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).

Episoder(386)

103. Evidence Based Guidelines? When Do You Test Cholesterol?

103. Evidence Based Guidelines? When Do You Test Cholesterol?

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102. DOAC and hematuria  plus a listener question

102. DOAC and hematuria plus a listener question

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2 Sep 201928min

101. 3A- Aspirin, Asthma, AntiPlatelet

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13 Aug 201921min

100. 3H episode= Hakuna Matata, HIV, and HPV

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https://www.cdc.gov/mmwr/volumes/68/wr/mm6825a2.htm we are not testing people for HIV even though guidelines https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/human-im...

2 Aug 201925min

Got 99 (episodes) and an IMPORTANT Article Before It's Done

Got 99 (episodes) and an IMPORTANT Article Before It's Done

https://www.ncbi.nlm.nih.gov/pubmed/30608562 A1C level low is not good and high is not good cause both seem to wind up have you the pt. in the hospital for hypoglycemia- the low point of the U curve ...

24 Jul 201918min

98. A New Drug, Sugar Legacy, Statin in the Elderly

98. A New Drug, Sugar Legacy, Statin in the Elderly

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12 Jul 201922min

97. Old Women Walking, Energy Drinks, and Antibiotics

97. Old Women Walking, Energy Drinks, and Antibiotics

https://www.ahajournals.org/doi/10.1161/JAHA.118.011318 energy drinks prolong the QT just ever so slightly in healthy 22yr olds so if you are thinking of telling grandma to slam 32ounces of energy d...

27 Jun 201925min

96. Sprinting to Induction of Clopidogrel

96. Sprinting to Induction of Clopidogrel

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14 Jun 201926min

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