Division of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, California.
Department of Veterans Affairs Medical Center, San Francisco, San Francisco, California.
J Am Geriatr Soc. 2018 Sep;66(9):1665-1669. doi: 10.1111/jgs.15533. Epub 2018 Sep 12.
We present 11 of the most effective articles from 2017 in geriatric medicine. Studies address topics including self-driven advance care planning, unnecessary emergency department transfers from assisted living, effect of transcatheter aortic valve implantation on cognition, a modified Hospital Elder Life Program to reduce delirium after surgery, patient experience and provider understanding of nursing home placement, patient perspectives on recommendations to stop cancer screening, management of subclinical hypothyroidism, reduction of inappropriate medications in nursing homes, effect of lorazepam on end-of-life agitated delirium, and benefits of a novel exercise program on walking.
我们呈现了 2017 年老年医学领域最具影响力的 11 篇文章。这些研究涵盖了自驱性预先医疗指示、从辅助生活设施向急诊过度转移的非必要性、经导管主动脉瓣植入术对认知的影响、改良后的医院老年生活计划对术后谵妄的影响、患者对疗养院安置的体验和提供者的理解、患者对停止癌症筛查建议的看法、亚临床甲状腺功能减退症的治疗、减少疗养院中不适当药物的使用、劳拉西泮对临终激越性谵妄的影响，以及新型运动方案对行走的益处。
