Agosto de 2024 - Inventário do mês

Vide também no Substack

Versão esquemática de Mariana Barosa:

What multimorbidity shows us about guideline-driven evidence based medicine ou Sensible Medicine

TABELA DE CONTÉUDOS:

1. REVISÕES SISTEMÁTICAS DE ENSAIOS CONTROLADOS E ALEATORIZADOS (ECAs)

2. ENSAIOS CONTROLADOS E ALEATORIZADOS (ECAs)

3. NORMAS DE ORIENTAÇÃO CLÍNICA

4. OBSERVACIONAIS

   1. Revisões Sistemáticas

   2. Primários

   3. Casos clínicos e séries

5. OPINIÃO

   1. Perspectiva

6. FOAMed

Glossário:

✔✔✔ --> Muito relevante e interessante

✔ --> Relevante e interessante

(sem símbolo) --> Interessante mas pouco relevante

(sem símbolo) --> Pouco relevante e interessante

✗ --> Não relevante e pouco interessante (mas importante por contrariar hipóteses, práticas, ...)

classificação pessoal, nem todos concordarão

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REVISÕES SISTEMÁTICAS de ECAs

tabela de conteúdos ↟

Geral, Geriatria & Paliativos

Effectiveness of silver and iodine dressings on wound healing | BMJ Open

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ENSAIOS CONTROLADOS E ALEATORIZADOS

tabela de conteúdos ↟

Cardiovascular

✔ Rapid Acute Coronary Syndrome Evaluation Over One Hour With High-Sensitivity Cardiac Troponin I | AEM

Cirurgia, Ortopedia & MFR

✔ Decompression alone or with fusion for degenerative lumbar spondylolisthesis - Nordsten-DS | BMJ

Doente crítico/urgente

✗ Intraosseous vs intravenous vascular access in upper extremity in out-of-hospital cardiac arrest - VICTOR | BMJ

Intravenous magnesium sulfate improves orotracheal intubation conditions | TACC

Role of low-pressure negative pleural suction in patients with thoracic trauma | EJTES

Geral, Geriatria & Paliativos

Medication Optimization Protocol Efficacy for Geriatric Inpatients: A Randomized Clinical Trial | JAMA Network Open

Imuno-mediadas

Pain Reduction With Oral Methotrexate in Knee Osteoarthritis | Annals of Internal Medicine 

Pneumologia

✔✔✔ HFNC oxygen therapy vs NIV for acute exacerbations of COPD w/ acute-moderate hypercapnic respiratory failure | CC

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NORMAS DE ORIENTAÇÃO CLÍNICAS - GUIDELINES

tabela de conteúdos ↟

Endocrinologia

✔✔✔ Diagnosis and therapy of glucocorticoid-induced adrenal insufficiency | European Journal of Endocrinology

Ética

✔✔✔ Ethics and Academic Discourse, Scientific Integrity, Uncertainty, and Disinformation in Medicine: ACP | AIM

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ESTUDOS OBSERVACIONAIS

REVISÕES SISTEMÁTICAS COM ESTUDOS OBSERVACIONAIS (com ou sem ECA)

tabela de conteúdos ↟

Doente crítico/urgente

✔✔✔ Safety of treating acute pulmonary embolism at home: An individual patient data meta-analysis | Eur Heart J

Meta-investigação & MBE

✔✔✔ Clinical judgment shows similar / superior discrimination compared to prognostic clinical prediction models | JCE

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PRIMÁRIOS - SUB-ANÁLISE / COORTE / CASO-CONTROLO / INQUÉRITOS / A. ECONÓMICAS

tabela de conteúdos ↟

Cardiovascular

✔ Effects of rapid uptitration on effective, sustainable decongestion and outcomes in STRONG-HF - J Am Coll Cardiol

Doente crítico/urgente

✔ CIWA-Alcohol revised w/ the mRASS-AW for alcohol withdrawal: length of stay and complications | CJEM

Endocrinologia

Artemisinins ameliorate polycystic ovarian syndrome by mediating LONP1-CYP11A1 interaction | Science

Geral, Geriatria & Paliativos

The Annual Cost of Cancer Screening in the United States | Annals of Internal Medicine ; Editorial (Gilbert Welch) | AIM

IA

✔ Diagnostic Accuracy of an Integrated AI Tool to Estimate Gestational Age From Blind Ultrasound Sweeps | JAMA NO

Imuno-mediadas

Use of interleukin-6 receptor antibodies in the second and third trimester of pregnancy | Lancet Rheumatology

Infecciologia, Microbiologia & Antimicrobianos

✔✔✔ Oral Antibiotics and Risk of Serious Cutaneous Adverse Drug Reactions | JAMA

✔✔✔ Positive catheter tip culture without bloodstream infections in critically ill patients-OUTCOMEREA | Int Care Med

✔ Antibiotic prescribing for respiratory tract infections in urgent care: comparison of in-person and virtual settings | CID

✔ European Study of Cerebral Aspergillosis treated with Isavuconazole - ESCAI: an EFISG study | CID

Neurologia

✔ Absence of Cerebrospinal Fluid Pleocytosis in Encephalitis | Clinical Infectious Diseases

Early access to first-seizure clinics, subsequent outcomes, and factors associated with attendance | JAMA Neurol

Temporal trends and racial disparities in long-term survival after stroke | Neurology

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CASOS CLÍNICOS e SÉRIES DE CASOS

tabela de conteúdos ↟

Cardiovascular

A Rare Case Report of Amiodarone-Induced Bone Marrow Granuloma | AIM

Doente crítico/urgente

Post-Impella Sneeze Leading to Stroke and Emergent Cardiac Surgery | Annals of Internal Medicine

Gastroenterologia & Hepatologia

A Case Series of Recreational Ketamine-Induced Cholangiopathy | Annals of Internal Medicine

Hematologia

Cytomegalovirus-Related Immune Thrombocytopenic Purpura in an Immunocompetent Adult | AIM

Imuno-mediadas

Severe Polyarticular Gout Flare Inducing Diabetic Ketoacidosis: A Case Report | AIM

Infecciologia, Microbiologia & Antimicrobianos

Tularemia in the Midwest: Perspectives on Diagnosis, Treatment, and Increasing Incidence | AIM

Neurologia

✔ Thinking Twice About Benzodiazepines: Treatment of Progressive Dementia in a Hospitalized Patient | AIM

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OPINIÃO

PERSPECTIVA

tabela de conteúdos ↟

Geral, Geriatria & Paliativos

✔ Physician Humility: A Review and Call to Revive Virtue in Medicine | Annals Internal Medicine

Infecciologia, Microbiologia & Antimicrobianos

First diagnoses of Oropouche virus in Europe: communication and preparedness globally | Lancet ID

Meta-investigação & MBE

✔ Evidence base for yearly respiratory virus vaccines: Current status and proposed improved strategies | EJCI

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✔✔✔ FOAMed

tabela de conteúdos ↟

Cardiovascular

A Winning Hand in Cardiology: Queen of Hearts AI Model Enhances OMI Detection | RebelEM

427 Kittleson Rules - Cardiac Amyloidosis | Curbsiders

Cirurgia, Ortopedia & MFR

#370 Antibiotics or no antibiotics for acute diverticulitis, that is the question! | Tools for Practice

Doente crítico/urgente

Gestalt is better than decision tools for identifying sepsis | First10EM

Geral, Geriatria & Paliativos

Are you a perfect diagnostician? No? Then give your patients a break | RebelEM

Infecciologia, Microbiologia & Antimicrobianos

#371 It's time to challenge penicillin allergy labels! | Tools for practice

Meta-investigação & MBE

Overdiagnosis: Would we better better off not looking? | First10EM

EBM bibliography updates – May 2024 | First10EM

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