Henry Woodford

Assessing the prevalence of anticholinergic and sedative medications to avoid in older adults from the French Health Data System Background In older people, medications with anticholinergic or sedative properties are associated with falls, frailty, and functional and cognitive impairment. These medications are often described.....

This study highlighted that anticholinergic and sedative medications to avoid in older people are still frequently prescribed despite the development and regular updating of potentially inappropriate medication criteria
agsjournals.onlinelibrary.wiley.com/doi/10.1111/...

With frailty present in 45% of heart failure patients and this group probably being the most challenging. This should absolutely be accounted for in guidelines.

Appropriate management of heart failure in older people with frailty Guideline directed medical therapy for heart failure for older people with frailty may do more harm than good, say Henry Woodford and colleagues The management of heart failure is evolving. Recent c...

Excellent stuff from @lucypgeridoc.bsky.social and Henry Woodford. The tables are super helpful to assess where the evidence is (or isn’t). Again- we need to think differently when prescribing for older people with frailty. Personalised prescribing. www.bmj.com/content/387/...

I’m not sure how you’ll spin that out for 2 CPD points

Dip the urine. Prescribe the trimethoprim

Want to learn more about managing patients with frailty on the acute take? Join me on Thursday giving a SAM webinar. 2 CPD points. Free for @acutemedicine.bsky.social members. £15 if not

www.eventsforce.net/eventage/fro...

One off doses of antihypertensives for asymptomatic hypertension is associated with increased risk of AKI.

Similarly randomly throwing darts in the air for no reason is associated with increased risk of ADITH.*

Will this madness never end?

*A dart in the head
jamanetwork.com/journals/jam...

This is great! So happy to see our Polypharmacy masterclass series helping shape clinicians of the future. 😊

Appropriate management of heart failure in older people with frailty Guideline directed medical therapy for heart failure for older people with frailty may do more harm than good, say Henry Woodford and colleagues The management of heart failure is evolving. Recent c...

Should the management of people with frailty and heart failure deviate from the guidelines?
@lucypgeridoc.bsky.social

www.bmj.com/content/387/...

Chris Whitty highlights that geriatricians can’t prevent frailty. A systematic, concerted public health and policy effort is required #bgsconf

a man and a woman wearing glasses are posing for a picture together ALT: a man and a woman wearing glasses are posing for a picture together

A speaker at #bgsconf just mentioned “a local geriatrician” and @sparklystar55.bsky.social and I immediately thought, “for local people” - sorry not sorry

Una Clancy at #BGSConf discussing the wide spectrum of clinical consequences of small vessel disease - delirium, stroke, falls, apathy. Microinfarcts underdiagnosed as a cause for acute deterioration? @gerisoc.bsky.social

Neuropsychiatric symptoms associated with cerebral small vessel disease: a systematic review and meta-analysis Apathy, fatigue, and delirium associated independently with worse WMH, whereas subjective cognitive complaints did not. The association of anxiety, dementia-related behaviours, emotional lability, and...

Could small vessel disease contribute to many presentations in older people with frailty? #BGSconf

www.thelancet.com/journals/lan...

Community based complex interventions to sustain independence in older people: systematic review and network meta-analysis Objective To synthesise evidence of the effectiveness of community based complex interventions, grouped according to their intervention components, to sustain independence for older people. Design Sy...

This study was discussed at #BGSconf yesterday

www.bmj.com/content/384/...

Are we doing person-centred meditation reviews?

Deprescribing of Antihypertensive Medications and Cognitive Function in Nursing Home Residents This cohort study investigates the association between antihypertensive deprescribing and changes in cognitive function in nursing home residents.

Evidence that less can be more when it comes to drug treatment. #MedSky 🧪

Geriatrics is easy. Four simple steps…