A Five-Year Review of Referrals for Perinatal Palliative Care | Abstract

Conclusions: One-third of women met with the palliative care team only once or twice prior to delivery, indicating a need for earlier referral to provide more comprehensive palliative care.

via A Five-Year Review of Referrals for Perinatal Palliative Care | Abstract.

Advertisements

The effect of physical rehabilitation on activities of daily living in older residents of long-term care facilities: systematic review with meta-analysis

physical rehabilitation may improve independence for elderly long-term care facility residents, but mean effects are small. It is unclear which interventions are most appropriate.

via The effect of physical rehabilitation on activities of daily living in older residents of long-term care facilities: systematic review with meta-analysis.

Wound pruritus: prevalence, aetiology and treatment

n itch is defined as an irritating cutaneous sensation that produces a desire to scratch. The term ‘pruritus’ has also been used to refer to itching, and the terms are often used interchangeably, although it has been argued that pruritus is a condition in which itch is present without a specific cause.

via Wound pruritus: prevalence, aetiology and treatment.

Phosphodiesterase-5 inhibitors for the treatment of secondary Raynaud’s phenomenon: systematic review and meta-analysis of randomised trials — Roustit et al. 72 (10): 1696 — Annals of the Rheumatic Diseases

PDE-5 inhibitors appear to have significant but moderate efficacy in secondary RP. A further large RCT is needed.

via Phosphodiesterase-5 inhibitors for the treatment of secondary Raynaud’s phenomenon: systematic review and meta-analysis of randomised trials — Roustit et al. 72 (10): 1696 — Annals of the Rheumatic Diseases.

Current and new oral antithrombotics in non-valvular atrial fibrillation: a network meta-analysis of 79 808 patients — Dogliotti et al. — Heart

In this network meta-analysis, novel oral anticoagulants were the most promising treatments to reduce stroke, stroke or systemic embolism, and all-cause mortality in patients with AF.

via Current and new oral antithrombotics in non-valvular atrial fibrillation: a network meta-analysis of 79 808 patients — Dogliotti et al. — Heart.

Caffeine does not increase the risk of atrial fibrillation: a systematic review and meta-analysis of observational studies — Caldeira et al. 99 (19): 1383 — Heart

Caffeine exposure is not associated with increased AF risk. Low-dose caffeine may have a protective effect.

via Caffeine does not increase the risk of atrial fibrillation: a systematic review and meta-analysis of observational studies — Caldeira et al. 99 (19): 1383 — Heart.

Epidemiology of cancer-associated venous thrombosis

This review describes the literature on incidence of and risk factors for cancer-associated venous thrombosis, with the aim to provide a basis for identification of high-risk patients and for further development and refinement of prediction models. Furthermore, knowledge on risk factors for cancer-related venous thrombosis may enhance the understanding of the pathophysiology of thrombosis in these patients.

via Epidemiology of cancer-associated venous thrombosis.

Pain Medicine News – Management of Opioid-Induced Constipation in Patients With Advanced Illness

This Special Report discusses the management of OIC in patients with advanced illness, including RELISTOR (methylnaltrexone bromide), a second-line therapeutic option that inhibits opioids from binding to target receptors within the GI tract and does not cross the blood-brain barrier.

via Pain Medicine News – Management of Opioid-Induced Constipation in Patients With Advanced Illness.

Behavioral Pain Indicators in People With Intellectual Disabilities: A Systematic Review

This review focuses on categories of behavior indicators related to pain in people with IDs. The quality of evidence is critically discussed per category. This set of indicators could potentially help clinicians to recognize pain in this population, especially when unique individual pain responses are also identified.

via Behavioral Pain Indicators in People With Intellectual Disabilities: A Systematic Review.

CHEST Journal | Article

Conclusions:  Available new evidence, published since 1999, suggests that physiotherapy intervention that comprises early progressive mobilization is beneficial for adult patients in the ICU in terms of its positive effect on functional ability and its potential to reduce ICU and hospital length of stay. These new findings suggest that early progressive mobilization should be implemented as a matter of priority in all adult ICUs and an area of clinical focus for ICU physiotherapists.

via CHEST Journal | Article.