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Geriatrics

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Telehealth technologies can allow delivery of high-quality care at a lower cost

Legal Issues Impact Delivery of Telehealth

No uniform legal approach to telehealth; concerns about reimbursement limit implementation
Diabetes is associated with increased mortality from cardiovascular disease

Diabetes Linked to Increased CVD, Cancer, Other Mortality

Increases in cardiovascular death, cancer death, noncardiovascular noncancer death in men, women
A significant number of former intensive care unit patients experience depression

Depression Often Seen in Patients Discharged From ICU

Risk highest among patients with psych symptoms pre-ICU/psych distress symptoms while in ICU
Anemia may increase mortality risk for older stroke patients

Anemia Tied to Increased Mortality Risk Following Stroke

Higher mortality risk at multiple time points for up to one year after ischemic, hemorrhagic stroke
Taking calcium supplements to prevent osteoporosis may raise an older woman's risk of dementia

Calcium Supplements Tied to Dementia Risk in Older Women

Findings even more pronounced in women with cerebrovascular disease
Residents frequently order perceived unnecessary inpatient laboratory tests

Residents Often Order Perceived Unnecessary Lab Tests

Behaviors attributed to health system culture, lack of transparency about health care service costs
In postmenopausal women with osteoporosis

Abaloparatide Reduces Fracture Risk in Women With Osteoporosis

Medication appears to reduce fractures better than teriparatide or placebo, researchers say
Clinicians might be overprescribing β-blocker medications to heart patients

β-Blockers Not Always Indicated for PCI Patients

Findings in patients with stable angina without history of MI or heart failure undergoing elective PCI
Physician-perceived frailty and low life expectancy are the main reasons for warfarin discontinuation in elderly patients

Physician-Perceived Frailty Tied to Warfarin Discontinuation

Discontinuation associated with increased risk of death and adverse events in very elderly
Physicians frequently under-recognize angina in their patients with coronary artery disease

Physician Under-Recognition of Angina Often Occurs

Predictors of physician under-recognition include heart failure and less-frequent angina