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Explore latest medical research on geriatric care, including prednisone therapy for pneumonia, stroke prevention, hip fracture surgery safety on clopidogrel, and the cost-effectiveness of statins in older adults. Learn about detecting and managing anemia, urinary catheter use, and deprescribing polypharmacy. Stay informed on discussing “do not resuscitate” decisions, cognitive testing for dementia, and risk factors for delirium in older patients.
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TUITERÍAS_02.15Todo lo que no has leído desde la anterior tuiterias (20 de 10.189.021.003.023) Dr Oscar Macho Pérez Médico 2.0 Servicio geriatría CSG 16/06/2015
Blum CA et al. Adjunct prednisone therapy for patients with community-acquired pneumonia: a multicentre, double-blind, randomised, placebo-controlled trial. The lancet Volume 385, No. 9977, p1511–1518, 18 April 2015 50mg prednisona 7d vs placebo • http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2962447-8/abstract
Lip GYH, Lane DA. Stroke Prevention in Atrial Fibrillation A Systematic Review. JAMA. 2015;313(19):1950-1962. http://jama.jamanetwork.com/article.aspx?articleId=2293300&guestAccessKey=9b159987-da8e-40dc-a5ff-d4ed8e01894d&utm_source=TWITTER&utm_medium=social_jn&utm_term=184080602&utm_content=content_engagement|article_engagement&utm_campaign=article_alert&linkId=14455754
Lane DA, Wood KA. Patient Guide for Taking the Non–Vitamin K AntagonistOral Anticoagulants for Atrial Fibrillation.Circulation. 2015;131:e412-e415 • http://m.circ.ahajournals.org/content/131/16/e412.full.pdf
Doleman B, Moppett IK. Is early hip fracture surgery safe for patients on clopidogrel? Systematic review, meta-analysis and meta-regression. Injury 2015 Volume 46, Issue 6, Pages 954–962 • No aumento mortalidad ni a los 30 días • Aumento en transfusiones (OR 1.41 95% CI: 1.00–1.99) • Disminución estancia de -7.09d • http://w.injuryjournal.com/article/S0020-1383%2815%2900159-X/abstractww
Rich MW. Cost-Effectiveness of Statins in Older Adults: Further Evidence That Less Is More. Ann Intern Med. 2015;162(8):590-591. doi:10.7326/M15-0535 • http://annals.org/article.aspx?articleID=2275394#.VUiUKbg6lX8.twitter
Kutner JS et al. Safety and benefit of discontinuing statin therapy in the setting of advanced, life-limiting illness: a randomized clinical trial.JAMA Intern Med. 2015 May 1;175(5):691-700 http://www.ncbi.nlm.nih.gov/pubmed/25798575
Síntomas, signos y exámenes clínicos para identificar la deshidratación por pérdida inminente o en curso de agua en los ancianos. • No prueba diagnóstica definitiva • http://www.doctoredogallegos.com/?p=5320 • http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009647.pub2/abstract
Camaschella C. Iron-Deficiency Anemia. N Engl J Med 2015; 372:1832-1843 Dosis necesaria ferroterapia iv: kg× 2.3 ×(Hb obj-Hb actual) +500 o 1000 mg http://www.nejm.org/doi/full/10.1056/NEJMra1401038?query=TOC#.VU72izF-GWQ.twitter
Vitamin B12: Tests fact sheet. NPS • Estudio anemia en IRC • Estudio deterioro cognitivo • Estudio polineuropatía • http://www.nps.org.au/__data/assets/pdf_file/0005/265325/Fact-sheet-vitamin-B12-tests.pdf
Guía de práctica clínicapara el manejo de la anemia en elpaciente quirúrgico. AEC • http://www.aecirujanos.es/publicados_por_la_AEC/guia_practica_clinica_manejo_anemia_paciente_quirurgico_AEC.pdf
The Ann Arbor Criteria for Appropriate Urinary Catheter Use in Hospitalized Medical Patients. Ann Intern Med. 2015;162(9_Supplement):S1-S34. • http://annals.org/article.aspx?articleid=2280677
Scott IA et al. Reducing Inappropriate PolypharmacyThe Process of Deprescribing. JAMA Intern Med. 2015;175(5):827-834 http://archinte.jamanetwork.com/article.aspx?articleid=2204035&utm_source=TWITTER&utm_medium=social_jn&utm_term=158855585&utm_content=|article_engagement&utm_campaign=article_alert&linkId=13024427
Can doing nothing sometimes be the best approach?Blog BGShttp://www.aomrc.org.uk/ https://britishgeriatricssociety.wordpress.com/2015/06/02/can-doing-nothing-sometimes-be-the-best-approach/ http://www.bmj.com/content/350/bmj.h2308
When and how to discuss “do not resuscitate” decisions with patients. BMJ 2015;350:h2640 • Guidance DNACPR october 2014 • Resuscitation Council (UK) • British Medical Association (BMA) • Royal College of Nursing (RCN) • http://www.bmj.com/content/350/bmj.h2640
MMSE for the detection of Alzheimer's disease and other dementias in people with MCI. DOI: 10.1002/14651858.CD010783.pub2 No evidencia que apoye MMSE como prueba administración única en conversión de DCL a demencia • http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD010783.pub2/abstract • http://www.doctoredogallegos.com/?p=5172
Kelvin KF et al. Cognitive Tests to Detect Dementia: A Systematic Review and Meta-analysis. doi:10.1001/jamainternmed.2015.2152 S 0.81 (95% CI, 0.78-0.84), E 0.89 (95% CI, 0.87-0.91) Demencia: Mini-Cog test and Addenbrooke’s Cognitive Examination–Revised MCI: Montreal Cognitive Assessment http://archinte.jamanetwork.com/article.aspx?articleID=2301149&utm_source=Silverchair%20Information%20Systems&utm_medium=email&utm_campaign=ArchivesofInternalMedicine%3AOnlineFirst06%2F08%2F2015
Ahmed et al. Risk factors for incident delirium among older people in acute hospital medical units: a systematic review and meta-analysis. Age Ageing (2014) 43 (3): 326-333. • http://ageing.oxfordjournals.org/content/43/3/326.full.pdf+html
Update in Geriatric Medicine: Evidence Published in 2014. Ann Intern Med. 2015;162(9):W102-W105 • http://annals.org/article.aspx?articleID=2281172
Galvez et al. Prevalence and treatment of pain in non-institutionalized very old population. Aging Clin Exp Res. 2015 May 30. • http://link.springer.com/article/10.1007/s40520-015-0387-3
I jornada de salidas profesionales para residentes de geriatríaMadrid Abril 2015 Cómo se hace un CV http://www.smgg.es/jornadasalidasresidentes.shtml
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