Geriatrics
SCCM International consensus conference on prediction and identification of long-term impairments after critical illness
18 Oct, 2020 | 22:59h | UTCSystematic review: Prediction Models for Physical, Cognitive, and Mental Health Impairments After Critical Illness: A Systematic Review and Critical Appraisal – Critical Care Medicine
Source: Grupo UTI Clínica HCFMUSP
Commentary on Twitter
"Prediction Models for Physical, Cognitive, and Mental Health Impairments After Critical Illness"
Open-access: https://t.co/zGz9Fb0Ku7
Companion to @SCCM's https://t.co/T9Pw40uD48
Led by @HainesKimberley @LizzyHib
Table 4 = awesome?(special thanks @GSCollins @MaartenvSmeden) pic.twitter.com/UyFPKOSHFM— Michael Harhay (@Michael_Harhay) October 15, 2020
Study: Polypharmacy (taking > 10 medications) is common in older patients with heart failure
15 Oct, 2020 | 09:03h | UTCPolypharmacy in Older Adults Hospitalized for Heart Failure – Circulation: Heart Failure
Commentaries: Ten or more medications, often prescribed to older heart failure patients, raises concerns – American Heart Association AND Polypharmacy Common Among Older Heart Failure Patients – Physician’s Weekly
Commentary on Twitter
New work from @OzanUnluMD @ParagGoyalMD indicates that polypharmacy (taking > 10 medications) is common in older patients with #heartfailure, and is primarily due to non-cardiovascular meds #AHAJournals @WeillCornell | https://t.co/hL0GZLaCnT pic.twitter.com/BHppxDQgor
— Circ: Heart Failure (@CircHF) October 13, 2020
Meta-analysis: Association of receipt of palliative care interventions with health care use, quality of life, and symptom burden among adults with chronic noncancer illness
14 Oct, 2020 | 09:18h | UTCEditorial: Palliative Care for Patients With Noncancer Illnesses
Commentary on Twitter
In this meta-analysis of RCTs of patients with primarily noncancer illness (mostly heart failure) palliative care was associated w less acute health care use & lower symptom burden, with no difference in quality of life https://t.co/ZtH6w48vz4 @kieranlquinn
— JAMA (@JAMA_current) October 13, 2020
‘Long Covid’: Why are some people not recovering?
13 Oct, 2020 | 01:03h | UTC‘Long Covid’: Why are some people not recovering? – BBC
Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study
12 Oct, 2020 | 00:34h | UTC
Commentary on Twitter
DecubICUs study results: pressure injuries common in adult #ICU: 59.2% ICU-acquired, prevalence 16.2%.
Optimal care standards, increased awareness, proper resource allocation, focused research pivotal to tackle this main #ptsafety threat @StijnBLOT @ESICM https://t.co/gfJ9x06dnB pic.twitter.com/bUeOVwoVxk— Intens Care Med (@yourICM) October 9, 2020
Randomized trial: Effect of exercise training for five years on all cause mortality in older adults
9 Oct, 2020 | 08:56h | UTCNews Release: Exercise intensity not linked to mortality risk in older adults, finds trial – BMJ
Infographic: Generation 100 study: randomised controlled trial
Commentary: It’s never too late for older adults to start exercising – The BMJ Opinion
Commentaries on Twitter
Impressive study — 5yr #exercise RCT looking at all cause mortality in over 1500 older adults (~73yo). Adherence to exercise ~50%. @bmj_latest https://t.co/UnthYld2bM pic.twitter.com/t4JMQXiD78
— Jess Scott (@cardiac_fitness) October 8, 2020
Exercise intensity appears to make no difference to risk of mortality among older adults, suggests a randomised controlled trial from Norway published by @bmj_latest today https://t.co/7h7hzPTymf @UWisloff
— BMJ (@bmj_company) October 8, 2020
Review: Prehabilitation for the Anesthesiologist
6 Oct, 2020 | 00:07h | UTCPrehabilitation for the Anesthesiologist – Anesthesiology
Commentary on Twitter
Review by Dr. Carli @mcgillanesth focuses on fast-track and enhanced recovery after surgery protocols https://t.co/ItIe8RLDL7 pic.twitter.com/lGhq8Xll7I
— Anesthesiology journal (@_Anesthesiology) August 28, 2020
Medication related hospital admissions and readmissions in older patients: an overview of literature
2 Oct, 2020 | 09:15h | UTC
Drug-related orthostatic hypotension: Beyond anti-hypertensive medications
2 Oct, 2020 | 09:13h | UTCDrug-Related Orthostatic Hypotension: Beyond Anti-Hypertensive Medications – Drugs & Aging
Commentary on Twitter
Drug-Related Orthostatic Hypotension: Beyond Anti-Hypertensive Medications. An open access review … https://t.co/YB0KiEiAtF pic.twitter.com/YzfsmQmtbZ
— Rohan Elliott (@elliott_rohan) September 30, 2020
New research shows older adults are still often excluded from clinical trials
1 Oct, 2020 | 09:02h | UTCNew research shows older adults are still often excluded from clinical trials – STAT
Original Study: The Exclusion of Older Persons From Vaccine and Treatment Trials for Coronavirus Disease 2019—Missing the Target – JAMA Internal Medicine
Commentary on Twitter
“It is important we have a trial population that reflects the real-world population." https://t.co/tRpo0NGL5x
— STAT (@statnews) October 1, 2020
Systematic review: The effectiveness and cost‐effectiveness of hospital‐based specialist palliative care for adults with advanced illness and their caregivers
1 Oct, 2020 | 08:58h | UTC
Commentary on Twitter
Cochrane review on hospital-based specialist palliative care. Findings: Improved HR-QoL and patient satisfaction, reduced symptom burden and depression, and increased chances of patients dying in their preferred place. @SBajwah @cochranecollab https://t.co/wjhGp0gcbs
— Olaf Geerse (@OlafGeerse) September 30, 2020
Intensive care unit acquired muscle weakness in COVID-19 patients
30 Sep, 2020 | 09:39h | UTCIntensive care unit acquired muscle weakness in COVID-19 patients – Intensive Care Medicine
Commentary on Twitter
#ICU acquired muscle weakness in #COVID19 frequently occurring in critically ills on prolonged sedation. Price to pay for rigorous protective MV? follow-up essential to offer tailored rehab, trying to reduce long-term impact on functional status. #ICUrehab https://t.co/anf0WE0W4w pic.twitter.com/MdnNzYuTN8
— Intens Care Med (@yourICM) September 28, 2020
When young people get COVID-19, infections soon rise among older adults
30 Sep, 2020 | 09:41h | UTCWhen Young People Get COVID-19, Infections Soon Rise Among Older Adults – NPR
“rising infections among young adults preceded increases in COVID-19 — by four to 15 days — among people over the age of 60.”
Commentary on Twitter
A recent CDC report confirms what many public health experts have been warning: Coronavirus cases in young adults lead to infections in older and more vulnerable people — who are more likely to be hospitalized and die from COVID-19.https://t.co/r89dOJrTWj
— NPR (@NPR) September 29, 2020
Investigational COVID-19 vaccine well-tolerated and generates immune response in older adults
30 Sep, 2020 | 09:36h | UTCOriginal Article: Safety and Immunogenicity of SARS-CoV-2 mRNA-1273 Vaccine in Older Adults – New England Journal of Medicine
Commentary on Twitter
The Moderna mRNA vaccine, which elicited antibodies and T cells specific for the Covid-19 virus in adults 55 years of age or younger, elicited similarly high levels of neutralizing-antibody and CD4 T-cell responses in older adults. #COVID19 #SARSCoV2
— NEJM (@NEJM) September 29, 2020
As their numbers grow, COVID-19 “long haulers” stump experts
24 Sep, 2020 | 09:33h | UTCAs Their Numbers Grow, COVID-19 “Long Haulers” Stump Experts – JAMA
Commentary on Twitter
Many #COVID19 long haulers didn’t require hospitalization, let alone ICU stays. Researchers suspect #SARSCoV2 can trigger long-lasting changes in the immune system, especially in the lungs, which may persist long after patients stop shedding the virus https://t.co/UuRr0LbLy5
— JAMA (@JAMA_current) September 24, 2020
Ensuring adequate palliative and hospice care during COVID-19 surges
22 Sep, 2020 | 09:57h | UTCEnsuring Adequate Palliative and Hospice Care During COVID-19 Surges – JAMA
Commentary on Twitter
An ethical approach to #pandemic surge planning requires providing for patients seeking symptom relief & comfort at the end of life. Not to do so undermines patient, family trust, emotional health, and core values of society https://t.co/P0LeYuZwzt @MatthewWynia @CUPallCare
— JAMA (@JAMA_current) September 22, 2020
ESC Position Paper: Integration of a palliative approach into heart failure care
18 Sep, 2020 | 09:24h | UTC
Commentary on Twitter
Palliative care should be part of every #heartfailure management programme. Read about how you can discuss and implement it in #EJHF https://t.co/lpR3Jb1I9p@MarcoMetra @HFA_President @kevin_damman pic.twitter.com/tA9nCMHiyS
— European Society of Cardiology Journals (@ESC_Journals) September 17, 2020
COVID-19: Guidance on palliative care from a European Respiratory Society international task force
16 Sep, 2020 | 09:16h | UTC
The lasting misery of coronavirus long-haulers
15 Sep, 2020 | 09:05h | UTCThe lasting misery of coronavirus long-haulers – Nature
Systematic review: Prediction of poor neurological outcome in comatose survivors of cardiac arrest
15 Sep, 2020 | 08:40h | UTCEditorial: ERC‑ESICM guidelines for prognostication after cardiac arrest: time for an update
Commentary on Twitter
Poor neuro-outcome in comatose survivors of CA ->
clinical exam, biomarkers, EEG, neuroimaging reliable predictors within 1st week from ROSC; low/0% FPR but most low sensitivity & risk of bias/confounders: no certainty, multimodal approach prudent #FOAMres https://t.co/GjQNoT1L49 pic.twitter.com/WUZofIslZx— Intens Care Med (@yourICM) September 11, 2020
[Abstract Only] Randomized trial: Aspirin increases major GI bleeding risk by 60% in older individuals
6 Sep, 2020 | 21:30h | UTCSource: EvidenceAlerts
Commentary on Twitter
Aspirin increases GI bleeding risk by 60% in an aspirin RCT
137 total GI bleeds in 90000 person years @Gut_BMJ https://t.co/Hb8h6kZrpo
— Elliot Tapper (@ebtapper) August 8, 2020
Perspective: Age in the Age of COVID-19
2 Sep, 2020 | 09:45h | UTCAge in the Age of COVID-19 – Think Global Health
#ESCCongress – [Abstract Only] Randomized trial: Low-dose edoxaban in very elderly patients with atrial fibrillation
31 Aug, 2020 | 01:32h | UTCCommentaries: Edoxaban Low-Dose for Elder Care Atrial Fibrillation – ELDERCARE-AF – American College of Cardiology AND ELDERCARE-AF: Edoxaban Superior to Placebo in Preventing Stroke, Systemic Embolism in Elderly Japanese AFib Patients – American College of Cardiology
Commentary on Twitter
Elderly patients with AF who were not candidates for standard doses of oral anticoagulants because of a high risk of bleeding were assigned to receive 15 mg of edoxaban or placebo once daily. Edoxaban was superior to placebo in preventing stroke or systemic embolism. #ESCCongress
— NEJM (@NEJM) August 30, 2020
Delirium and adverse outcomes in hospitalized patients with COVID‐19
28 Aug, 2020 | 08:46h | UTC
Post-discharge persistent symptoms and health-related quality of life after hospitalization for COVID-19
26 Aug, 2020 | 04:09h | UTCCommentary: COVID-19 symptoms can persist for months after hospital stay – CIDRAP