Internal Medicine | Page 19 of 475 | Links Medicus Content Curation & Alerts in Medicine

In a general population of emergency department patients with abdominal pain, using unenhanced CT to avoid risks of intravenous contrast medium administration is associated with a large diagnostic penalty. https://t.co/CVg04763yd

— JAMA Surgery (@JAMASurgery) May 3, 2023

RCT | Morning discharge prioritization fails to shorten hospital stay or expedite orders

9 May, 2023 | 14:58h | UTC

Discharge in the a.m.: A randomized controlled trial of physician rounding styles to improve hospital throughput and length of stay – Journal of Hospital Medicine

Commentary: “Discharge Before Noon”: Time to Jump Off the Bandwagon? – Physician’s First Watch

M-A | Prevalence and outcomes of frailty in unplanned hospital admissions

9 May, 2023 | 14:45h | UTC

Prevalence and outcomes of frailty in unplanned hospital admissions: a systematic review and meta-analysis of hospital-wide and general (internal) medicine cohorts – eClinicalMedicine

Proposal of a new diagnostic algorithm for adult-onset Still’s disease

9 May, 2023 | 14:41h | UTC

Proposal of a new diagnostic algorithm for adult-onset Still’s disease – Clinical Rheumatology

Commentary on Twitter

Multicenter study of 80 AOSD & 60 controls used to develop AOSD criteria:
– 3 pts rash
– 3pts fever ≥ 39C
– 2 pts pharyngitis
– 2 pts arthritis
– 2 pts NLR ≥ 4
– 1 pt glycosyl ferritin ≤ 20%
7 pts = Dx (sens 92.5%) vs Yamaguchi(79%), Fautrel (76%) https://t.co/Amew1RHaA1 pic.twitter.com/dnJ6zVyfOW

— Dr. John Cush (@RheumNow) February 8, 2023

Review | Syndrome of inappropriate antidiuresis: from pathophysiology to management

9 May, 2023 | 14:37h | UTC

Syndrome of Inappropriate Antidiuresis: From Pathophysiology to Management – Endocrine Reviews

Review | Challenges in cardiology: diagnosis of native and prosthetic valve endocarditis

9 May, 2023 | 14:19h | UTC

Challenges in cardiology: diagnosis of native and prosthetic valve endocarditis – European Heart Journal Supplements

See all articles in the series here

Review | DOACs and rheumatic valvulopathy: always a red light?

9 May, 2023 | 14:15h | UTC

DOACs and rheumatic valvulopathy: always a red light? – European Heart Journal Supplements

See all articles in the series here

2023 updated AGS Beers Criteria for potentially inappropriate medication use in older adults

8 May, 2023 | 13:25h | UTC

American Geriatrics Society 2023 updated AGS Beers Criteria® for potentially inappropriate medication use in older adults – Journal of the American Geriatrics Society

News Release: Many older adults take multiple medications; an updated AGS BEERS criteria® will help ensure they are appropriate – American Geriatrics Society

Review | Deprescribing considerations for older people in general practice

8 May, 2023 | 13:23h | UTC

Deprescribing considerations for older people in general practice – Australian Journal of General Practice

An Overview of Systematic Reviews and Meta-Analyses on the Effect of Medication Interventions Targeting Polypharmacy for Frail Older Adults – Journal of Clinical Medicine

Physician-led medication reviews in polypharmacy patients treated with at least 12 medications in a type 2 diabetes outpatient clinic: a randomised trial – Diabetic Medicine

RCT | A deprescribing intervention reduced medication burden among older adults in post-acute care

Achieving sustainable healthcare through deprescribing of unnecessary medications: making sense of the evidence – Cochrane Library

Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis – Health Technology Assessment

Barriers and facilitators to deprescribing of cardiovascular medications: a systematic review – BMJ Open

A National Modified Delphi Consensus Process to Prioritize Experiences and Interventions for Antipsychotic Medication Deprescribing Among Adult Patients With Critical Illness – Critical Care Explorations

Deprescribing proton pump inhibitors – Australian Journal of General Practice

Medication reviews and deprescribing as a single intervention in falls prevention: a systematic review and meta-analysis – Age and Ageing

Optimizing Medication Use in Older Adults With Rheumatic Musculoskeletal Diseases: Deprescribing as an Approach When Less May Be More – ACP Open Rheumatology

Facing the challenge of polypharmacy when prescribing for older people with cardiovascular disease. A review by the European Society of Cardiology Working Group on Cardiovascular Pharmacotherapy – European Heart Journal – Cardiovascular Pharmacotherapy

Deprescribing in Older Adults with Cardiovascular Disease – Journal of the American College of Cardiology

Multimorbidity in Older Adults with Cardiovascular Disease – American College of Cardiology, Latest in Cardiology

Antihypertensive Deprescribing in Older Adults: a Practical Guide – Current Hypertension Reports

How-to guide for medication reviews in older adults with cancer: A Young International Society of Geriatric Oncology and Nursing & Allied Health Interest Group initiative – Journal of Geriatric Oncology

Deprescribing in Palliative Cancer Care – Life

Less is More: Deprescribing Medications in Older Adults with Kidney Disease: A Review – Kidney360

Process evaluation of implementation strategies to reduce potentially inappropriate medication prescribing in older population: A scoping review – Research in Social and Administrative Pharmacy

AGA Clinical Practice Update on De-Prescribing of Proton Pump Inhibitors: Expert Review – Gastroenterology

Development of a Metric to Detect and Decrease Low-Value Prescribing in Older Adults – JAMA Network Open

The MedSafer Study—Electronic Decision Support for Deprescribing in Hospitalized Older Adults: A Cluster Randomized Clinical Trial – JAMA Internal Medicine

Quantifying Anticholinergic Burden and Sedative Load in Older Adults with Polypharmacy: A Systematic Review of Risk Scales and Models – Drugs & Aging

Deprescribing in palliative patients with cancer: a concise review of tools and guidelines – Supportive Care in Cancer

Prescribing practices, patterns, and potential harms in patients receiving palliative care: A systematic scoping review – Exploratory Research in Clinical and Social Pharmacy

A narrative review of evidence to guide deprescribing among older adults – Journal of General and Family Medicine

Polypharmacy, inappropriate prescribing, and deprescribing in older people: through a sex and gender lens – The Lancet Health Longevity

Polypharmacy Management in Older Patients – Mayo Clinic Proceedings

Psychopharmacological Treatment in Older People: Avoiding Drug Interactions and Polypharmacy – Deutsches Ärzteblatt international

Eliminating Medication Overload: A National Action Plan – Lown Institute

International Group for Reducing Inappropriate Medication Use & Polypharmacy (IGRIMUP): Position Statement and 10 Recommendations for Action – Drugs & Aging

Common ED Medication Errors: Polypharmacy – emDocs

Current and future perspectives on the management of polypharmacy – BMC Family Practice

Routine deprescribing of chronic medications to combat polypharmacy – Therapeutic Advances in Drug Safety

Polypharmacy—an Upward Trend with Unpredictable Effects – Deutsches Ärzteblatt international

Clinical Consequences of Polypharmacy in Elderly – Expert Opinion on Drug Safety

Consensus Paper | Strategies to prevent surgical site infections in acute-care hospitals

8 May, 2023 | 13:21h | UTC

Strategies to prevent surgical site infections in acute-care hospitals: 2022 Update – Infection Control & Hospital Epidemiology

News Release: New guidance: antibiotics should be halted upon closure of incisions – Society for Healthcare Epidemiology of America

Commentary: New guidance calls for stopping antibiotic prophylaxis immediately after surgery – CIDRAP

Viewpoint | Essential electronic health record reforms for this decade

8 May, 2023 | 13:18h | UTC

Essential Electronic Health Record Reforms for This Decade – JAMA

Commentary on Twitter

#Viewpoint: suggestions to reform electronic health records (EHRs), including use of unique personal safety identifiers, inclusion of patient-entered information into the EHR, and reinvention of the clinical note. https://t.co/6mMlC49pwm pic.twitter.com/rcucxX3xzz

— JAMA (@JAMA_current) May 4, 2023

M-A | Lower vs higher fluid volumes in sepsis: no significant impact on mortality or serious adverse events

8 May, 2023 | 13:16h | UTC

Lower vs Higher Fluid Volumes in Adult Patients with Sepsis – An Updated Systematic Review with Meta-Analysis and Trial Sequential Analysis – Chest

AACC Guidance document on the clinical use of procalcitonin

8 May, 2023 | 13:12h | UTC

AACC Guidance Document on the Clinical Use of Procalcitonin – The Journal of Applied Laboratory Medicine (free for a limited period)

Commentary on Twitter

Special Report: AACC Guidance Document on the Clinical Use of Procalcitonin https://t.co/RAjvJF6Q0e #LabMed #PathTwitter #Pathology #ClinChem pic.twitter.com/oKMnlhl8a0

— JournApplLabMed (@JALM_AACC) May 4, 2023

Cohort Study | Autoimmune disorders’ incidence, prevalence & co-occurrence by age, sex, and socioeconomic status

8 May, 2023 | 13:14h | UTC

Incidence, prevalence, and co-occurrence of autoimmune disorders over time and by age, sex, and socioeconomic status: a population-based cohort study of 22 million individuals in the UK – The Lancet (free for a limited period)

Commentary from the author on Twitter (thread – click for more)

Our latest research is out in @TheLancet today

We sought to answer:
1. Are autoimmune diseases on the rise as has been suggested?
2. Can we identify clues as to their causes (genetic or environmental)?
3. Do different autoimmune diseases cluster together & what might this mean? pic.twitter.com/noCpPpo8FU

— Nathalie Conrad (@nathalie_conrad) May 6, 2023

Brief review | What’s new in therapeutic drug monitoring of antimicrobials?

8 May, 2023 | 13:08h | UTC

What’s new in therapeutic drug monitoring of antimicrobials? – Intensive Care Medicine

Commentary on Twitter

TDM of antimicrobials in #ICU
?life-saving drugs, difficult pharmacology
?TDM: why do we need it?
?uncertainties
concentrations to be targeted/where
adjusting dose if out of range
steady state: prerequisite?
outcomes when studying TDM#FOAMcc
?️ https://t.co/0DiDW7ONvV pic.twitter.com/0SQH0DR7Z0

— Intensive Care Medicine (@yourICM) May 3, 2023