Geriatrics
Presymptomatic SARS-CoV-2 Infections and Transmission in a Skilled Nursing Facility
26 Apr, 2020 | 21:31h | UTC
Debate: Is it Wrong to Prioritize Younger Patients with Covid-19?
24 Apr, 2020 | 03:30h | UTCIs it wrong to prioritise younger patients with covid-19? – The BMJ
Commentary: Should age be a prioritizing factor in deciding who gets treated for COVID-19? – News Medical
CDC Guidance: Key Strategies to Prepare for COVID-19 in Long-term Care Facilities
17 Apr, 2020 | 02:18h | UTC
COVID‐19 And Older Adults: What We Know
10 Apr, 2020 | 02:47h | UTCReview: COVID‐19 And Older Adults: What We Know – Journal of the American Geriatrics Society
Opioids in Older Adults: Indications, Prescribing, Complications, and Alternative Therapies for Primary Care
3 Apr, 2020 | 03:52h | UTC
Pandemic Palliative Care: Beyond Ventilators and Saving Lives
1 Apr, 2020 | 05:55h | UTCPandemic palliative care: beyond ventilators and saving lives – Canadian Medical Association Journal
Commentary: A COVID-19 palliative care pandemic plan: An essential tool – Canadian Medical Association Journal
Related: The Importance of Addressing Advance Care Planning and Decisions About Do-Not-Resuscitate Orders During Novel Coronavirus 2019 (COVID-19) – JAMA AND Covid-19: The role of palliative care had to be adapted to manage this “ultra-emergency” – The BMJ Opinion AND COVID-19: decision making and palliative care – Swiss Medical Weekly AND COVID-19 pandemic: palliative care for elderly and frail patients at home and in residential and nursing homes – Swiss Medical Weekly AND End-of-life care in the Emergency Department for the patient imminently dying of a highly transmissible acute respiratory infection (such as COVID-19) – Canadian Journal of Emergency Medicine
COVID-19 in Older Adults: Key Points for Emergency Department Providers
1 Apr, 2020 | 05:46h | UTCCommentary: Caring for seniors during COVID-19 pandemic – Regenstrief Institute
The Importance of Addressing Advance Care Planning and Decisions About Do-Not-Resuscitate Orders During Novel Coronavirus 2019 (COVID-19)
30 Mar, 2020 | 01:33h | UTC
Epidemiology of Covid-19 in a Long-Term Care Facility in King County, Washington
30 Mar, 2020 | 01:27h | UTCSee also: Defining the Epidemiology of Covid-19 — Studies Needed – New England Journal of Medicine
Related Guidelines: Infection Prevention and Control guidance for Long-Term Care Facilities in the context of COVID-19 – World Health Organization (PDF) AND Preparing for COVID-19: Long-term Care Facilities, Nursing Homes – Centers for Disease Control and Prevention
Related Review: Coronavirus Disease 2019 in Geriatrics and Long‐term Care: The ABCDs of COVID‐19 – Journal of the American Geriatrics Society
Related Article: COVID-19 in a Long-Term Care Facility — King County, Washington, February 27–March 9, 2020 – CDC Morbidity and Mortality Weekly Report (free)
Study: Asymptomatic and Presymptomatic SARS-CoV-2 Infections in Residents of a Long-Term Care Skilled Nursing Facility
30 Mar, 2020 | 01:22h | UTCCommentary: The Role of Asymptomatic and Presymptomatic in Spread of COVID-19 – Penn State Food Safety AND For Nursing Homes, Symptoms Aren’t Enough to Tell Who’s Sick – Associated Press
Randomized Trial: Aspirin Not Beneficial for Reducing the Risk of Dementia, MCI, or Cognitive Decline
26 Mar, 2020 | 02:20h | UTCCommentary: Study: An aspirin a day does not keep dementia at bay – American Academy of Neurology (free)
CDC Guidance: Preparing Long-term Care Facilities and Nursing Homes for COVID-19
24 Mar, 2020 | 11:28h | UTCRelated Guideline: Infection Prevention and Control guidance for Long-Term Care Facilities in the context of COVID-19 – World Health Organization (PDF)
Related Article: COVID-19 in a Long-Term Care Facility — King County, Washington, February 27–March 9, 2020 – CDC Morbidity and Mortality Weekly Report
Related Perspective: The Coronavirus’s Rampage Through a Suburban Nursing – The New York Times
Infection Prevention and Control guidance for Long-Term Care Facilities in the context of COVID-19
23 Mar, 2020 | 01:34h | UTCRelated Study: COVID-19 in a Long-Term Care Facility — King County, Washington, February 27–March 9, 2020 – CDC Morbidity and Mortality Weekly Report (free)
“Introduction of COVID-19 into a long-term residential care facility in Washington resulted in cases among 81 residents, 34 staff members, and 14 visitors; 23 persons died” (from CDC)
Report: 2020 Alzheimer’s Disease Facts and Figures
18 Mar, 2020 | 09:54h | UTC2020 Alzheimer’s disease facts and figures – Alzheimer’s & Dementia (free)
Guideline: The Palliative Care of Patients with Incurable Cancer
16 Mar, 2020 | 07:42h | UTCThe Palliative Care of Patients with Incurable Cancer – Deutsches Ärzteblatt international (free)
Guidelines for Diagnosis and Treatment of Acute Appendicitis in the Elderly
13 Mar, 2020 | 08:02h | UTC
Systematic Review: Causes of the Transmission and Control Measures of Outbreaks in Long-term Care Facilities
13 Mar, 2020 | 07:55h | UTC
Blood Pressure in Frail Older Adults: Associations with Cardiovascular Outcomes and All-cause Mortality
6 Mar, 2020 | 10:19h | UTCCommentary: Expert reaction to study looking at low blood pressure and mortality in older adults – Science Media Centre (free)
Related Commentary on Twitter
Important paper by Jane Masoli et al at Exeter. In over 75, BP <130/80 had higher mortality. In over 85s NO association high BP w mortality. Even BP>180!! https://t.co/F3KlOiRQxy pic.twitter.com/3168nRS2AX
— Lucy Pollock (@lucypgeridoc) March 5, 2020
Catheter-Associated Urinary Tract Infections in Adult Patients: Preventive Strategies and Treatment Options
3 Mar, 2020 | 07:44h | UTC
Study: People Leave Hospital After Surgery Sooner if Hospitals Follow ‘Enhanced Recovery Protocols’
3 Mar, 2020 | 07:55h | UTCPeople leave hospital after surgery sooner if hospitals follow ‘enhanced recovery protocols’ – NIHR Signal (free)
Original Study: Multicomponent hospital-led interventions to reduce hospital stay for older adults following elective surgery: a systematic review – Health Services and Delivery Research (free)
Systematic Review: Computerized Cognitive Training May Have Small Benefits of Uncertain Clinical Importance for Maintaining Cognitive Function in Cognitively Healthy People in Late Life
3 Mar, 2020 | 07:46h | UTCComputerised cognitive training for 12 or more weeks for maintaining cognitive function in cognitively healthy people in late life – Cochrane Library (free)
Summary: Computerised cognitive training for maintaining cognitive function in cognitively healthy people in late life – Cochrane Library (free)
USPSTF Statement: Insufficient Evidence to Screen for Mild Cognitive Impairment in Older Adults
26 Feb, 2020 | 07:12h | UTCEvidence Report: Screening for Cognitive Impairment in Older Adults – US Preventive Services Task Force/JAMA (free)
Editorials: Issues and Questions Surrounding Screening for Cognitive Impairment in Older Patients – JAMA (free for a limited period) AND Evidence Still Lacking for Recommendation of Screening for Cognitive Impairment in Older Adults – JAMA Internal Medicine (free for a limited period)
Author Interview: USPSTF Recommendation: Screening for Cognitive Impairment (free audio)
JAMA Patient Page: Screening for Cognitive Impairment in Older Adults (free)
Commentary: U.S. Medical Panel Thinks Twice About Pushing Cognitive Screening For Dementia – Kaiser Health News (free)
Study: Evaluation of a Common Prescribing Cascade of Calcium Channel Blockers and Diuretics in Older Adults with Hypertension
25 Feb, 2020 | 06:42h | UTCEvaluation of a Common Prescribing Cascade of Calcium Channel Blockers and Diuretics in Older Adults With Hypertension – JAMA Internal Medicine (free for a limited period)
Commentary: Antihypertensive Prescribing Cascades as High-Priority Targets for Deprescribing – JAMA Internal Medicine (free for a limited period)
Related Commentary on Twitter
Prescribing cascades occur when a second medicine is prescribed to counteract the effects of the first medicine. This @JAMAInternalMed article is the strongest empiric evidence I have seen that these cascades are very real #geriatrics https://t.co/KmJ2nhLlXM
— Ken Covinsky (@geri_doc) February 24, 2020
Clinical Diagnosis of Benign Paroxysmal Positional Vertigo and Vestibular Neuritis
25 Feb, 2020 | 06:44h | UTC
Related Commentary on Twitter
How to diagnose and treat patients with vertigo? Two cases with links to demonstration videos show how to apply and interpret the Dix-Hallpike test and the HINTS plus exam: https://t.co/eK7hGVAHgj @PeterJohns84 @OttawaHospital @emergmedottawa #BPPV #FOAMed pic.twitter.com/R4AvYj6beV
— CMAJ (@CMAJ) February 24, 2020
Community-acquired Pneumonia in Critically Ill Very Old Patients: A Growing Problem
23 Feb, 2020 | 22:06h | UTCEditorial: Natural enemy or friend? Pneumonia in the very elderly critically ill patient (free)