Peter Lange
@drpeterlange
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BSc MBBS MMedStats PhD FRACP Geriatrician and General Physician. Director of Geriatrics and General Medicine, Werribee Mercy. Views my own. Delirium Researcher
Melbourne, Victoria
Joined December 2014
Here's my take on examination of the patient with suspected #delirium. Three tasks: confirm dx, search for cause, consider differential.
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I am not and never will be a economist, certainly not a health economist, but if increasing tobacco excise creates a black market which provides tobacco at lower prices, then it is worsening health outcomes!
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"It's not the end of the world, let's just send it to another journal" https://t.co/fswwpXkBHU
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The Alzheimer’s Disease Cooperative Study – Activities of Daily Living...
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Presented at #ESCCongress: In patients with chronic coronary syndrome taking oral anticoagulants, adding aspirin led to higher risks of cardiovascular events, major bleeding, and death from any cause than anticoagulation alone. Full AQUATIC trial: https://t.co/vHYyFalktf
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This great little online game shows how misinformation arises:
badvaxx.com
A wild game about a serious subject
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Strategies to Reduce Iatrogenic Hypoglycemia and Hypotension in Vulnerable Older Adults. #geriatrics
https://t.co/g0Gc3pKUcV
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@zacroBID This is still the best editorial contextualizing the evidence https://t.co/YlglE4d8Mv
academic.oup.com
(See the Major Article by Mozaffari et al. on pages 63–71.)
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Hospitals Must Better Identify And Manage Delirium In Seniors
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An underutilised intervention far better than prophylactic antibiotics.
Here's the source (thanks to @jakescottMD for highlighting this!) https://t.co/zymXUeCO9X
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Emergency departments pose heightened risks for older adults, worsened by prolonged stays and systemic issues like bed shortages.
jamanetwork.com
This Medical News article discusses a recent study that found a concerning increase in prolonged emergency department stays for older adults.
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NDIS: Palliative care experts warn terminally ill patients are languishing in wards while others are becoming the victims of “bed block”
theage.com.au
Palliative care experts warn terminally ill patients are languishing in wards while others are becoming the victims of “bed block” while they wait too long for NDIS decisions and support.
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"A comprehensive geriatric assessment (CGA) should be standard practice for older people admitted to hospital with dementia, to ensure all their health and social care needs are identified and addressed." — British Geriatrics Society
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Important work
Epidemiologic, Clinical, and Radiologic Study of Cerebral Amyloid Angiopathy–Related Inflammation in Northern Ireland https://t.co/e9qAQeBxQM
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I'm no economist, but increasing the tobacco excise when revenue is falling due to illicit substitution seems perverse.
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The 4AT has excellent inter and Intra-rater reliability in a variety of craft groups with little training needed, high sensitivity and acceptable specificity - ie an excellent screening tool
The 4AT is this week's #DeliriumMeasure. Find this and other measures on the @NIDUS_Delirium website: https://t.co/kAueEOol6q
#Delirium
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The 4AT is this week's #DeliriumMeasure. Find this and other measures on the @NIDUS_Delirium website: https://t.co/kAueEOol6q
#Delirium
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Open access journal: If you're charging $3500USD for publication, but asking reviewers to work for free, you are the problem.
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