Dezembro de 2024 - Inventário do mês

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Versão esquemática de Mariana Barosa:

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

TABELA DE CONTÉUDOS:

1. META-REVISÃO

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

3. ENSAIOS CONTROLADOS E ALEATORIZADOS (ECAs)

4. NORMAS DE ORIENTAÇÃO CLÍNICA

5. OBSERVACIONAIS

   1. Revisões Sistemáticas

   2. Primários

   3. Casos clínicos e séries

6. OPINIÃO

   1. Revisões narrativas

   2. Perspectiva

7. FOAMed

Glossário:

 ✔✔✔ --> Muito relevante

✔ --> Relevante

✗ --> Não eficaz mas relevante (contraria hipóteses, práticas, etc.)

(sem símbolo) --> Pouco relevante (mas eventualmente interessante)

(sem símbolo) --> Não eficaz e pouco relevante (mas eventualmente interessante)

classificação pessoal, nem todos concordarão

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REVISÕES SISTEMÁTICAS de ECAs

tabela de conteúdos ↟

Cardiovascular

✗✗✗ Heart Failure and All-Cause Hospitalizations in Patients With Heart Failure | JAMA Network Open

Cirurgia, Ortopedia & MFR

✔ Surgical interventions for spontaneous supratentorial intracerebral haemorrhage | Lancet eCM

Doente crítico/urgente

✔✔✔ Noninvasive respiratory support following extubation in critically ill adults with obesity | Lancet eCM

✔ Blood Pressure Targets for Adults w/ Vasodilatory Shock — Individual Patient Data Meta-Analysis | NEJM Evidence

Geral, Geriatria & Paliativos

✔✔✔ Outcomes in Randomized Clinical Trials Testing Changes in Daily Water Intake | JAMA Network Open

Infecciologia, Microbiologia & Antimicrobianos

✔ Audit and Feedback Interventions for Antibiotic Prescribing in Primary Care: Systematic Review & Meta-analysis | CID

✔ A Meta-Analysis of Levofloxacin for Contacts of Multidrug-Resistant Tuberculosis | NEJM Evidence

Neurologia

??? Risk of Intracranial Hemorrhage Associated With Direct Oral Anticoagulation vs Antiplatelet Therapy | JAMA NetO

Pneumologia

Treatable traits in idiopathic pulmonary fibrosis: focus on respiratory tract infections | Lancet eCM

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ENSAIOS CONTROLADOS E ALEATORIZADOS

tabela de conteúdos ↟

Cardiovascular

Rivaroxaban for 18 vs 6 months in patients with cancer and acute low-risk pulmonary embolism - ONCO PE | Circulation

Cirurgia, Ortopedia & MFR

✔✔✔ Axillary Surgery in Breast Cancer — Primary Results of the INSEMA Trial | NEJM

✔ Aspirin vs No Therapy in Stable Coronary Stents in Low-Intermediate Risk Noncardiac Surgery - ASSURE-DES | JACC

Doente crítico/urgente

✔✔✔ Early Restrictive vs Liberal Oxygen for Trauma Patients: The TRAUMOX2 | JAMA

??? High-Flow Nasal Oxygen vs Noninvasive Ventilation in Patients With Acute Respiratory Failure - RENOVATE | JAMA

Geral, Geriatria & Paliativos

✗ Advance Care Planning, End-of-Life Preferences, and Burdensome Care - SHARING Choices | JAMA NO

Infecciologia, Microbiologia & Antimicrobianos

??? Biomarker-Guided Antibiotic Duration for Hospitalized Patients With Suspected Sepsis - The ADAPT-Sepsis | JAMA

Neurologia

??? Adjunctive Middle Meningeal Artery Embolization for Subdural Hematoma - EMBOLISE | NEJM

??? Embolization of the Middle Meningeal Artery for Chronic Subdural Hematoma - STEM | NEJM

??? Middle Meningeal Artery Embolization for Nonacute Subdural Hematoma - MAGIC-MT | NEJM

? Liberal or Restrictive Transfusion Strategy in Aneurysmal Subarachnoid Hemorrhage - SAHARA | NEJM

✗ Discontinuation of First-Line Disease-Modifying Therapy in Stable Multiple Sclerosis - DOT-MS | JAMA Neurology

POCUS & Técnicas

✔ Catheter Malposition Between Left and Right US-Guided Infraclavicular Subclavian Venous Insertion | Crit Care Med

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NORMAS DE ORIENTAÇÃO CLÍNICAS - GUIDELINES

tabela de conteúdos ↟

Cardiovascular

Palliative Care into Heart Failure: Consensus-Based Recommendations from Heart Failure Society of America | JCF

Strategies and Criteria for the Diagnosis and Management of Myocarditis | JACC

Infecciologia, Microbiologia & Antimicrobianos

Antiretroviral Drugs for Treatment and Prevention of HIV in Adults: 2024 IAS–USA Panel | JAMA

Neurologia

Abordagem Diagnóstica, Terapêutica e de Monitorização na Suspeita de Neurossífilis: Proposta de Protocolo | AMP

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ESTUDOS OBSERVACIONAIS

REVISÕES SISTEMÁTICAS COM ESTUDOS OBSERVACIONAIS (com ou sem ECA)

tabela de conteúdos ↟

Endocrinologia

✔✔✔ Correction rates and clinical outcomes in hospitalized adults with severe hyponatremia | JAMA Internal Medicine

✔ Urea to treat hyponatremia due to syndrome of inappropriate antidiuretic hormone secretion | AJKD

Gastroenterologia & Hepatologia

✔ Early diagnostic paracentesis improves outcomes of hospitalized patients with cirrhosis and ascites | AJG

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

tabela de conteúdos ↟

Cardiovascular

✔✔✔ Long-Term Aspirin vs Clopidogrel After Coronary Stenting by Bleeding Risk and ICP Complexity | JAMA Card

✔ Blood pressure and medication changes among hypertension and sodium-glucose cotransporter-2 inhibitors | JCH

Cirurgia, Ortopedia & MFR

Learning Curves for Robotic-Assisted Ventral Hernia Repair | JAMA Network Open

Doente crítico/urgente

✔ Complication Rates After Ultrasonography-Guided Nerve Blocks Performed in the Emergency Department|JAMANO

Endocrinologia

✔ Chocolate intake and risk of type 2 diabetes: prospective cohort studies | BMJ

Gastroenterologia & Hepatologia

✔✔✔ Longer interval between first colonoscopy w/ negative findings for colorectal cancer | JAMA Oncology

Early surgery vs endoscopy first in chronic pancreatitis - Follow-up analysis of the ESCAPE | JAMA Surgery

Geral, Geriatria & Paliativos

✗ Gabapentinoids and Risk of Hip Fracture | JAMA Network Open

✗ Overtreatment of prostate cancer among men with limited longevity in the active surveillance era | JAMA Intern Med

Análise das Expectativas em Consultas de Rotina: Estudo Transversal em Portugal | AMP

Infecciologia, Microbiologia & Antimicrobianos

✗ Adjunctive rifampin and gentamicin for patients with staphylococcal prosthetic valve endocarditis | Infection

Searching for Immunocompromising Conditions in Low-risk Adults After Invasive Pneumococcal Disease | OPFID

Do patients with candidemia need an ophthalmologic examination? | OPFID

Ceftazidime–avibactam vs ceftolozane–tazobactam for MDR Pseudomonas aeruginosa in the USA-CACTUS | Lancet ID

Nefrologia

Donor Time to Death and Kidney Transplant Outcomes in the Setting of a 3-Hour Minimum Wait Policy | JAMA NO

Neurologia

✔?✗ Safety of triptans in patients at high risk for cardiovascular disease: A target trial emulation | MayoCP

Stroke Risk Following Nonarteritic Anterior Ischemic Optic Neuropathy | JAMA Network Open

Psiquiatria

✔ Utilization of Psychiatric Hospital Services Following Intensive Home Treatment | JAMA Network Open

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CASOS CLÍNICOS e SÉRIES DE CASOS

tabela de conteúdos ↟

Cirurgia, Ortopedia & MFR

Surgical Therapy for a Giant Coronary Sinus Thrombus Associated With Persistent Left Superior Vena Cava | AIM

Diagnóstico e Raciocínio Clínico

Saving a Life by Recognizing the Rash: Niacin (Vitamin B3) Deficiency in Hartnup Disease in Adulthood | AIM

Hematologia

Avacopan Causing Vanishing Bile Duct Syndrome in an Adult Patient With Microscopic Polyangiitis | AIM

Imuno-mediadas

An Atypical Case of Relapsing Polychondritis Associated With Waldenström Macroglobulinemia | AIM

Neurologia

Creutzfeldt-Jakob Disease in an Internal Medicine Ward: A Case Series | SPMI

An Uncommon Presentation of Neuro-Behçet Syndrome Mistaken for West Nile Encephalitis | AIM

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OPINIÃO

REVISÃO NÃO-SISTEMÁTICA / NARRATIVA

tabela de conteúdos ↟

Infecciologia, Microbiologia & Antimicrobianos

✔✔✔ When Can a MRSA Nares Swab Guide Antibiotic Stewardship?What the Nose Knows | JAMA Internal Medicine

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PERSPECTIVA

tabela de conteúdos ↟

Cardiovascular

✔✔✔ Doubts over landmark heart drug trial: ticagrelor PLATO study | BMJ

✔✔✔ Aspirin for Secondary Prevention of Atherosclerosis—Evidence or Dogma? | JAMA Cardiology

Infecciologia, Microbiologia & Antimicrobianos

✔✔✔ Oral antibiotics for S. aureus bacteremia including endocarditis: sauce for the goose is sauce for the gander | CID

✔✔✔ Generalizability of oral therapy for S. aureus bacteremia or endocarditis: don’t cook the goose | CID

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FOAMed

tabela de conteúdos ↟

Cardiovascular

 ✔ BPROAD: Sprinting down the BP Road in Diabetes | NephJC - BPROAD

What’s the Real Half-Life of Troponin Elimination? | JF- Circulation

Doente crítico/urgente

 ✔ An Approach to Undifferentiated Shock and Hypotension | CanadiEM

 ✔ New CHEST Guidelines – Transfusing RBCs in Critical Illness  | JF - Chest

 ✔ Big practice change coming? How fast do you correct hyponatremia? | First10EM

New ACEP Clinical Policy on Blunt Trauma | JF - Annals of Emergency Medicine

Endocrinologia

Anion Gap Acidosis | CoreIM

Gastroenterologia & Hepatologia

✔ Recognizing and Managing Liver Failure in the ED | CanadiEM

✔ Episode 93- Pumping Protons, Pumping Blood | CuriousClinicians

Geral, Geriatria & Paliativos

WOMAN-2: TXA has no role in postpartum hemorrhage | FirstEM - Lancet

Infecciologia, Microbiologia & Antimicrobianos

 ✔ ✔ ✔ Killer antibiotic stewardship strategy? - The ADAPT-Sepsis trial (JAMA) | First10EM

Nefrologia

✔ Potassium Rollercoaster Heartbreakwith - Dyalizate potassium & zirconium on dialysis-free days | NephJC-KidneyInt

POCUS

✔✔✔ EMCrit 367 – Panel: 4 Quadrant Hemodynamic Ultrasound Integration, IVC Ultrasound and Much More! | EMCrit

✔✔✔ Bubble Time for Right Ventricular Dysfunction | USGel

Lung Ultrasound – Air is Not the Enemy | JournalFeed - Critical Care

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