Exercise on Cognitive Function in Older Adults: A Randomized Clinical Trial – JAMA (free for a limited period)
See also: Visual Abstract
News Release: Exercise, mindfulness don’t appear to boost cognitive function in older adults – Washington University School of Medicine
Review | Management of psychiatric and cognitive complications in Parkinson’s disease.
15 Dec, 2022 | 13:39h | UTCManagement of psychiatric and cognitive complications in Parkinson’s disease – The BMJ
RCT | Medication optimization vs. cognitive behavioral therapy in patients with chronic low back pain.
14 Dec, 2022 | 14:58h | UTC
Commentary on Twitter
RCT of Veterans w/chronic low back pain prescribed opioids found collaborative care medication optimization was modestly more effective in reducing pain at 1 year, compared to individual psychologist-delivered cognitive behavioral therapy. @DrMikeBushey https://t.co/K0kXy5Ngou
— JAMA Network Open (@JAMANetworkOpen) November 17, 2022
Policy Statement | Palliative care early in the care continuum among patients with serious respiratory illness.
7 Dec, 2022 | 14:22h | UTC
Commentary on Twitter
Read "Palliative Care Early in the Care Continuum among Patients with Serious Respiratory Illness: An Official ATS/AAHPM/HPNA/SWHPN Policy Statement" here: https://t.co/vMALIcwp3K pic.twitter.com/lUclouz0Dj
— American Thoracic (@atscommunity) September 26, 2022
RCT | Lecanemab slows cognitive decline in early Alzheimer’s disease but raises safety concerns.
2 Dec, 2022 | 14:40h | UTCLecanemab in Early Alzheimer’s Disease – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries:
Heralded Alzheimer’s drug works — but safety concerns loom – Nature
Lecanemab and Alzheimer’s: More Data – Science
Alzheimer’s Drug is Hailed Amid Safety Concerns – Health Policy Watch
Related: Second death linked to potential antibody treatment for Alzheimer’s disease – Science
Commentary on Twitter
In a phase 3 trial, participants with early Alzheimer’s disease who received the monoclonal antibody lecanemab had less decline on measures of cognitive function at 18 months than those who received placebo. https://t.co/NjEloWVk1V pic.twitter.com/n33yjV9117
— NEJM (@NEJM) November 30, 2022
M-A | Risk of hypovolemia associated with sodium–glucose cotransporter-2 inhibitors treatment.
2 Dec, 2022 | 14:31h | UTC
M-A | Association between the FRAIL Scale and postoperative complications in older surgical patients.
2 Dec, 2022 | 14:21h | UTC
Commentary on Twitter
Study showing FRAIL scale association with 30-d & 6 mo mortality, postop complications, & delirium.Odds ratios are nice but actual% may be more helpful.If OR is 3 but % complications is 0.5%, it’s not that meaningful.Need both for informed decision-makinghttps://t.co/V5qfEDHslQ
— Steven Cohn, MD (@preopconsult) November 30, 2022
Brief Review | Tailoring treatments to older people in intensive care. A way forward.
29 Nov, 2022 | 13:51h | UTCTailoring treatments to older people in intensive care. A way forward – Intensive Care Medicine
Commentary on Twitter
Treating older pts in #ICU?
➡️ subgroup growing fast(est)
➡️ outcomes not so poor, but appropriateness context-specific
➡️clusters w similar clinical/prognostic profiles described: most appropriate interventions for them?
📎 https://t.co/iVp5A1gqoQOn
📎 https://t.co/WzN4L4LNt7 pic.twitter.com/2pcAEjmgmy— Intensive Care Medicine (@yourICM) November 11, 2022
Clinical practice guidelines on palliative sedation around the world: a systematic review.
29 Nov, 2022 | 13:43h | UTC
M-A | Effectiveness of home-based exercise delivered by digital health in older adults.
27 Nov, 2022 | 22:20h | UTC
Commentary on Twitter
Effectiveness of home-based exercise delivered by digital health in older adults: a systematic review and meta-analysis
👀👀👇👇https://t.co/OYXM6tzNGr pic.twitter.com/VNnURqQQHz
— Physio Meets Science (@PhysioMeScience) November 16, 2022
Evidence Analysis | Recognizing and managing frailty in older adults.
27 Nov, 2022 | 22:09h | UTCRecognising and managing frailty in older adults – Cochrane Library
M-A | Cardioprotective effects of influenza vaccination in patients with high risk of cardiovascular disease.
25 Nov, 2022 | 12:47h | UTCCardioprotective effects of influenza vaccination among patients with established cardiovascular disease or at high cardiovascular risk: a systematic review and meta-analysis – European Journal of Preventive Cardiology (free for a limited period)
Related:
RCT | Influenza vaccine to reduce adverse vascular events in patients with heart failure.
SR | Adjunctive therapies in addition to land‐based exercise therapy for osteoarthritis of the hip or knee.
23 Nov, 2022 | 13:40h | UTC
Commentary on Twitter
New Cochrane Review 🔥🔥
📣 "Compared with land-based exercise therapy, additional therapies plus exercise therapy, may not be more effective in improving pain, physical function, quality of life or joint changes."https://t.co/AU2LuyTwg8 pic.twitter.com/k2HYBMpJXp
— Physio Meets Science (@PhysioMeScience) October 17, 2022
M-A | Use of CT of the head in patients with acute atraumatic altered mental status.
22 Nov, 2022 | 13:38h | UTC
Commentary on Twitter
Meta-analysis: 94% of patients with atraumatic altered mental status received a noncontrast CT head, with an average yield of 11% which varied by setting: 18% in ED patients, 12% of ICU patients, and 3% of general inpatients had positive findings on CT. https://t.co/yHWj6uSwTM
— JAMA Network Open (@JAMANetworkOpen) November 18, 2022
Guardianship | A medicolegal review for clinicians.
22 Nov, 2022 | 13:33h | UTCGuardianship: A medicolegal review for clinicians – Journal of the American Geriatrics Society
M-A | Burden of respiratory syncytial virus infection in older and high-risk adults in developed countries.
22 Nov, 2022 | 13:05h | UTC