Search results for "Frailty"
American Heart Association issues scientific statement on cardiogenic shock in older adults
The statement provides suggestions for clinical practice, highlighting the crucial role of individualized risk assessment, an interdisciplinary approach, and patient-centered decision making in the management of cardiogenic shock among older adults.
https://acphospitalist.acponline.org/archives/2024/03/06/american-heart-association-issues-scientific-statement-on-cardiogenic-shock-in-older-adults.htm
6 Mar 2024
Two common assessment methods highlight link between frailty and postoperative delirium
An analysis of elective surgery patients ages 70 years or older found that those assessed as frail by the frailty index or frailty phenotype had double the risk of postoperative delirium versus those who weren't frail.
https://acphospitalist.acponline.org/archives/2023/11/22/two-common-assessment-methods-highlight-link-between-frailty-and-postoperative-delirium.htm
22 Nov 2023
Off-label dosing of DOACs at discharge common in afib patients
More than 10% of patients hospitalized with afib receive a direct-acting oral anticoagulant (DOAC) at less or more than the recommended dose at discharge, according to data from the Get With The Guidelines-Atrial Fibrillation registry.
https://acphospitalist.acponline.org/archives/2023/11/15/off-label-dosing-of-doacs-at-discharge-common-in-afib-patients.htm
15 Nov 2023
Intensive treatment may increase adverse events in older adults with elevated blood pressure
Intensive blood pressure treatment in the first 48 hours of hospitalization for a noncardiovascular diagnosis was associated with greater risk of a composite outcome that included cardiac injury, acute kidney injury, and transfer to the ICU.
https://acphospitalist.acponline.org/archives/2023/06/07/intensive-treatment-may-increase-adverse-events-in-older-adults-with-elevated-blood-pressure.htm
7 Jun 2023
What to say when sharing serious news
Two palliative care experts at CONVERGE outlined common tactics and phrases to avoid in conversations with patients and families and recommended some alternatives.
https://acphospitalist.acponline.org/archives/2023/04/19/what-to-say-when-sharing-serious-news.htm
19 Apr 2023
Frailty screening intervention linked to reduced mortality in year after elective surgery
A best practice alert identified patients with frailty and prompted surgeons to document a frailty-informed shared decision-making process and/or refer for additional evaluation by a multidisciplinary presurgery clinic or a primary care physician.
https://acphospitalist.acponline.org/archives/2023/03/01/frailty-screening-intervention-linked-to-reduced-mortality-in-year-after-elective-surgery.htm
1 Mar 2023
Fixing hip fracture outcomes
Orthos, geriatricians, and hospitalists at one hospital collaborated to apply age-friendly strategies in their hip fracture care.
https://acphospitalist.acponline.org/archives/2023/02/08/fixing-hip-fracture-outcomes.htm
8 Feb 2023
AHA issues scientific statement on ACS in older patients
The American Heart Association (AHA) provided recommended strategies for managing acute coronary syndrome (ACS) in patients ages 75 years and older.
https://acphospitalist.acponline.org/archives/2022/12/21/free/aha-issues-scientific-statement-on-acs-in-older-patients.htm
21 Dec 2022
Nearly 1 in 7 community-living Medicare patients died within year after major surgery
Mortality rates after major surgery were 28% among patients who were frail and 33% among those with dementia, a prospective longitudinal cohort study of Medicare fee-for-service beneficiaries found.
https://acphospitalist.acponline.org/archives/2022/10/26/nearly-1-in-7-community-living-medicare-patients-died-within-year-after-major-surgery.htm
26 Oct 2022
New 8-item risk score may help predict ischemic events after ACS treated with PCI
Growth differentiation factor 15 and N-terminal pro–B-type natriuretic peptide were the best predictors of one-year risk of cardiovascular death or myocardial infarction among patients with acute coronary syndrome (ACS) who underwent percutaneous coronary intervention (PCI).
https://acphospitalist.acponline.org/archives/2022/10/26/new-8-item-risk-score-may-help-predict-ischemic-events-after-acs-treated-with-pci.htm
26 Oct 2022