Geriatria

Perspectiva | Menos farmacoterapia é mais no delirium.

4 Mai, 2022 | 13:54h

Less pharmacotherapy is more in delirium – Intensive Care Medicine (se o acesso a este link for pago, tente este)

Conteúdos relacionados:

Pharmacological interventions for the treatment of delirium in critically ill adults – Cochrane Library

Non‐pharmacological interventions for preventing delirium in hospitalised non‐ICU patients – Cochrane Library

Delirium in critical illness: clinical manifestations, outcomes, and management – Intensive Care Medicine

Distribution of delirium motor subtypes in the intensive care unit: a systematic scoping review – Critical Care

Pharmacological and non-pharmacological interventions to prevent delirium in critically ill patients: a systematic review and network meta-analysis – Intensive Care Medicine

Effectiveness of Bundle Interventions on ICU Delirium: A Meta-Analysis – Critical Care Medicine

Comentário no Twitter

⬇️ 💉Less medications (& ⬆️ awareness of behavioural interventions) is more in #delirium, common, challenging/costly (but often preventable) in #ICU. Despite lacking evidence, medications widely used.
Prevent/minimize addressing suspected contributors!
📎 https://t.co/fYWAsIcuiZ pic.twitter.com/DyC3agSP7w

— Intensive Care Medicine (@yourICM) April 30, 2022

M-A | Segurança e eficácia comparativa dos medicamentos para melhora cognitiva na demência de Alzheimer.

3 Mai, 2022 | 15:41h

Comparative safety and efficacy of cognitive enhancers for Alzheimer’s dementia: a systematic review with individual patient data network meta-analysis – BMJ Open

Comentário de estudo | Pessoas de todas as idades se beneficiam de drogas para hipertensão arterial.

2 Mai, 2022 | 13:42h

People of all ages benefit from drugs to lower blood pressure – National Institute for Health and Care Research

Estudo original: Age-stratified and blood-pressure-stratified effects of blood-pressure-lowering pharmacotherapy for the prevention of cardiovascular disease and death: an individual participant-level data meta-analysis – The Lancet

Revisão sistemática | Acurácia de teste diagnóstico de uma avaliação cognitiva multidomínio e remota (telefone e chamada por vídeo) para demência.

2 Mai, 2022 | 13:36h

Diagnostic test accuracy of remote, multidomain cognitive assessment (telephone and video call) for dementia – Cochrane Library

Resumo: How accurate are remote, virtual assessments at diagnosing dementia? – Cochrane Library

Comentário de estudo | Não se deveria esperar por uma predição de morte para iniciar os cuidados paliativos e de fim de vida.

29 Abr, 2022 | 15:10h

Palliative and end of life care should not wait for a prediction of death – National Institute for Health and Care Research

Estudo original: Timely community palliative and end-of-life care: a realist synthesis – BMJ Supportive & Palliative Care

Revisão sistemática | Tratamentos psicológicos para depressão e ansiedade na demência e no comprometimento cognitivo leve.

29 Abr, 2022 | 15:06h

Psychological treatments for depression and anxiety in dementia and mild cognitive impairment – Cochrane Library

Resumo: Psychological treatments for depression and anxiety in dementia and mild cognitive impairment – Cochrane Library

Podcast | Sintomas em trato urinário inferior, hiperplasia prostática benigna e incontinência urinária.

29 Abr, 2022 | 14:43h

LUTS, BPH, and Urinary Incontinence Triple Distilled – The Curbsiders

Diretriz da USPSTF | Use de aspirina na prevenção de doença cardiovascular.

28 Abr, 2022 | 12:18h

Aspirin Use to Prevent Cardiovascular Disease: US Preventive Services Task Force Recommendation Statement – JAMA

Entrevista com o autor: USPSTF Recommendation: Aspirin Use for Cardiovascular Disease – JAMA

Estudo modelo: Aspirin Use to Prevent Cardiovascular Disease and Colorectal Cancer: Updated Modeling Study for the US Preventive Services Task Force – JAMA

Relatório de evidência: Aspirin Use to Prevent Cardiovascular Disease and Colorectal CancerUpdated Evidence Report and Systematic Review for the US Preventive Services Task Force – JAMA

Página do paciente: Use of Aspirin to Prevent Cardiovascular Disease – JAMA

Editoriais:

Should Patients Take Aspirin for Primary Cardiovascular Prevention? Updated Recommendations From the US Preventive Services Task Force

Whom to Treat for Primary Prevention of Atherosclerotic Cardiovascular Disease: The Aspirin Dilemma – JAMA Internal Medicine

Aspirin for Primary Prevention—Time to Rethink Our Approach – JAMA Network Open

USPSTF Report on Aspirin for Primary Prevention – JAMA Cardiology

Comentários:

USPSTF Report on Aspirin for Primary Prevention – American College of Cardiology

USPSTF Finalizes Tougher Stance on Aspirin in Primary Prevention – TCTMD

Daily aspirin offers little to no benefit for most adults trying to prevent heart disease, new report says – STAT

U.S. Task Force Rejects Daily Aspirin for Heart Health in People Over 60 – HealthDay

Associações longitudinais de transtornos mentais com demência: análise de 30 anos de 1,7 milhão de cidadãos da Nova Zelândia.

28 Abr, 2022 | 11:56h

Longitudinal Associations of Mental Disorders With Dementia: 30-Year Analysis of 1.7 Million New Zealand Citizens – JAMA Psychiatry

Comunicado de imprensa: Mental disorders may increase risk for subsequent dementia – University of Michigan

Comentário: Mental Disorders Tied to Subsequent Dementia Onset – HealthDay

Comentário no Twitter

In this longitudinal population-register study of 1.7 million New Zealand citizens, individuals with #mentalhealth disorders had elevated risk for #dementia when followed up years later. https://t.co/kkOUOnHEXE

— JAMA Psychiatry (@JAMAPsych) April 15, 2022

Metanálise de dados de participantes individuais | Novos horizontes no cuidado baseado em evidência para idosos.

28 Abr, 2022 | 11:54h

New horizons in evidence-based care for older people: individual participant data meta-analysis – Age and Ageing