Acesso livre
Acesso livre

Geriatria

Estudo de coorte | Entre idosos diabéticos internados para tratamento de condições médicas comuns, a intensificação das medicações para diabetes na alta hospitalar foi associada com risco aumentado, no curto prazo, de eventos hipoglicêmicos graves, mas não foi associada com melhora no controle glicêmico.

12 Nov, 2021 | 13:24h

Intensification of Diabetes Medications at Hospital Discharge and Clinical Outcomes in Older Adults in the Veterans Administration Health System – JAMA Network Open

Novo teste para demência traz mais questões do que respostas – “Uma avaliação de 5 minutos em um iPad poderia transformar o rastreamento da demência – ou sobrecarregar o sistema de saúde com usuários preocupados.”

11 Nov, 2021 | 15:57h

A New Dementia Test Raises More Questions Than Answers – Wired

Revisão sistemática | Prevenção da demência e do declínio cognitivo utilizando intervenções multidomínio.

11 Nov, 2021 | 15:55h

Resumo: Prevention of dementia and decline in cognition by using multi-domain interventions – Cochrane Library

Estudo original: Multi‐domain interventions for the prevention of dementia and cognitive decline – Cochrane Library

Revisão sistemática | Tratamento de pacientes de alta necessidade e alto custo.

9 Nov, 2021 | 12:12h

Management of High-Need, High-Cost Patients: A “Best Fit” Framework Synthesis, Realist Review, and Systematic Review – Agency for Healthcare Research and Quality

Ver também:

Evidence Summary

Final Report

Conteúdos relacionados:

Designing a High-Performing Health Care System for Patients with Complex Needs: Ten Recommendations for Policymakers – The Commonwealth fund

Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health – National Academy of Medicine

Systematic review of high-cost patients’ characteristics and healthcare utilization – BMJ Open

Effectiveness of interventions for managing multiple high-burden chronic diseases in older adults: a systematic review and meta-analysis – Canadian Medical Association Journal

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

Multimorbidity in Older Adults with Cardiovascular Disease – American College of Cardiology, Latest in Cardiology

Richard Smith: The challenge of high need, high cost patients – The BMJ Blogs

Better Care for People with Complex Needs – Institute for Healthcare Improvement

Estudo randomizado por cluster | Em idosos com câncer avançado, um programa de avaliação geriátrica reduziu os efeitos tóxicos do tratamento.

5 Nov, 2021 | 17:09h

Evaluation of geriatric assessment and management on the toxic effects of cancer treatment (GAP70+): a cluster-randomised study – The Lancet

Comunicado de imprensa: Less Chemotherapy, Personalized Care: Wilmot Study Reinforces Major Strides in Geriatric Oncology – University of Rochester Medical Center

Conteúdos relacionados:

RCT: A geriatric assessment–driven intervention can reduce chemotherapy-related toxic effects in older adults with cancer.

Perspective: A Cancer Care Approach Tailored to The Elderly May Have Better Results

 

Comentário da autora no Twitter (fio – clique para saber mais)

 

Coisas que fazemos sem nenhum motivo: prescrever tramadol para dor em pacientes internados.

5 Nov, 2021 | 17:05h

Conteúdos relacionados:

Atualização sobre as sequelas pós-agudas da infecção por SARS-CoV-2: cuidados clínicos aos portadores de “long Covid”.

29 Out, 2021 | 14:57h

Update to post-acute sequelae of SARS-CoV-2 infection: Caring for the ‘long-haulers’ – Cleveland Clinic Journal of Medicine

Conteúdos relacionados:

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)

Prescrição de estimulantes está associada a aumento dos riscos de curto prazo de eventos cardiovasculares em idosos.

29 Out, 2021 | 14:34h

Assessment of Stimulant Use and Cardiovascular Event Risks Among Older Adults – JAMA Network Open

Comentários:

Use of stimulants in older adults associated with higher risk for cardiovascular events in first month – University of Toronto

Stimulants Linked to Early Risk of CV Events in Elderly – TCTMD

Stimulants May Pose Short-Term Cardiovascular Risks in Older Adults – Psychiatric News Alert

Documento de Consenso da ESC | Fragilidade do idoso na cardiologia: definição, avaliação e implicações clínicas para a cardiologia geral.

28 Out, 2021 | 16:08h

Frailty in cardiology: definition, assessment and clinical implications for general cardiology. A consensus document of the Council for Cardiology Practice (CCP), Association for Acute Cardio Vascular Care (ACVC), Association of Cardiovascular Nursing and Allied Professions (ACNAP), European Association of Preventive Cardiology (EAPC), European Heart Rhythm Association (EHRA), Council on Valvular Heart Diseases (VHD), Council on Hypertension (CHT), Council of Cardio-Oncology (CCO), Working Group (WG) Aorta and Peripheral Vascular Diseases, WG e-Cardiology, WG Thrombosis, of the European Society of Cardiology, European Primary Care Cardiology Society (EPCCS) – European Journal of Preventive Cardiology

Estudo randomizado | Avaliação geriátrica pode reduzir os efeitos tóxicos da quimioterapia em idosos com câncer.

28 Out, 2021 | 15:55h

Geriatric Assessment–Driven Intervention (GAIN) on Chemotherapy-Related Toxic Effects in Older Adults With Cancer: A Randomized Clinical Trial – JAMA Oncology (link para o resumo – $ para o texto completo)

Comentário: Older adults receiving additional supportive care services experience fewer side effects from chemotherapy – City of Hope National Medical Center

 

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