Geriatria

Diretriz de consenso | Manejo pré-operatório das medicações para doenças psiquiátricas.

4 Fev, 2022 | 16:54h

Preoperative Management of Medications for Psychiatric Diseases: Society for Perioperative Assessment and Quality Improvement Consensus Statement – Mayo Clinic Proceedings

Perspectiva | As origens, o desenvolvimento e o contexto da Comissão do Lancet sobre o Valor da Morte – “A morte deixou de ser um evento familiar, social e cultural para se tornar, sobretudo, um evento médico.”

4 Fev, 2022 | 16:42h

The origins, development, and context of the Lancet Commission on the Value of Death – The BMJ

Conteúdo relacionado: The Lancet Commission: Experts warn of the increasing overmedicalization of death, call for radical rethink of how society cares for dying people.

M-A de 26 estudos observacionais mostrou que a perda auditiva e a perda sensorial dupla estão ligadas ao excesso de mortalidade por todas as causas e cardiovascular.

4 Fev, 2022 | 16:21h

Associations of Hearing Loss and Dual Sensory Loss With Mortality: A Systematic Review, Meta-analysis, and Meta-regression of 26 Observational Studies With 1 213 756 Participants – JAMA Otolaryngology—Head & Neck Surgery (link para o resumo – $ para o texto completo)

Entrevista com o autor: Associations of Hearing Loss and Dual Sensory Loss With Mortality

Estudo randomizado por cluster | Em pacientes idosos submetidos a procedimentos cirúrgicos eletivos, um programa de prevenção não farmacológica multimodal reduziu a ocorrência de delirium pós-cirúrgico e os dias com delirium.

4 Fev, 2022 | 15:56h

Outcomes of a Delirium Prevention Program in Older Persons After Elective Surgery: A Stepped-Wedge Cluster Randomized Clinical Trial – JAMA Surgery

Entrevista com as autoras: Effective Delirium Prevention in Older Persons After Elective Surgery

Comentário no Twitter

Study suggests implementing a multifaceted multidisciplinary prevention intervention will improve care and outcomes in older patients undergoing elective general and orthopedic procedures https://t.co/lHU59ca5m5 pic.twitter.com/oj76KiV4It

— JAMA Surgery (@JAMASurgery) December 15, 2021

Comissão Lancet | Especialistas alertam para o aumento da supermedicalização da morte e fazem um chamado para repensar, radicalmente, o modo como a sociedade cuida das pessoas em fase final de vida.

4 Fev, 2022 | 15:16h

Comunicado de imprensa: THE LANCET: Experts warn of the increasing overmedicalization of death, call for radical rethink of how society cares for dying people

Página principal: Lancet Commission on the Value of Death (necessário cadastro gratuito para todos os artigos)

Report of the Lancet Commission on the Value of Death: bringing death back into life

The precariousness of balancing life and death

Ros Taylor: seeing palliative care as relational

Conteúdo relacionado: What would it take to die well? A systematic review of systematic reviews on the conditions for a good death – The Lancet Health Longevity

Comentário no Twitter (fio – clique para saber mais)

Increasing overmedicalisation at the end of life is denying people & their families a good death.

Towards a compassionate community model: The Lancet #ValueofDeath Commission calls for a radical rethink of care for the dying & attitudes to death. https://t.co/DpJiu1tOcV pic.twitter.com/FU9MgCO1J6

— The Lancet (@TheLancet) January 31, 2022

Estudo randomizado | Uma ampla avaliação geriátrica com “hospital em casa” pode ser uma alternativa custo-efetiva à internação hospitalar.

4 Fev, 2022 | 14:42h

Is comprehensive geriatric assessment hospital at home a cost-effective alternative to hospital admission for older people? – Age and Aging

Um estudo de registro na Dinamarca encontrou um risco aumentado de sangramento com a associação de fluconazol sistêmico e apixabam (OR 3,5; 95% IC, 1,4-10,6).

4 Fev, 2022 | 14:26h

Bleeding Risk Following Systemic Fluconazole or Topical Azoles in Patients with Atrial Fibrillation on Apixaban, Rivaroxaban, or Dabigatran – American Journal of Medicine

Estudo randomizado | Suplementação de vitamina D para idosos (média de idade: 67 anos) por 5 anos reduziu o risco de doenças autoimunes em 22%. O risco absoluto no grupo em tratamento foi de 0,95% vs. 1,19% no grupo placebo.

31 Jan, 2022 | 08:51h

Vitamin D and marine omega 3 fatty acid supplementation and incident autoimmune disease: VITAL randomized controlled trial – The BMJ

Comentário: Vitamin D and fish oil supplements may help prevent autoimmune disease, study says – CNN

Conteúdos relacionados:

RCT: Oral Vitamin D supplementation (60.000 IU per month) did not reduce mortality in patients 60 years or older (unscreened individuals in Australia, many without insufficiency, average 30ng/mL). Exploratory analyses pointed towards an increased risk of death from cancer.

RCT: Vitamin D supplementation is not beneficial for the prevention of cardiovascular disease and cancer.

USPSTF Draft Statement: Insufficient evidence to recommend multivitamin supplements for the prevention of CVD or cancer. The statement also recommends against the use of beta-carotene (increases risk of CVD mortality and lung cancer) or vitamin E (clear evidence of no benefit)

USPSTF Statement: Insufficient evidence to recommend Vitamin D deficiency screening

Vitamin D, calcium, other vitamins, and supplements do not prevent cardiovascular diseases

Diretrizes práticas da ESPEN | Nutrição enteral domiciliar.

31 Jan, 2022 | 08:46h

ESPEN practical guideline: Home enteral nutrition – Clinical Nutrition

Revisão | Tremor essencial.

31 Jan, 2022 | 08:36h

Essential tremor – Nature Reviews Disease Primers (se o acesso a este link for pago, tente este)

Infográfico: Essential tremor (se o acesso a este link for pago, tente este)