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Thu, February 22 – 10 Stories of The Day!

22 Feb, 2018 | 02:09h | UTC

 

1 – Aspirin or Rivaroxaban for VTE Prophylaxis after Hip or Knee Arthroplasty – New England Journal of Medicine (link to abstract – $ for full-text)

Quick Take Video Summary: Preventing VTE after Hip or Knee Arthroplasty (free)

Among patients who received 5 days of rivaroxaban prophylaxis after total hip or total knee arthroplasty, extended prophylaxis with aspirin was not significantly different from rivaroxaban in the prevention of symptomatic venous thromboembolism”.

 

2 – Guideline: Peripheral arterial disease: diagnosis and management – National Institute for Health and Care Excellence (NICE) (free)

 

3 – Guideline: Heavy menstrual bleeding: assessment and management – National Institute for Health and Care Excellence (NICE) (free)

 

4 – Sex Differences in Ischemic Heart Disease: Advances, Obstacles, and Next Steps – Circulation: Cardiovascular Quality and Outcomes (free for a limited period)

Related AHA Scientific Statement: Preventing and Experiencing Ischemic Heart Disease as a Woman: State of the Science (free)

 

5 – Are you ready for the ATLS 10th Edition Updates? – emDocs (free)

Related: Infographic: ATLS Trauma Update 2018

 

6 – Ischaemic stroke, haemorrhage, and mortality in older patients with chronic kidney disease newly started on anticoagulation for atrial fibrillation: a population based study from UK primary care – The BMJ (free)

Commentaries: Anticoagulants Tied With Stroke, Hemorrhage in CKD – Renal & Urology News (free) AND Could a Blood Thinner Actually Raise Stroke Risk for Some? – HealthDay (free) AND Anticoagulants for Patients with Afib and Kidney Disease? Study Yields Mixed Findings – Physician’s First Watch (free) AND Blood-thinning drugs designed to cut stroke risk may actually increase it – The Guardian (free)

“Given the lack of guidelines, the decision to start anticoagulant treatment in patients with chronic kidney disease and new onset atrial fibrillation should be made on an individual basis, concludes research” (via @bmj_latest see Tweet)

 

6 – Current concepts of fluid management in enhanced recovery pathways – British Journal of Anaesthesia (free)

See other Enhanced Recovery After Surgery Guidelines and Reviews

 

7 – Association of Cigarette, Cigar, and Pipe Use With Mortality Risk in the US Population – JAMA Internal Medicine (free for a limited period)

Commentaries: Cigars and pipes tied to same risks as cigarettes – Reuters (free) AND Cigars and pipes raise mortality risk independent of cigarettes – OnMedica (free)

 

8 – It’s poverty, not individual choice, that is driving extraordinary obesity level – The Conversation (free)

“Statistics point remorselessly towards obesity being a symptom with an underlying social cause”.

 

9 – Outcomes of non-invasive diagnostic modalities for the detection of coronary artery disease: network meta-analysis of diagnostic randomised controlled trials – The BMJ (free)

Among patients with low risk acute coronary syndrome, stress echocardiography, cardiovascular magnetic resonance, and exercise electrocardiograms resulted in fewer invasive referrals for coronary angiography than coronary computed tomographic angiography, without apparent impact on the future risk of myocardial infarction. Similarly, for outpatients with suspected stable angina, an initial strategy based on functional testing might be preferable, resulting in fewer referrals for invasive coronary angiography and revascularization, without a statistically significant difference in the future risk of MI.

 

10 – Maternal thyroid function and child educational attainment: prospective cohort study – The BMJ (free)

Related study and commentary: Treatment of Subclinical Hypothyroidism or Hypothyroxinemia in Pregnancy – New England Journal of Medicine (free) AND Treating subclinical thyroid dysfunction in pregnancy probably has no benefit – NIHR Signal (free)

Maternal thyroid dysfunction in the first trimester had no impact on child performance at school or educational achievement.

 


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