Geriatria

Estudo randomizado | Em pacientes idosos submetidos a anestesia intravenosa total, o etomidato é não inferior ao propofol em relação ao risco de complicações pós-operatórias maiores.

12 Ago, 2022 | 18:10h

Effect of Etomidate vs Propofol for Total Intravenous Anesthesia on Major Postoperative Complications in Older Patients: A Randomized Clinical Trial – JAMA Surgery

 

Comentário no Twitter

General anesthesia with etomidate does not increase postoperative morbidity, as indicated by the rate of major in-hospital post-op complications, in elderly patients undergoing abdominal surgery, as compared with propofol. https://t.co/vjPvle3DQj pic.twitter.com/2k6eSLupbH

— JAMA Surgery (@JAMASurgery) August 10, 2022

 

---

Atenção ao trauma em idosos: traçando um caminho em direção à excelência.

12 Ago, 2022 | 18:09h

Trauma care in older people: charting a path from outlier to excellence – Age and Ageing

 

---

O cuidado contemporâneo de idosos com síndrome coronariana aguda é baseado em evidências?

9 Ago, 2022 | 17:24h

Is the contemporary care of the older persons with acute coronary syndrome evidence-based? – European Heart Journal Open

 

Comentário da autora no Twitter

♦️Heart disease leading cause of death in older adults
♦️Less likely to receive guideline recommended treatment
♦️Frailty, multi-morbidity linked to worse outcomes
♦️We explore this in our manuscript led by @GregBMills1
💥Open access for free download😊https://t.co/l452O1QJTJ pic.twitter.com/HCRuwle3KK

— Professor Vijay Kunadian (@VijayKunadian) January 29, 2022

 

---

Estudo transversal | Experiências do envelhecimento diário e a saúde de idosos nos EUA.

9 Ago, 2022 | 16:43h

Experiences of Everyday Ageism and the Health of Older US Adults – JAMA Network Open

Comentários:

Ageism and health: Study shows close link – Michigan Health Lab

Everyday Ageism Prevalent Among Older U.S. Adults – HealthDay

 

Comentário no Twitter

In this cross-sectional study, 93% of US adults ages 50-80 reported they regularly experienced routine age-based discrimination (everyday ageism). Higher levels of everyday ageism were associated with multiple indicators of poor physical and mental health. https://t.co/ami6vUXRUQ

— JAMA Network Open (@JAMANetworkOpen) June 15, 2022

 

---

Resumo de evidência | Retirada de medicamentos em idosos convivendo com multimorbidade e polifarmácia.

5 Ago, 2022 | 16:38h

Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis – Health Technology Assessment

Conteúdos relacionados:

Antihypertensive Deprescribing in Older Adults: a Practical Guide – Current Hypertension Reports

How-to guide for medication reviews in older adults with cancer: A Young International Society of Geriatric Oncology and Nursing & Allied Health Interest Group initiative – Journal of Geriatric Oncology

Deprescribing in Palliative Cancer Care – Life

Less is More: Deprescribing Medications in Older Adults with Kidney Disease: A Review – Kidney360

Process evaluation of implementation strategies to reduce potentially inappropriate medication prescribing in older population: A scoping review – Research in Social and Administrative Pharmacy

AGA Clinical Practice Update on De-Prescribing of Proton Pump Inhibitors: Expert Review – Gastroenterology

Development of a Metric to Detect and Decrease Low-Value Prescribing in Older Adults – JAMA Network Open

The MedSafer Study—Electronic Decision Support for Deprescribing in Hospitalized Older Adults: A Cluster Randomized Clinical Trial – JAMA Internal Medicine

Quantifying Anticholinergic Burden and Sedative Load in Older Adults with Polypharmacy: A Systematic Review of Risk Scales and Models – Drugs & Aging

Deprescribing in palliative patients with cancer: a concise review of tools and guidelines – Supportive Care in Cancer

Prescribing practices, patterns, and potential harms in patients receiving palliative care: A systematic scoping review – Exploratory Research in Clinical and Social Pharmacy

A narrative review of evidence to guide deprescribing among older adults – Journal of General and Family Medicine

Polypharmacy, inappropriate prescribing, and deprescribing in older people: through a sex and gender lens – The Lancet Health Longevity

Polypharmacy Management in Older Patients – Mayo Clinic Proceedings

Psychopharmacological Treatment in Older People: Avoiding Drug Interactions and Polypharmacy – Deutsches Ärzteblatt international

Eliminating Medication Overload: A National Action Plan – Lown Institute

International Group for Reducing Inappropriate Medication Use & Polypharmacy (IGRIMUP): Position Statement and 10 Recommendations for Action – Drugs & Aging

Common ED Medication Errors: Polypharmacy – emDocs

Current and future perspectives on the management of polypharmacy – BMC Family Practice

Routine deprescribing of chronic medications to combat polypharmacy – Therapeutic Advances in Drug Safety

Polypharmacy—an Upward Trend with Unpredictable Effects – Deutsches Ärzteblatt international

Clinical Consequences of Polypharmacy in Elderly – Expert Opinion on Drug Safety

 

---

Diretriz | Sintomas no trato urinário baixo masculino/hiperplasia prostática benigna.

5 Ago, 2022 | 16:35h

UPDATE – 2022 Canadian Urological Association guideline on male lower urinary tract symptoms/benign prostatic hyperplasia (MLUTS/BPH) – Canadian Urological Association Journal

Conteúdos relacionados: AUA Guidelines: Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia.

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

Prostatic arterial embolization for the treatment of lower urinary tract symptoms in men with benign prostatic hyperplasia – Cochrane Library

Minimally invasive treatments for lower urinary tract symptoms in men with benign prostatic hyperplasia: a network meta‐analysis – Cochrane Library

Phosphodiesterase inhibitors for treatment of urinary problems in men with benign prostatic hyperplasia – Cochrane Library

Thulium laser transurethral vaporesection of the prostate versus transurethral resection of the prostate for men with lower urinary tract symptoms or urinary retention (UNBLOCS): a randomised controlled trial – The Lancet

 

---

Diretriz | Terapia de deprivação androgênica: eventos adversos e estratégias de tratamento.

5 Ago, 2022 | 16:32h

UPDATE – Canadian Urological Association guideline on androgen deprivation therapy: Adverse events and management strategies (Full-text) – Canadian Urological Association Journal

 

---

Estudo de coorte | Associação de amiloide elevado e sinal de PET tau com desenvolvimento, no curto prazo, de sintomas de doença de Alzheimer em idosos sem comprometimento cognitivo.

4 Ago, 2022 | 14:21h

Association of Elevated Amyloid and Tau Positron Emission Tomography Signal With Near-Term Development of Alzheimer Disease Symptoms in Older Adults Without Cognitive Impairment – JAMA Neurology (link para o resumo – $ para o texto completo)

 

Comentário no Twitter

Study found that Aβ and tau PET positivity in cognitively unimpaired individuals was associated with near-term progression to mild cognitive impairment and, among those who do not show such categorical change, longitudinal cognitive decline. https://t.co/sKpST7e4Nh

— JAMA Neurology (@JAMANeuro) July 30, 2022

 

---

Impacto das úlceras de pressão: achados do estudo Global Burden of Disease.

2 Ago, 2022 | 13:06h

Burden of Pressure Injuries: Findings From the Global Burden of Disease Study – Eplasty

 

---

Posicionamento científico | Racional diagnóstico na nutrição para reabilitação.

18 Jul, 2022 | 13:29h

Diagnostic reasoning in rehabilitation nutrition: Position paper by the Japanese Association of Rehabilitation Nutrition (secondary publication) – Journal of General and Family Medicine

 

---