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Geriatrics

Guideline: Diagnosis and treatment of neurogenic dysphagia.

6 May, 2021 | 08:51h | UTC

Diagnosis and treatment of neurogenic dysphagia – S1 guideline of the German Society of Neurology – Neurological Research and Practice

 

Study: Patients with heart failure have a much higher incidence of pneumonia than matched individuals in the population. The development of pneumonia in these patients is associated with a 3- to 4-fold higher risk of cardiovascular and all-cause death.

3 May, 2021 | 05:18h | UTC

Incidence and Outcomes of Pneumonia in Patients With Heart Failure – Journal of the American College of Cardiology

Commentaries: Pneumonia in HF Patients Is Common, Lethal, and Preventable – TCTMD AND Outcomes of Pneumonia in Patients With Heart Failure – American College of Cardiology

 

Randomized trial: Admission Avoidance Hospital at Home + Geriatric Assessment led to similar outcomes compared to hospital admission for older persons

3 May, 2021 | 05:13h | UTC

Is Comprehensive Geriatric Assessment Admission Avoidance Hospital at Home an Alternative to Hospital Admission for Older Persons? A Randomized Trial – Annals of Internal Medicine (link to abstract – $ for full-text)

Related: Pandemic Boosts an Old Idea—Bringing Acute Care to the Patient

 

Cohort Study: The risk of overdose with concomitant use of Z-Drugs (zolpidem, zopiclone, zaleplon) and prescription opioids is significantly increased

30 Apr, 2021 | 08:32h | UTC

The Risk of Overdose With Concomitant Use of Z-Drugs and Prescription Opioids: A Population-Based Cohort Study – American Journal of Psychiatry (link to abstract – $ for full-text)

Commentary: Co-prescribing Opioids, Z-Drugs May Increase Risk of Overdose – Psychiatric News Alert

 

CDC Study: Pfizer-BioNTech and Moderna vaccines reduce Covid-19 hospitalization risk by 64% after the first dose and 94% after the second dose among adults aged ≥65 years

29 Apr, 2021 | 08:42h | UTC

Effectiveness of Pfizer-BioNTech and Moderna Vaccines Against COVID-19 Among Hospitalized Adults Aged ≥65 Years — United States, January–March 2021 – CDC Morbidity and Mortality Weekly Report

Commentaries: Pfizer/Moderna Vaccine Protection: 64% at First Dose, 94% at Second – HealthDay AND Pfizer and Moderna vaccines reduce Covid-19 hospitalization risk by 94% among older adults, CDC study says – CNN

 

Commentary on Twitter

 

Ethics Commission Position Statement: Admission criteria and management of critical care patients in a pandemic context – “Age cannot be used as the sole criterion for admission nor denial of access to ICU settings”

29 Apr, 2021 | 08:36h | UTC

Admission criteria and management of critical care patients in a pandemic context: position of the Ethics Commission of the French Intensive Care Society, update of April 2021 – Annals of Intensive Care

 

Study in nursing homes shows rapid antigen testing could be a useful tool to identify contagious people at risk for transmitting SARS-CoV-2

27 Apr, 2021 | 08:35h | UTC

Performance Evaluation of Serial SARS-CoV-2 Rapid Antigen Testing During a Nursing Home Outbreak – Annals of Internal Medicine

Editorial: Utility of Rapid Antigen Tests in Nursing Homes

 

Commentary on Twitter

 

RCT: Promising results with vagus nerve stimulation paired with rehabilitation for upper limb motor function after ischemic stroke

25 Apr, 2021 | 21:10h | UTC

Vagus nerve stimulation paired with rehabilitation for upper limb motor function after ischaemic stroke (VNS-REHAB): a randomised, blinded, pivotal, device trial – The Lancet

Commentary: Vagus nerve stimulation: a potential new treatment for ischaemic stroke – The Lancet

 

Commentary on Twitter

 

Long Covid: Largest post-acute COVID-19 study to date examined the health outcomes in more than 73,000 people who’d had COVID-19 and were not hospitalized

23 Apr, 2021 | 08:48h | UTC

High-dimensional characterization of post-acute sequalae of COVID-19 – Nature

Commentary: Among COVID-19 survivors, an increased risk of death, serious illness – Washington University School of Medicine

 

Commentary on Twitter (thread – click for more)

 

Podcast: Dementia Made Simple

20 Apr, 2021 | 05:21h | UTC

#268 Dementia Made Simple with Dr. Josh Uy – The Curbsiders

 

Evolving changes in mortality of 13,301 critically ill adult patients with COVID-19 over 8 months

16 Apr, 2021 | 06:35h | UTC

Evolving changes in mortality of 13,301 critically ill adult patients with COVID-19 over 8 months – Intensive Care Medicine

 

Commentary on Twitter

 

USPSTF Statement: Insufficient evidence to recommend Vitamin D deficiency screening

14 Apr, 2021 | 01:47h | UTC

Vitamin D Deficiency in Adults: Screening – U.S. Preventive Services Task Force

Evidence Report: Screening for Vitamin D Deficiency in Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force

Editorial: The USPSTF 2021 Recommendations on Screening for Asymptomatic Vitamin D Deficiency in Adults: The Challenge for Clinicians Continues – JAMA AND Why USPSTF Still Finds Insufficient Evidence to Support Screening for Vitamin D Deficiency – JAMA Network Open

JAMA Patient Page: Screening for Vitamin D Deficiency in Adults

 

Guidance: Using Ventilation and filtration to reduce aerosol transmission of COVID-19 in long-term care homes

15 Apr, 2021 | 06:54h | UTC

Using Ventilation and filtration to reduce aerosol transmission of COVID-19 in long-term care homes – Public Health Agency of Canada

 

Commentary on Twitter

 

Study: Protocoled time-limited trials among critically ill patients with advanced medical illnesses were associated with reduction of nonbeneficial ICU treatments

13 Apr, 2021 | 05:16h | UTC

Evaluation of Time-Limited Trials Among Critically Ill Patients With Advanced Medical Illnesses and Reduction of Nonbeneficial ICU Treatments – JAMA Internal Medicine (free for a limited period)

Commentary: Time-Limited Trials and Potentially Nonbeneficial Treatment in the ICU—Willing to Wait for It – JAMA Internal Medicine AND Time-limited trials may decrease the length of stay of critically ill patients in the intensive care unit – 2 Minute Medicine

Author interview: Time-Limited Trials Among Patients With Advanced Illness to Reduce Nonbeneficial ICU Treatments

Related review: Time-limited trial of intensive care treatment: an overview of current literature – Intensive Care Medicine

 

Cohort study: Higher cumulative exposure to Thiazide diuretics linked to an increased risk of skin cancer in people older than 65 years

13 Apr, 2021 | 05:08h | UTC

Association between antihypertensive medications and risk of skin cancer in people older than 65 years: a population-based study – Canadian Medical Association Journal

Commentaries: Thiazides May Up Risk for Skin Cancer in Older Adults – HealthDay AND Some blood pressure medication linked to higher risk of skin cancer, study finds – CTV News

Related study: Case-Control Study: Possible Association of Hydrochlorothiazide Use and Risk of Melanoma

 

Long-term mortality of elderly patients after intensive care unit admission for COVID-19

14 Apr, 2021 | 02:09h | UTC

Long-term mortality of elderly patients after intensive care unit admission for COVID-19 – Intensive Care Medicine

 

Commentary on Twitter

 

Clinical Review: Screening and management of atrial fibrillation in primary care

13 Apr, 2021 | 05:09h | UTC

Screening and management of atrial fibrillation in primary care – The BMJ

 

Cohort Study: Effects of fluoroquinolones on outcomes of patients with aortic dissection or aneurysm

13 Apr, 2021 | 05:05h | UTC

Effects of Fluoroquinolones on Outcomes of Patients With Aortic Dissection or Aneurysm – Journal of the American College of Cardiology

Commentary: Fluoroquinolones Associated With Increased Risk of Aortic Dissection, Aneurysm – American College of Cardiology

Related: Another study suggests fluoroquinolone use may increase the risk of development of aortic aneurysms (study and commentaries) AND Link between fluoroquinolones, aorta problems may not be as strong as thought AND Study: Oral Fluoroquinolones and Risk of Mitral and Aortic Regurgitation AND FDA Warns About Increased Risk of Aortic Dissection and Ruptures of Aortic Aneurism with Fluoroquinolones AND Meta-analysis: Fluoroquinolones and the Risk of Aortopathy AND Study: Oral Fluoroquinolone and the Risk of Aortic Dissection AND Research: Fluoroquinolone use and risk of aortic aneurysm and dissection

 

AHA/ASA Scientific Statement: Perioperative Neurological Evaluation and Management to Lower the Risk of Acute Stroke in Patients Undergoing Noncardiac, Nonneurological Surgery

12 Apr, 2021 | 00:50h | UTC

Perioperative Neurological Evaluation and Management to Lower the Risk of Acute Stroke in Patients Undergoing Noncardiac, Nonneurological Surgery: A Scientific Statement From the American Heart Association/American Stroke Association – Circulation

 

Commentary on Twitter

 

RCT: Among patients with peripheral artery disease, low-intensity exercise was significantly less effective than high-intensity exercise for improving 6-minute walk distance

7 Apr, 2021 | 01:31h | UTC

Effect of Low-Intensity vs High-Intensity Home-Based Walking Exercise on Walk Distance in Patients With Peripheral Artery Disease: The LITE Randomized Clinical Trial – JAMA (free for a limited period)

Commentary: No pain, no gain in exercise for peripheral artery disease – ‘You’ve got to walk with pain to reap benefits’ – Northwestern University

 

Commentary on Twitter

 

Cohort study: Risk of suicide attempt in patients with recent diagnosis of mild cognitive impairment or dementia

7 Apr, 2021 | 01:08h | UTC

Risk of Suicide Attempt in Patients With Recent Diagnosis of Mild Cognitive Impairment or Dementia – JAMA Psychiatry (link to abstract – $ for full-text)

Commentaries: Recent Diagnosis of Cognitive Impairment, Dementia May Increase Suicide Risk – Psychiatric News Alert AND Suicide Attempts Spike Soon After Dementia Diagnosis – HealthDay

 

M-A: Non-drug therapies as good as or better than drugs for treating depression in people with dementia

2 Apr, 2021 | 09:05h | UTC

Comparative efficacy of interventions for reducing symptoms of depression in people with dementia: systematic review and network meta-analysis – The BMJ

Commentaries: Non-drug therapies as good as or better than drugs for treating depression in people with dementia – The BMJ AND Social prescribing may help reduce symptoms of depression in people with dementia – The BMJ Opinion AND Nondrug Interventions Can Help Alleviate Depression in Dementia Patients – HealthDay

 

ERC and ESICM Guidelines: Post-resuscitation Care

26 Mar, 2021 | 08:41h | UTC

European Resuscitation Council and European Society of Intensive Care Medicine guidelines 2021: post-resuscitation care – Intensive Care Medicine

 

Commentary on Twitter

 

USPSTF Statement: Current evidence is insufficient to recommend screening for hearing loss in older adults

24 Mar, 2021 | 08:12h | UTC

Screening for Hearing Loss in Older Adults – U.S. Preventive Services Task Force

Editorial: Screening for Hearing Loss in Older Adults: Insufficient Evidence Does Not Mean Insufficient Benefit – JAMA AND United States Preventive Services Task Force Recommendation for Hearing-Loss Screening Among Older Adults: An Opportunity in Insufficient Evidence – AMA Otolaryngology-Head & Neck Surgery AND USPSTF Recommendations for Hearing Loss Screening in Asymptomatic Older Adults—A Case of Missing Evidence and Missing Treatment Options – JAMA Network Open

Evidence Report: Screening for Hearing Loss in Older Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force – JAMA

Author interview: USPSTF Recommendation: Screening for Hearing Loss in Older Adults – JAMA

JAMA Patient Page: Screening for Hearing Loss in Older Adults

 

WHO Report: Kicking off a global conversation about ageism

19 Mar, 2021 | 08:12h | UTC

Global report on ageism – World Health Organization

News release: Kicking off a global conversation about ageism: launch of the first UN Global report on ageism – World Health Organization

 

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