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Hospital Medicine

Geriatric Medicine   

Questions discussed in this category

What is your approach to initiation of mirtazapine for appetite stimulation and depression in older adults, both in terms of starting dose and titration?
2 Answers available
What are the best practices for optimizing transitions from hospital to skilled nursing facilities for older adult patients, with specific regard to adapting hospital medication regimens to the skilled nursing facility setting?
1 Answer available
How do you decide between anticoagulation and observation for an incidentally detected subsegmental pulmonary embolism in elderly patients with a history of gastrointestinal bleeding?
7 Answers available
What is your approach to deprescribing gabapentinoids so as to prevent withdrawal effects?
1 Answer available
How do you counsel patients who are concerned that discontinuation of certain chronic medications may actually perpetuate suffering at the end of life?
Do you ever continue medications such as rate-control agents for tachyarrhythmias, anticoagulation for blood clots, immunosuppression to prevent trans...
1 Answer available
How do you recommend counseling patients on the prognosis of advanced cancer as a generalist who is not highly specialized in cancer literature or cancer-directed therapies?
2 Answers available
When do you consider using aspirin 81 mg PO BID for VTE prophylaxis over other agents in patients with a fracture, considering recent trial data?
O'Toole et al., PMID 36652352
1 Answer available
How do you approach revascularization in patients over 75 years with NSTEMI, given recent evidence from the SENIOR-RITA trial that an invasive strategy does not significantly reduce cardiovascular events compared to a conservative strategy?
Kunadian, et al., PMID 39225274
1 Answer available


Papers discussed in this category

The New England journal of medicine, 2024 Sep 01
Invasive Treatment Strategy for Older Patients with Myocardial Infarction.
The New England journal of medicine, 2023 Jan 19
Aspirin or Low-Molecular-Weight Heparin for Thromboprophylaxis after a Fracture.
JAMA, 2022 Aug 23
Effect of Aspirin vs Enoxaparin on Symptomatic Venous Thromboembolism in Patients Undergoing Hip or Knee Arthroplasty: The CRISTAL Randomized Trial.
Journal of palliative medicine, 2012-02
Systematic review of cancer presentations with a median survival of six months or less.
Journal of the American Medical Directors Association, 2022 Mar 23
Post-Acute Care Outcomes and Functional Status Changes of Adults with New Cancer Discharged to Skilled Nursing Facilities.
Palliative medicine, 2022 Jul
The utility of the surprise question: A useful tool for identifying patients nearing the last phase of life? A systematic review and meta-analysis.
The Cochrane database of systematic reviews, 2018 Aug 23
Impact of medication reconciliation for improving transitions of care.
Journal of pain and symptom management, 2002-05
An open-label, crossover trial of mirtazapine (15 and 30 mg) in cancer patients with pain and other distressing symptoms.
Annals of internal medicine, 2025 Sep 30
Trends in Dispensed Gabapentin Prescriptions in the United States, 2010 to 2024.
British journal of clinical pharmacology, 2023 Jun 13
Deprescribing interventions for gabapentinoids in adults: A scoping review.
Journal of the American Geriatrics Society, 2013 Sep
Gabapentin withdrawal: case report in an older adult and review of the literature.
Annals of internal medicine, 2021 Nov 23
Risk for Recurrent Venous Thromboembolism in Patients With Subsegmental Pulmonary Embolism Managed Without Anticoagulation : A Multicenter Prospective Cohort Study.

Related Topics in Hospital Medicine

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