Geriatrics
Review | Acute traumatic brain injury in frail patients: the next pandemic.
21 Feb, 2022 | 08:31h | UTCAcute traumatic brain injury in frail patients: the next pandemic – Current Opinion in Critical Care
Viewpoint: Achieving diagnostic excellence for older patients.
18 Feb, 2022 | 08:37h | UTCAchieving Diagnostic Excellence for Older Patients – JAMA (free for a limited period)
Systematic Review: Vision impairment and cognitive decline among older adults.
18 Feb, 2022 | 08:19h | UTCVision impairment and cognitive decline among older adults: a systematic review – BMJ Open
Meta-analysis finds the overall prevalence of statin intolerance is around 9% and identifies the most common risk factors.
17 Feb, 2022 | 10:07h | UTCPrevalence of statin intolerance: a meta-analysis – European Heart Journal
Commentaries:
Expert reaction to study looking at statin intolerance – Science Media Centre
Related:
Commentary on Twitter
Statin intolerance is “over-estimated and over-diagnosed”. World’s largest study shows less than 10% suffer side-effects caused by statins https://t.co/pcVk8YI3I3@escardio #EHJ #ESCYoung #cardiotwitter @ehj_ed @rladeiraslopes #CVD #Riskfactors pic.twitter.com/b3nFWsc74d
— European Society of Cardiology Journals (@ESC_Journals) February 16, 2022
Cluster Randomized Clinical Trial: An electronic decision support system for deprescribing in hospitalized older adults was safe and led to improvements in deprescribing but did not reduce adverse drug events.
15 Feb, 2022 | 09:43h | UTC
Commentary on Twitter
Randomized control trial found that @MedSaferTool increases #deprescribing by 22% at hospital discharge but little impact on short term adverse drug events. https://t.co/XqiSwFSPEz @DrEmilyMcD @DrToddLee @DeprescribeUS
— JAMA Internal Medicine (@JAMAInternalMed) January 18, 2022
ERS statement on Long COVID-19 follow-up.
13 Feb, 2022 | 22:48h | UTCEuropean Respiratory Society Statement on Long COVID-19 Follow-Up – European Respiratory Review
Discontinuing antidepressants: Pearls and pitfalls.
11 Feb, 2022 | 08:18h | UTCDiscontinuing antidepressants: Pearls and pitfalls – Cleveland Clinic Journal of Medicine
Evaluation and management of orthostatic hypotension: Limited data, limitless opportunity.
11 Feb, 2022 | 08:21h | UTC
RCT: In patients 60 years of age or older with an intracapsular hip fracture, cemented hemiarthroplasty resulted in better quality of life and lower risk of periprosthetic fracture than uncemented hemiarthroplasty.
10 Feb, 2022 | 10:19h | UTC
Commentary on Twitter
Among patients 60+ with an intracapsular hip fracture, cemented hemiarthroplasty resulted in a modestly better quality of life and a lower risk of periprosthetic fracture than uncemented hemiarthroplasty. https://t.co/BKhd0PzXDr pic.twitter.com/8fqx5HbITN
— NEJM (@NEJM) February 9, 2022
M-A: The prevalence of loneliness across 113 countries.
10 Feb, 2022 | 10:08h | UTCThe prevalence of loneliness across 113 countries: systematic review and meta-analysis – The BMJ
Editorial: We need a public health approach to loneliness
News Release: Problematic levels of loneliness widespread in many countries – BMJ
Commentary on Twitter
https://twitter.com/robert_eres/status/1491663838013702144
M-A: Time to benefit for stroke reduction after blood pressure treatment in older adults.
10 Feb, 2022 | 08:44h | UTCNews Release: New research finds more intensive blood pressure treatment may prevent strokes in older adults – Wiley
M-A: Patients generally may return to driving 4 weeks after hip arthroscopy and 6 weeks after knee arthroscopy.
10 Feb, 2022 | 08:31h | UTC
Commentary on Twitter
Patients are generally safe to drive *4 weeks* after hip arthroscopy and *6 weeks* after knee arthroscopy. Meta-Analysis from Palma et al in ASMAR this month gives us the evidence!
Is it time to revise your instructions for your patients? 🤔https://t.co/Bcg12tX0MM pic.twitter.com/wAhJx2vS8a
— Arthroscopy Journal (@ArthroscopyJ) October 20, 2021
In patients taking anticoagulants (DOAC or Warfarin), a respiratory tract infection not treated with antibiotics is associated with a greater than twofold increase in the risk of bleeding during the next 0-14 days.
8 Feb, 2022 | 08:46h | UTC
Commentary on Twitter
In new research of 1208 oral anticoagulant users, a greater than twofold increase was seen in the risk of major bleeding & clinically relevant non-major bleeding in the 0-14 days after a respiratory tract infection for which no antibiotics were prescribed https://t.co/wMIb2eDBKk
— The BMJ (@bmj_latest) December 21, 2021
The kidney in normal aging: a comparison with chronic kidney disease.
7 Feb, 2022 | 08:18h | UTC
Consensus Statement: Preoperative Management of Medications for Neurologic Diseases.
4 Feb, 2022 | 10:00h | UTCPreoperative Management of Medications for Neurologic Diseases – Mayo Clinic Proceedings
Related: Consensus Statement: Preoperative management of medications for psychiatric diseases.
Geriatric Choosing Wisely choice of recommendations in France: a pragmatic approach based on clinical audits.
4 Feb, 2022 | 08:46h | UTCSee complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Hyaluronic acid injections have increased for knee arthritis in the US, despite guideline recommendations against their use.
4 Feb, 2022 | 08:32h | UTCHyaluronic Acid Injections for Knee Osteoarthritis: Has Utilization Among Medicare Beneficiaries Changed Between 2012 and 2018? – The Journal of Bone & Joint Surgery (link to abstract – $ for full-text)
News Release: Hyaluronic acid injections have increased for knee arthritis – despite recommendations against their use
Related Guideline: Treatment of Osteoarthritis of the Knee: Evidence-Based Guideline, 2nd Edition – Journal of the American Academy of Orthopaedic Surgeons
Consensus Statement: Preoperative management of medications for psychiatric diseases.
3 Feb, 2022 | 09:59h | UTC
Perspective: The origins, development, and context of the Lancet Commission on the Value of Death – “Death has turned from being a family, social, and cultural event to primarily a medical event”.
3 Feb, 2022 | 08:51h | UTCThe origins, development, and context of the Lancet Commission on the Value of Death – The BMJ
M-A of 26 observational studies found hearing loss and dual sensory loss are linked to excess all-cause and cardiovascular mortality.
3 Feb, 2022 | 08:22h | UTCAssociations of Hearing Loss and Dual Sensory Loss With Mortality: A Systematic Review, Meta-analysis, and Meta-regression of 26 Observational Studies With 1 213 756 Participants – JAMA Otolaryngology—Head & Neck Surgery (link to abstract – $ for full-text)
Author Interview: Associations of Hearing Loss and Dual Sensory Loss With Mortality
Cluster Randomized Trial: In older patients undergoing elective surgical procedures, a multimodal nonpharmacological prevention program reduced postoperative delirium occurrence and days with delirium.
2 Feb, 2022 | 08:38h | UTCAuthor Interview: Effective Delirium Prevention in Older Persons After Elective Surgery
Commentary on Twitter
Study suggests implementing a multifaceted multidisciplinary prevention intervention will improve care and outcomes in older patients undergoing elective general and orthopedic procedures https://t.co/lHU59ca5m5 pic.twitter.com/oj76KiV4It
— JAMA Surgery (@JAMASurgery) December 15, 2021
The Lancet Commission: Experts warn of the increasing overmedicalization of death, call for radical rethink of how society cares for dying people.
1 Feb, 2022 | 09:55h | UTCHomepage: Lancet Commission on the Value of Death (free registration required for all articles)
Report of the Lancet Commission on the Value of Death: bringing death back into life
The precariousness of balancing life and death
Ros Taylor: seeing palliative care as relational
Commentary on Twitter (thread – click for more)
Increasing overmedicalisation at the end of life is denying people & their families a good death.
Towards a compassionate community model: The Lancet #ValueofDeath Commission calls for a radical rethink of care for the dying & attitudes to death. https://t.co/DpJiu1tOcV pic.twitter.com/FU9MgCO1J6
— The Lancet (@TheLancet) January 31, 2022
RCT: A comprehensive geriatric assessment hospital at home may be a cost-effective alternative to hospital admission.
1 Feb, 2022 | 08:32h | UTC
Registry study in Denmark found an increased bleeding risk with the association of systemic Fluconazole and Apixaban (OR 3.5; 95% CI, 1.4-10.6).
1 Feb, 2022 | 08:13h | UTC
RCT: Vitamin D supplementation for older adults (mean age 67 years) for 5 years reduced the risk of autoimmune diseases by 22%. Absolute risk in the treatment group was 0.95% vs. 1.19% in the placebo group.
30 Jan, 2022 | 14:30h | UTCCommentary: Vitamin D and fish oil supplements may help prevent autoimmune disease, study says – CNN
Related:
USPSTF Statement: Insufficient evidence to recommend Vitamin D deficiency screening
Vitamin D, calcium, other vitamins, and supplements do not prevent cardiovascular diseases


