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Geriatrics

Researchers tell doctors to avoid routine urinary tests for older patients with delirium.

6 Aug, 2021 | 09:01h | UTC

Researchers tell doctors to avoid routine urinary tests for older patients with delirium – Johns Hopkins University School of Medicine

Original article: Things We Do for No Reason™: Obtaining Urine Testing in Older Adults With Delirium Without Signs or Symptoms of Urinary Tract Infection – Journal of Hospital Medicine ($)

 

Commentary on Twitter (thread – click for more)

 

M-A: Effects of early mobilization on the prognosis of critically ill patients.

6 Aug, 2021 | 08:57h | UTC

Effects of early mobilization on the prognosis of critically ill patients: A systematic review and meta-analysis – International Journal of Nursing Studies (link to abstract – $ for full-text)

 

Commentary on Twitter

 

RCT: Routine treatment with fluoxetine does not reduce the incidence of depression after stroke.

4 Aug, 2021 | 08:56h | UTC

Depression Outcomes Among Patients Treated With Fluoxetine for Stroke Recovery: The AFFINITY Randomized Clinical Trial – JAMA Neurology (free for a limited period)

Editorial: Poststroke Selective Serotonin Reuptake Inhibitors—Do They Work for Anything? (free for a limited period)

Related:

[Abstract Only] Randomized trial: Fluoxetine does not improve functional recovery after acute stroke

Randomized Trial: Effects of Fluoxetine on Functional Outcomes After Acute Stroke

 

WHO Advocacy Brief: Scale, impact, and harms of social isolation and loneliness among older people.

3 Aug, 2021 | 02:29h | UTC

Social Isolation and Loneliness – World Health Organization

 

Commentary on Twitter (thread – click for more)

 

Study: many patients with small renal masses can be safely managed with active surveillance.

2 Aug, 2021 | 00:07h | UTC

Active Surveillance for Risk Stratification of All Small Renal Masses Lacking Predefined Clinical Criteria for Intervention – The Journal of Urology

Commentary: More Data Support Active Surveillance for Small Renal Masses — Most patients avoided surgery with no metastasis, better focus on aggressive disease – MedPage Today (free registration required)

 

Cohort study: Evidence of a potentially inappropriate and harmful prescribing cascade of gabapentinoid followed by a diuretic among older adults with lower back pain.

29 Jul, 2021 | 11:02h | UTC

Evidence of a gabapentinoid and diuretic prescribing cascade among older adults with lower back pain – Journal of the American Geriatrics Society (link to abstract – $ for full-text)

Related:

Are you the victim of a prescribing cascade?

Study: Evaluation of a Common Prescribing Cascade of Calcium Channel Blockers and Diuretics in Older Adults with Hypertension

Prescribing Cascade in a Cardiology Practice

 

ESC Consensus Document: Antithrombotic therapies in aortic and peripheral arterial diseases in 2021.

28 Jul, 2021 | 09:56h | UTC

Antithrombotic therapies in aortic and peripheral arterial diseases in 2021: a consensus document from the ESC working group on aorta and peripheral vascular diseases, the ESC working group on thrombosis, and the ESC working group on cardiovascular pharmacotherapy – European Heart Journal

Key Points to remember: ESC Consensus on Antithrombotic Therapies in Aortic and Peripheral Artery Diseases – American College of Cardiology

 

Commentary on Twitter

 

Systematic review: Compression bandages or stockings vs. no compression for treating venous leg ulcers.

27 Jul, 2021 | 03:31h | UTC

Compression bandages or stockings versus no compression for treating venous leg ulcers – Cochrane Library

Summary: Compression bandages or stockings versus no compression for treating venous leg ulcers – Cochrane Library

 

Cluster RCT: Effectiveness of a tailored intervention to reduce antibiotics for urinary tract infections in nursing home residents.

27 Jul, 2021 | 03:25h | UTC

Effectiveness of a tailored intervention to reduce antibiotics for urinary tract infections in nursing home residents: a cluster, randomised controlled trial – The Lancet Infectious Diseases (link to abstract – $ for full-text)

 

Commentary on Twitter

 

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

 

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

 

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

 

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

 

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)

 

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

 

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

 

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