Dr Oscar Macho Pérez Médico 2.0 Servicio geriatría CSG 16/06/2015 TUITERÍAS_02.15 Todo 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 50 mg daily for 7 days or placebo se disminuyo el tiempo de mejora sin

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 Antagonist Oral Anticoagulants for Atrial Fibrillation.Circulation. 2015;131:e412-e415 http://m.circ.ahajournals.org/content/131/16/e412.full.pdf

No aumento mortalidad ni a los 30 días 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

No prueba diagnóstica definitiva 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 Revision cochrane

Dosis necesaria ferroterapia iv: kg× 2.3 ×(Hb obj-Hb actual) 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 clínica para el manejo de la anemia en el paciente quirúrgico. AEC http://www.aecirujanos.es/publicados_por_la_AEC/guia_practica_clinica_manejo_anemia_paciente_quirurgico_AEC.pdf 2 1º semanas posqx fe iv porque no se absorbe en el posoperatorio temprano 2-6semanas

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 Aparte de la RAO, contempla las UPP III y IV

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 BGS http://www https://britishgeriatricssociety.wordpress.com/2015/06/02/can-doing-nothing-sometimes-be-the-best-approach/ http://www.bmj.com/content/350/bmj.h2308

Guidance DNACPR october 2014 Resuscitation Council (UK) 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 Resuscitation Council (UK), British Medical Association (BMA), and Royal College of Nursing (RCN) reviewed guidance DNACPR orders in october 2014

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 Revision cochrane

MCI: Montreal Cognitive Assessment 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 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 geriatría Madrid Abril 2015 Cómo se hace un CV http://www.smgg.es/jornadasalidasresidentes.shtml

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