Episode 296: 295. What is the Best Blood Pressure In the Nursing Home?

Episode 296: 295. What is the Best Blood Pressure In the Nursing Home?

In a retrospective cohort study of Veterans Affairs (VA) nursing home residents during 2006 to 2019, researchers identified 13,000 residents who initiated a first or additional antihypertensive medication and 52,000 propensity score–matched controls (mean age, 78). The primary outcome was a composite of pelvic fracture, surgically treated hip fracture, and fractures of the humerus, radius, and ulna that required intervention within 30 days of starting antihypertensive medication.

Initiating medication also was associated with elevated risks for falls that required emergency room visits or hospitalizations (aHR, 1.8) and elevated risks of syncope (aHR, 1.7).

Fracture risks were elevated, compared with controls, in initiators with a systolic blood pressure ≥140 mm Hg (aHR, 3.1), diastolic blood pressure ≥80 mm Hg (aHR, 4.4), and no recent antihypertensive medication use (aHR, 4.8).

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119. Aimovig or Erenumab Prescription Description

119. Aimovig or Erenumab Prescription Description

A listener wrote in with a question about a drug, this is my response. Let me know your thoughts? Would you prescribe this drug? Andrewbuelt@gmail.comhttps://www.nejm.org/doi/pdf/10.1056/NEJMoa1705848

13 Maalis 202024min

118. Choosing Wisely, Statins for Stroke, and Physical Therapy first

118. Choosing Wisely, Statins for Stroke, and Physical Therapy first

There was a paper to start the year that got a lot of hype saying that just maybe we should target an LDL but that is not what the study actually showed and I will tell you why I think it is wrong.

8 Maalis 202022min

117. The Benefits on Healthy lifestyle and Nutrition

117. The Benefits on Healthy lifestyle and Nutrition

https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2757311?widget=personalizedcontent&previousarticle=2757307 Prior authorization requirements increased from 8% to approximately 24% of...

1 Maalis 202034min

116. Conflicts of Vaccine, Understanding Sunscreen, and UPTODATE

116. Conflicts of Vaccine, Understanding Sunscreen, and UPTODATE

https://annals.org/aim/fullarticle/2760034/disclosure-form-work-submitted-medical-journals-proposal-from-international-committee. disclose everything for the papers that you keep..or writePatient comp...

25 Helmi 202022min

115. Part 3 of the Top Articles of 2019

115. Part 3 of the Top Articles of 2019

Try not to read these all at once!!https://www.ncbi.nlm.nih.gov/pubmed/30715088 https://www.bmj.com/content/365/bmj.l2006 https://www.ncbi.nlm.nih.gov/pubmed/30359476 https://www.ncbi.nlm.nih.gov/pub...

11 Helmi 202022min

114. Top Articles of 2019 Part 2

114. Top Articles of 2019 Part 2

No summary YET! I promise it is coming, but here are a few more articles I think were pretty impressive from 2019.

4 Helmi 202019min

113. Top articles of 2019 part 1

113. Top articles of 2019 part 1

It is that time of year again-- Top articles of 2019 part 1. This is my opinion, but I think it is a pretty good opinion.

24 Tammi 202022min

112. Grade B, COPD, and Facebook for HIV

112. Grade B, COPD, and Facebook for HIV

https://jamanetwork.com/journals/jama/fullarticle/2751726 uspstf now grade B for asymptomatic urine in preggohttps://pediatrics.aappublications.org/content/144/6/e20192739kids do shoot their eye out!h...

17 Tammi 202026min

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