Geriatria
Estudo randomizado | Descompressão isolada não é inferior à descompressão com fusão em pacientes com espondilolistese lombar degenerativa.
6 Ago, 2021 | 11:37hComentário: Decompression Noninferior for Degenerative Spondylolisthesis – HealthDay
Pesquisadores afirmam que médicos devem abandonar os exames de urina de rotina em pacientes idosos com delirium.
6 Ago, 2021 | 11:27hArtigo original: Things We Do for No Reason™: Obtaining Urine Testing in Older Adults With Delirium Without Signs or Symptoms of Urinary Tract Infection – Journal of Hospital Medicine ($)
Comentário no Twitter (fio – clique para saber mais)
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Hey #MedTwitter!Ever question the utility of asymptomatic urine testing in delirious, older patients?
Passionate about avoiding low-value tests that may harm vulnerable patients?
If so, please join us on this Tweetorial journey based on our @JHospMedicine @TWDFNR piece! pic.twitter.com/vNsTL5UpUK
— Milad Memari, MD (@MemariMD) July 28, 2021
M-A | Efeitos da mobilização precoce no prognóstico de pacientes criticamente doentes.
6 Ago, 2021 | 11:24hEffects of early mobilization on the prognosis of critically ill patients: A systematic review and meta-analysis – International Journal of Nursing Studies (link para o resumo – $ para o texto completo)
Comentário no Twitter
Effects of Early Mobilization on ICU patients: Meta-Analysis incl 39 studies (23 studies from China!) showed benefits for weaning, LOS, physical function and others, but not for mortality, delirium, handgrip strengthhttps://t.co/w8ZWNxyz8z pic.twitter.com/YA8cJDps9N
— Peter Nydahl (@NydahlPeter) July 29, 2021
Estudo randomizado | Tratamento de rotina com fluoxetina não reduz a incidência de depressão após AVC.
4 Ago, 2021 | 12:14hDepression Outcomes Among Patients Treated With Fluoxetine for Stroke Recovery: The AFFINITY Randomized Clinical Trial – JAMA Neurology (free for a limited period)
Editorial: Poststroke Selective Serotonin Reuptake Inhibitors—Do They Work for Anything? (gratuito por tempo limitado)
Conteúdos relacionados:
[Abstract Only] Randomized trial: Fluoxetine does not improve functional recovery after acute stroke
Randomized Trial: Effects of Fluoxetine on Functional Outcomes After Acute Stroke
Relatório OMS | Escala, impacto e danos do isolamento social e da solidão entre idosos.
3 Ago, 2021 | 11:21hSocial Isolation and Loneliness – World Health Organization
Comentário no Twitter (fio – clique para saber mais)
Today is the #InternationalDayOfFriendship! 👫
It’s an opportunity to remember the importance of social connections. Everyone can experience loneliness — including older people. If you or someone you know might be feeling lonely, try reaching out.
👉 https://t.co/ZtQCCXSVLV pic.twitter.com/ieAK4Aeefz
— World Health Organization (WHO) (@WHO) July 30, 2021
Estudo | Muitos pacientes com pequenos tumores renais podem ser tratados com segurança por meio de vigilância ativa.
2 Ago, 2021 | 18:50hCommentary: More Data Support Active Surveillance for Small Renal Masses — Most patients avoided surgery with no metastasis, better focus on aggressive disease – MedPage Today (necessário cadastro gratuito)
Estudo de coorte | Evidência de uma “cascata de prescrição” potencialmente danosa e inadequada de gabapentinoide seguida de diurético em idosos com dor lombar.
2 Ago, 2021 | 17:19hEvidence of a gabapentinoid and diuretic prescribing cascade among older adults with lower back pain – Journal of the American Geriatrics Society (link para o resumo – $ para o texto completo)
Conteúdo relacionado:
Are you the victim of a prescribing cascade?
Prescribing Cascade in a Cardiology Practice
Consenso ESC | Terapias antitrombóticas nas doenças arteriais aórticas e periféricas em 2021.
2 Ago, 2021 | 16:44hPontos principais a lembrar: ESC Consensus on Antithrombotic Therapies in Aortic and Peripheral Artery Diseases – American College of Cardiology
Comentário no Twitter
The new consensus document from the ESC working group on aorta and peripheral vascular diseases on best antithrombotic strategies!#aorta #antithrombotic #therapy #EHJ #cardiotwitter@escardio @ESC_Journals https://t.co/ga17wxKDGi pic.twitter.com/CSSgE5TFdX
— EHJ Editor-in-Chief (@ehj_ed) July 23, 2021
Revisão sistemática | Meias ou bandagens de compressão vs. nenhuma compressão no tratamento de úlceras venosas em membros inferiores.
27 Jul, 2021 | 10:19hEstudo randomizado por clusters | Eficácia de uma intervenção personalizada para reduzir o uso de antibióticos no tratamento de infecções do trato urinário em residentes de casas de repouso.
27 Jul, 2021 | 10:14hEffectiveness of a tailored intervention to reduce antibiotics for urinary tract infections in nursing home residents: a cluster, randomised controlled trial – The Lancet Infectious Diseases (link para o resumo – $ para o texto completo)
Comentário no Twitter
In this open-label, cluster randomised controlled trial, there was reduction in the number of antibiotic prescriptions for urinary tract infections by 58% in Danish nursing home residents without substantially increasing the risk of all-cause hospitalisa… https://t.co/LXO0LIFmTU
— Abid Hussain (@MicrobLog_me_uk) July 23, 2021