Clínica Médica

Podcast | Dicas sobre síndrome cardiorrenal.

15 Mar, 2022 | 12:57h

#326 NephMadness 2022: Cardiorenal Syndrome – The Curbsiders

Revisão sistemática | Desfechos de longo prazo entre pacientes com doença renal avançada que renunciam à diálise de manutenção.

15 Mar, 2022 | 12:53h

Long-term Outcomes Among Patients With Advanced Kidney Disease Who Forgo Maintenance Dialysis: A Systematic Review – JAMA Network Open

Comentários:

Conservative Care for Kidney Failure—The Other Side of the Coin – JAMA Network Open

Study: Advanced kidney disease patients can survive, with quality life, without dialysis – UPI

Estudo de coorte | Histórico de condições psiquiátricas ou neurológicas aumenta a propensão a desenvolver outras.

15 Mar, 2022 | 12:50h

Comunicado de imprensa: History of neurological or psychiatric conditions increases the likelihood of developing more – University of Waterloo

Estudo original: Incidence of neurological and psychiatric comorbidity over time: a population-based cohort study in Ontario, Canada – Age and Ageing (link para o resumo – $ para o texto completo)

Metanálise de estudos randomizados comparando estratégias de transfusão de hemácias intraoperatória.

14 Mar, 2022 | 14:07h

A Systematic Review and Meta-analysis of Randomized Controlled Trials Comparing Intraoperative Red Blood Cell Transfusion Strategies – Annals of Surgery

Conteúdos relacionados:

Systematic Review: Restrictive transfusion thresholds can safely decrease transfusions by 41% across a broad range of clinical contexts.

RCT: Among patients with acute MI and anemia, a restrictive transfusion strategy resulted in a noninferior rate of major cardiovascular events compared to a liberal transfusion strategy

Randomized trial: Liberal vs. restrictive transfusion thresholds in extremely low-birth-weight infants

Meta-Analysis: Effects of Restrictive vs. Liberal Transfusion Strategies on Longer-term Outcomes After Cardiac Surgery

Randomized Trial: In Patients Undergoing Cardiac Surgery, A Restrictive Transfusion Approach Does Not Increase the Risk of Acute Kidney Injury

Effects of restrictive red blood cell transfusion on the prognoses of adult patients undergoing cardiac surgery: a meta-analysis of randomized controlled trials – Critical Care

Research: Restrictive or Liberal Red-Cell Transfusion for Cardiac Surgery

Transfusion Requirements After Cardiac Surgery: The TRACS Randomized Controlled Trial – JAMA

Revisão | Síndrome da COVID-19 pós-aguda.

14 Mar, 2022 | 14:01h

Post-acute COVID-19 syndrome – European Respiratory Journal

Conteúdos relacionados:

ESCMID rapid guidelines for assessment and management of long COVID.

ERS statement on Long COVID-19 follow-up.

Proposed subtypes of long-Covid and their respective potential therapies.

EuGMS Guidance: Management of post-acute COVID-19 patients in geriatric rehabilitation.

Addressing Post-COVID Symptoms: A Guide for Primary Care Physicians.

Global surveillance, research, and collaboration needed to improve understanding and management of long COVID.

Provocative study suggests that persistent physical symptoms after COVID-19 infection may be associated more with the belief in having been infected with SARS-CoV-2 than with having laboratory-confirmed COVID-19 infection.

Update to post-acute sequelae of SARS-CoV-2 infection: Caring for the ‘long-haulers’.

Systematic Review: Short-term and long-term rates of postacute sequelae of SARS-CoV-2 infection.

WHO Consensus: A clinical case definition of post COVID-19 condition (Long Covid).

Characterizing long COVID: a living systematic review.

Long Covid – The illness narratives.

New guidelines to help doctors manage long COVID patients published.

M-A: More than 50 long-term effects of COVID-19. (vários artigos sobre o tema)

Estudo de coorte | Uso de cannabis por longo prazo está associado com déficits cognitivos e menor volume do hipocampo na meia-idade.

14 Mar, 2022 | 13:58h

Long-Term Cannabis Use and Cognitive Reserves and Hippocampal Volume in Midlife – The American Journal of Psychiatry (link para o resumo – $ para o texto completo)

Comentário: Long-Term Cannabis Use Associated With Cognitive Deficits in Midlife – Psychiatric News Alert

Abordagens práticas e baseadas em evidências para modificações nutricionais visando à redução da doença cardiovascular aterosclerótica.

14 Mar, 2022 | 13:53h

Practical, Evidence-Based Approaches to Nutritional Modifications to Reduce Atherosclerotic Cardiovascular Disease: An American Society For Preventive Cardiology Clinical Practice Statement – American Journal of Preventive Cardiology

Revisão sistemática | Intervenções sistêmicas para tratamento da síndrome de Stevens-Johnson (SSJ), da necrólise epidermal tóxica (NET) e da síndrome de sobreposição SSJ/NET.

14 Mar, 2022 | 13:49h

Systemic interventions for treatment of Stevens‐Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), and SJS/TEN overlap syndrome – Cochrane Library

Resumo: Which treatments that affect the whole body work best to treat severe skin reactions (Stevens-Johnson syndrome and toxic epidermal necrolysis)? – Cochrane Library

Revisão sistemática | Testes rápidos de carga viral para detectar alta carga viral de HIV em pessoas que vivem com HIV/AIDS em instituições de saúde.

14 Mar, 2022 | 13:48h

Point‐of‐care viral load tests to detect high HIV viral load in people living with HIV/AIDS attending health facilities – Cochrane Library

Resumo: Point-of-care tests for detecting high viral load in people living with HIV attending healthcare facilities – Cochrane Library

Infecções associadas a cuidados de saúde em pacientes adultos de UTI: mudanças em epidemiologia, diagnóstico, prevenção e contribuição das novas tecnologias.

14 Mar, 2022 | 13:44h

Healthcare-associated infections in adult intensive care unit patients: Changes in epidemiology, diagnosis, prevention and contributions of new technologies – Intensive and Critical Care Nursing