Geriatrics
Systematic Review | There is little evidence to guide interventions for preventing and reducing the use of physical restraints on older people in general hospital settings.
29 Aug, 2022 | 12:01h | UTC
Update on the management of diabetes in long-term care facilities.
26 Aug, 2022 | 13:23h | UTC
Scoping review of randomized trials with discontinuation of medicines in older adults.
26 Aug, 2022 | 13:16h | UTCScoping Review of Randomized Trials With Discontinuation of Medicines in Older Adults – JAMDA
Systematic Review | Anticholinergic burden for prediction of cognitive decline or neuropsychiatric symptoms in older adults with mild cognitive impairment or dementia.
24 Aug, 2022 | 14:10h | UTCRelated:
Commonly-prescribed drugs and dementia: should we be worried? – Evidently Cochrane
How well do you know your anticholinergic (antimuscarinic) drugs? – Therapeutics Initiative
Anticholinergic drugs and risk of dementia: case-control study – The BMJ
Review | Neurosurgical enhanced recovery after surgery for geriatric patients undergoing elective craniotomy.
22 Aug, 2022 | 12:05h | UTCRelated:
Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines
Launch of first WHO position paper on optimizing brain health across life.
17 Aug, 2022 | 14:41h | UTCNews Release: Launch of first WHO position paper on optimizing brain health across life – World Health Organization
WHO position paper: Optimizing brain health across the life course – World Health Organization
Commentary on Twitter (thread – click for more)
Optimizing #BrainHealth ?
▶️reduces the burden of neurological disorders
▶️improves mental + physical health
▶️creates positive social & economic impactscontributing to greater well-being, advancing society. ?https://t.co/kVPgcFxBPG
— World Health Organization (WHO) (@WHO) August 9, 2022
Talking about dying: better conversations at the end of life.
17 Aug, 2022 | 14:14h | UTCTalking about dying: better conversations at the end of life – Evidently Cochrane
Original Reviews:
Commentary on Twitter
New @CochraneUK blog: @SarahChapman30 reflects on text conversations she had with her Mum’s carer when her Mum was dying during lockdown & explores recent evidence on good communication between health professionals, those who are dying & their families: https://t.co/WzA1Ff8jdF pic.twitter.com/fSlRyEOVym
— The Cochrane Library (@CochraneLibrary) August 16, 2022
Study suggests long covid symptoms affect 1 in 8 patients.
16 Aug, 2022 | 13:52h | UTCNews Release: Most reliable estimates to date suggest one in eight COVID-19 patients develop long COVID symptoms – Lancet
Commentaries:
Long COVID symptoms affect 1 in 8 adults, some for 2 years – CIDRAP
Covid-19: One in eight adults develops long covid symptoms, study suggests – The BMJ
Probability of males to outlive females: an international comparison from 1751 to 2020.
16 Aug, 2022 | 13:33h | UTCProbability of males to outlive females: an international comparison from 1751 to 2020 – BMJ Open
News Release: Men have high probability of outliving women, especially if married and degree educated – BMJ Newsroom
M-A | Effect of regional anesthesia on postoperative delirium.
16 Aug, 2022 | 13:08h | UTC
The influence of pregnancy, parity, and mode of delivery on urinary incontinence and prolapse surgery – a national register study.
12 Aug, 2022 | 14:36h | UTC
RCT | In older patients undergoing total intravenous anesthesia, Etomidate is noninferior to Propofol regarding the risk of major postoperative complications.
11 Aug, 2022 | 12:18h | UTC
Commentary on Twitter
General anesthesia with etomidate does not increase postoperative morbidity, as indicated by the rate of major in-hospital post-op complications, in elderly patients undergoing abdominal surgery, as compared with propofol. https://t.co/vjPvle3DQj pic.twitter.com/2k6eSLupbH
— JAMA Surgery (@JAMASurgery) August 10, 2022
Trauma care in older people: charting a path from outlier to excellence.
11 Aug, 2022 | 12:16h | UTCTrauma care in older people: charting a path from outlier to excellence – Age and Ageing
Is the contemporary care of older persons with acute coronary syndrome evidence-based?
8 Aug, 2022 | 11:48h | UTC
Commentary from the author on Twitter
♦️Heart disease leading cause of death in older adults
♦️Less likely to receive guideline recommended treatment
♦️Frailty, multi-morbidity linked to worse outcomes
♦️We explore this in our manuscript led by @GregBMills1
?Open access for free download?https://t.co/l452O1QJTJ pic.twitter.com/HCRuwle3KK— Professor Vijay Kunadian (@VijayKunadian) January 29, 2022
Cross-Sectional Study | Experiences of everyday ageism and the health of older US adults.
5 Aug, 2022 | 14:13h | UTCExperiences of Everyday Ageism and the Health of Older US Adults – JAMA Network Open
Commentaries:
Ageism and health: Study shows close link – Michigan Health Lab
Everyday Ageism Prevalent Among Older U.S. Adults – HealthDay
Commentary on Twitter
In this cross-sectional study, 93% of US adults ages 50-80 reported they regularly experienced routine age-based discrimination (everyday ageism). Higher levels of everyday ageism were associated with multiple indicators of poor physical and mental health. https://t.co/ami6vUXRUQ
— JAMA Network Open (@JAMANetworkOpen) June 15, 2022
Evidence Synthesis | Deprescribing medicines in older people living with multimorbidity and polypharmacy.
3 Aug, 2022 | 14:20h | UTCRelated:
Antihypertensive Deprescribing in Older Adults: a Practical Guide – Current Hypertension Reports
Deprescribing in Palliative Cancer Care – Life
Less is More: Deprescribing Medications in Older Adults with Kidney Disease: A Review – Kidney360
Polypharmacy Management in Older Patients – Mayo Clinic Proceedings
Eliminating Medication Overload: A National Action Plan – Lown Institute
Common ED Medication Errors: Polypharmacy – emDocs
Current and future perspectives on the management of polypharmacy – BMC Family Practice
Polypharmacy—an Upward Trend with Unpredictable Effects – Deutsches Ärzteblatt international
Clinical Consequences of Polypharmacy in Elderly – Expert Opinion on Drug Safety
Guideline | Male lower urinary tract symptoms/benign prostatic hyperplasia.
3 Aug, 2022 | 14:17h | UTCRelated:
Podcast: LUTS, BPH, and Urinary Incontinence Triple Distilled – The Curbsiders
Guideline | Androgen deprivation therapy: adverse events and management strategies.
3 Aug, 2022 | 14:15h | UTC
Cohort Study | Association of elevated amyloid and tau positron emission tomography signal with near-term development of Alzheimer disease symptoms in older adults without cognitive impairment.
2 Aug, 2022 | 12:26h | UTCAssociation of Elevated Amyloid and Tau Positron Emission Tomography Signal With Near-Term Development of Alzheimer Disease Symptoms in Older Adults Without Cognitive Impairment – JAMA Neurology (link to abstract – $ for full-text)
Commentary on Twitter
Study found that Aβ and tau PET positivity in cognitively unimpaired individuals was associated with near-term progression to mild cognitive impairment and, among those who do not show such categorical change, longitudinal cognitive decline. https://t.co/sKpST7e4Nh
— JAMA Neurology (@JAMANeuro) July 30, 2022
Burden of pressure injuries: findings from the Global Burden of Disease study.
1 Aug, 2022 | 12:06h | UTCBurden of Pressure Injuries: Findings From the Global Burden of Disease Study – Eplasty
Comparison of 6 mortality risk scores for prediction of 1-year mortality risk in older adults with multimorbidity.
28 Jul, 2022 | 13:07h | UTC
Practical Guide | Antihypertensive deprescribing in older adults.
27 Jul, 2022 | 12:23h | UTCAntihypertensive Deprescribing in Older Adults: a Practical Guide – Current Hypertension Reports
Cohort Study | Fatty liver disease is not associated with increased mortality in the elderly.
25 Jul, 2022 | 12:59h | UTCCommentary: Fatty liver disease may not affect mortality risk in elderly patients – ACP Gastroenterology
Consensus Recommendations | Screening, diagnosis and management of sarcopenia and frailty in hospitalized older adults.
21 Jul, 2022 | 13:08h | UTC
M-A | Costs of multimorbidity.
20 Jul, 2022 | 12:06h | UTCCosts of multimorbidity: a systematic review and meta-analyses – BMC Medicine
Related:
Systematic review of high-cost patients’ characteristics and healthcare utilization – BMJ Open
Multimorbidity: a priority for global health research – The Academy of Medical Sciences
The global burden of multiple chronic conditions: A narrative review – Preventive Medicine Reports
Redesigning Care for High-Cost, High-Risk Patients – Harvard Business Review
Multimorbidity: clinical assessment and management – NICE Guideline
Richard Smith: The challenge of high need, high cost patients – The BMJ Blogs
Better Care for People with Complex Needs – Institute for Healthcare Improvement