Dr Oscar Macho Pérez Médico 2.0 Servicio geriatría CSG 16/06/2015

Presentación del tema: "Dr Oscar Macho Pérez Médico 2.0 Servicio geriatría CSG 16/06/2015"— Transcripción de la presentación:

1 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 ) Dr Oscar Macho Pérez Médico 2.0 Servicio geriatría CSG 16/06/2015

2 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 50 mg daily for 7 days or placebo se disminuyo el tiempo de mejora sin

3 Lip GYH, Lane DA. Stroke Prevention in Atrial Fibrillation A Systematic Review. JAMA. 2015;313(19):

4 Lane DA, Wood KA. Patient Guide for Taking the Non–Vitamin K Antagonist Oral Anticoagulants for Atrial Fibrillation.Circulation. 2015;131:e412-e415

5 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 % CI: 1.00–1.99) Disminución estancia de -7.09d

6 Rich MW. Cost-Effectiveness of Statins in Older Adults: Further Evidence That Less Is More. Ann Intern Med. 2015;162(8): doi: /M

7 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 May 1;175(5):

8 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 Revision cochrane

9 Dosis necesaria ferroterapia iv: kg× 2.3 ×(Hb obj-Hb actual)
Camaschella C. Iron-Deficiency Anemia. N Engl J Med 2015; 372: Dosis necesaria ferroterapia iv: kg× 2.3 ×(Hb obj-Hb actual) +500 o 1000 mg

10 Vitamin B12: Tests fact sheet. NPS
Estudio anemia en IRC Estudio deterioro cognitivo Estudio polineuropatía

11 Guía de práctica clínica para el manejo de la anemia en el paciente quirúrgico. AEC
2 1º semanas posqx fe iv porque no se absorbe en el posoperatorio temprano 2-6semanas

12 The Ann Arbor Criteria for Appropriate Urinary Catheter Use in Hospitalized Medical Patients. Ann Intern Med. 2015;162(9_Supplement):S1-S34. Aparte de la RAO, contempla las UPP III y IV

13 Scott IA et al. Reducing Inappropriate PolypharmacyThe Process of Deprescribing. JAMA Intern Med. 2015;175(5):

14 Can doing nothing sometimes be the best approach. Blog BGS http://www

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

16 MMSE for the detection of Alzheimer's disease and other dementias in people with MCI. DOI:  / CD pub2 No evidencia que apoye MMSE como prueba administración única en conversión de DCL a demencia Revision cochrane

17 MCI: Montreal Cognitive Assessment
Kelvin KF et al. Cognitive Tests to Detect Dementia:  A Systematic Review and Meta-analysis. doi: /jamainternmed S 0.81 (95% CI, ), E 0.89 (95% CI, ) Demencia: Mini-Cog test and Addenbrooke’s Cognitive Examination–Revised MCI: Montreal Cognitive Assessment

18 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):

19 Update in Geriatric Medicine: Evidence Published in 2014
Update in Geriatric Medicine: Evidence Published in Ann Intern Med. 2015;162(9):W102-W105

20 Galvez et al. Prevalence and treatment of pain in non-institutionalized very old population. Aging Clin Exp Res May 30.

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22 I jornada de salidas profesionales para residentes de geriatría Madrid Abril 2015
Cómo se hace un CV

23 Tuiteros a seguir 2 https://twitter.com/ojedathies

24 #youknowyoureageriatrician