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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74. Lots of articles and 2 that will change guidelines

74. Lots of articles and 2 that will change guidelines

Joe Namath is famous for guaranteeing victory in Super Bowl III. Mark your calendars for 7/24/2018 where I guarantee that two of the articles in this episode will change guidelines. This episode is fu...

25 Heinä 201826min

73. Compressing evidence on bones, colon cancer, pregnancy loss and listen questions

73. Compressing evidence on bones, colon cancer, pregnancy loss and listen questions

So much goodness in one podcast it would be a shame to list it all here. So stop reading and just hit play already.

12 Heinä 201835min

72. Swelling Over ACEI and Seizing On 3 Articles

72. Swelling Over ACEI and Seizing On 3 Articles

In this episode we cover what I think it game time ready about our beloved ACEI and then Joe and I talk about 3 articles that you need to know including the new seizure medication just approved by the...

27 Kesä 201828min

71. Breaking Bones and A1C Levels Should Put You into A.fib

71. Breaking Bones and A1C Levels Should Put You into A.fib

In this 'royal' episode I cover new papers on diabetes type 2, osteoporosis and A.fib. As always you can reach me on twitter @andrewbuelt or email me andrewbuelt@gmail.com

19 Touko 201823min

70. More Articles and a Vegan Study To Make a T-Rex Eat a Salad

70. More Articles and a Vegan Study To Make a T-Rex Eat a Salad

So many article so little time AND in this episode Joe stops in to talk about a study that would make ever T-Rex eat a salad

10 Touko 201819min

 69. NBA playoffs w/ Coronary Calcium, VEST, and Dialysis O, MY

69. NBA playoffs w/ Coronary Calcium, VEST, and Dialysis O, MY

It is NBA playoff season and this podcast starts with a fast break into coronary calcium testing, Slams into John Mandrola review https://www.medscape.com/viewarticle/893756 with transition into CKD +...

28 Huhti 201820min

68. Anti-biotics Still Have Harm and 2 Guidelines to Know About

68. Anti-biotics Still Have Harm and 2 Guidelines to Know About

If you were wondering antibiotics, yes, still have harm and should still be used with caution. Medical students are in a panic since there is a new answer to the c. diff board question and FINALLY a g...

14 Huhti 201818min

67. HPV, BPH, CTA and I'm ACB

67. HPV, BPH, CTA and I'm ACB

Yes! I am Andrew Christopher Buelt and in this all abbreviation and intial podcast I break down some recent studies that might are of interst. First, is HPV testing alone good enough? Should you do a ...

3 Huhti 201820min

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