Maio 2023 - Inventário do mês

TABELA DE CONTÉUDOS:

1. REVISÕES SISTEMÁTICAS DE ECAs

2. ENSAIOS CONTROLADOS E ALEATORIZADOS (ECAs)

3. NORMAS DE ORIENTAÇÃO CLÍNICA

4. OBSERVACIONAIS

   1. Revisões Sistemáticas

   2. Primários

   3. Casos clínicos e séries

5. OPINIÃO

   1. Revisões narrativas | Perspectiva | FOAMed

Glossário:

✔✔✔ --> Muito relevante e interessante

✔ --> Relevante e interessante

(sem símbolo) --> Interessante mas pouco relevante

(sem símbolo) --> Pouco relevante e interessante

✗ --> Não relevante e pouco interessante (mas importante por contrariar hipóteses, práticas, ...)

classificação pessoal, nem todos concordarão

REVISÕES SISTEMÁTICAS de ECAs

tabela de conteúdos ↟

Cardiovascular

✔ Low-Dose Triple/Quadruple Combination vs Monotherapy/Usual Care/Placebo for Hypertension | JAMA Cardiology

Cirurgia, Ortopedia & MFR

✔ Surgical versus non-surgical treatment for sciatica | BMJ

Doente crítico/urgente

✔ ✔ ✔ Mortality and bleeding associated with the management of sub-massive PE: a SR and Bayesian NMA | Nature

✔ Etomidate as an induction agent for endotracheal intubation in critically ill patients | JCC

Endocrinologia

✔ Benefits and harms of drug treatment for type 2 diabetes | BMJ

Geral, Geriatria & Paliativos

✔ ✔ ✔ Osteoporosis treatment, fractures and safety w/ placebo or active comparator in postmenopausal women | BMJ

Infecciologia, Microbiologia & Antimicrobianos

Handwashing for preventing acute respiratory infections in low-income and middle-income countries | Lancet

Neurologia

✔ Admission systolic blood pressure and effect of thrombectomy in patients with ischaemic stroke | Lancet Neurology

Pneumologia

Efficacy/Safety of Wakefulness-Promoting Agents for Excessive Daytime Sleepiness in Obstructive Sleep Apnea | AIM

ENSAIOS CONTROLADOS E ALEATORIZADOS

tabela de conteúdos ↟

Cardiovascular

✗ Apixaban or Warfarin in Patients with an On-X Mechanical Aortic Valve | PROACT-Xa

Cirurgia, Ortopedia & MFR

✔ Hypotension-Avoidance vs Hypertension-Avoidance Strategies in Noncardiac Surgery - POISE-3 | AIM

Doente crítico/urgente

✔ Delayed vs Rapid Sequence Intubation in Critically Injured Patients on Arrival to Trauma Triage | AA

Endocrinologia

✔ ✔ ✔ Weekly Insulin icodec vs once-daily insulin degludec after basal insulin-treated T2D - ONWARDS 2 | Lancet D&E

✔ ✔ ✔ Weekly insulin icodec vs once-daily insulin glargine after basal-bolus insulin-treated T2D - ONWARDS 4 | Lancet

Oxytocin after MDMA provocation test in arginine vasopressin deficiency (central diabetes insipidus) | Lancet D&E

Gastroenterologia & Hepatologia

✔ Ten-Day Vonoprazan-Amoxicillin vs Bismuth-Quadruple Therapy for Helicobacter Pylori Infection | AJG

One-food vs six-food elimination diet therapy for eosinophilic oesophagitis - SOFEED | Lancet Gastro&Hepatology

Geral, Geriatria & Paliativos

✔ Multimodal Transitional Care Intervention in Patients at High Risk of Readmission-TARGET-READ | JAMA InternalMed

✔ Question Prompt Sheet for Patient-Physician Communication Among Patients w/ Advanced Cancer | JAMANetOpen

Cognitive functional therapy w/ or wo/ movement sensor biofeedback for chronic low back pain - RESTORE | Lancet

✗ Discharge in the a.m.: A RCT of physician rounding styles to improve hospital throughput and length of stay | JHM

Imuno-mediadas

✔✔✔ Rituximab vs AZA for maintenance of remission in ANCA-vasculitis and relapsing disease-RITAZAREM | BMJ-ARM

Infecciologia, Microbiologia & Antimicrobianos

✔✔✔ Effect of an Herbal-Based Injection on 28-Day Mortality in Patients With Sepsis-EXIT-SEP| JAMA InternalMedicine

Bacterial Decolonization for Prevention of Radiation Dermatitis | JAMA Oncology

Sulbactam–durlobactam vs colistin for serious Acinetobacter baumannii–calcoaceticus complex - ATTACK | Lancet ID

Emodepside for Trichuris trichiura and Hookworm Infection | NEJM

Single-Dose Rifapentine in Household Contacts of Patients with Leprosy | NEJM

Oncologia

Quizartinib plus chemotherapy in newly diagnosed FLT3-internal-tandem-duplication AML - QuANTUM-First | Lancet

NORMAS DE ORIENTAÇÃO CLÍNICAS - GUIDELINES

tabela de conteúdos ↟

Doente crítico/urgente

✔ ✔ ✔ GRACE-3: Acute dizziness and vertigo in the emergency department | Academic Emergency Medicine

Infecciologia, Microbiologia & Antimicrobianos

Screening for Latent Tuberculosis Infection in Adults | JAMA

Neurologia

Guidelines for the Diagnosis and Treatment of Spontaneous Intracranial Hypotension | Acta Médica Portuguesa

Técnicas, POCUS, Exames & Outros

Recommendations for POCUS Curriculum in Canadian Undergraduate Medical Education: Consensus | POCUS Journal

ESTUDOS OBSERVACIONAIS

REVISÕES SISTEMÁTICAS COM ESTUDOS OBSERVACIONAIS (com ou sem ECA)

tabela de conteúdos ↟

Cirurgia, Ortopedia & MFR

✔ Practice Changing Updates in Perioperative Medicine Literature 2022. A Systematic Review | AJM

Infecciologia, Microbiologia & Antimicrobianos

✔ Antibiotics That Cause Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis | JAMA Dermatology

Pneumologia

Implementing Smoking Cessation Interventions for Tobacco Users Within Oncology Settings | JAMA Oncology

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

tabela de conteúdos ↟

Cardiovascular

✔✔✔ Abbreviated or Standard Antiplatelet Therapy in HBR Patients: 15-Month Results of the MASTER-DAPT | JACC

✔✔✔ Association of beta-blockers beyond 1 year after myocardial infarction and cardiovascular outcomes | BMJ Heart

✔ Contemporary management and clinical course of acute pulmonary embolism: The COPE study | Thromb&Haem

✔ Association of Dexmedetomidine w/ New-Onset Atrial Fibrillation in Patients w/ Critical Illness | JAMA NetworkOpen

Doente crítico/urgente

✔ Diagnostic test accuracy of life-threatening STEMI equivalents for ACS after OHCA NSTEMI | Resuscitation

An observation-first strategy for liver injuries with “blush” on computed tomography is safe and effective | JTACS

Endocrinologia

✔ Intra-individual variability of serum aldosterone and implications for primary aldosteronism screening | JCEM

Geral, Geriatria & Paliativos

✔✔✔ Impact of work schedules of senior resident physicians on patient and resident physician safety | BMJ

✔✔✔ Physician vs AI Chatbot Responses to Patient Questions Posted to a Public Social Media Forum | JAMA IM

✔ Identification of Palliative Care Needs and Mental Health Outcomes in Severe ABI - Clinician vs Family | JAMA NO

Infecciologia, Microbiologia & Antimicrobianos

✔✔✔ Cefazolin vs 2nd-line antibiotics after total joint arthroplasty among beta-lactam allergy | OFID

✔ Clinical features and prognostic factors in adults with viral meningitis | Brain

✔ Implementation of an Antibiotic Stewardship Initiative in a Large Urgent Care Network | JAMA Network Open

Meta-investigação & MBE

Clinical study reports published by the European Medicines Agency 2016–2018: a cross-sectional analysis | BMJ Open

Surrogate End Points in Clinical Trials to Approve Oncology Drugs From 2001 to 2020 in Japan | JAMA Network Open

Oncologia

Radical cystectomy versus trimodality therapy for muscle-invasive bladder cancer | Lancet Oncology

Técnicas, POCUS, Exames & Outros

✔✔✔ POC-CRP and treatment decisions in out-of-hours outpatient emergency medical services | BMJ Open

✔ Effect of Laryngoscope Blade Size on First Pass Success of Tracheal Intubation in Critically Ill Adults | CCE

✔ Laryngoscopy and Tracheal Intubation: Use of a Video Laryngoscope Facilitate Both Steps of the Procedure | AEM

CASOS CLÍNICOS e SÉRIES DE CASOS

tabela de conteúdos ↟

Cardiovascular

✔ Serial Electrocardiograms—An Unsung Hero | JAMA Internal Medicine

Long-term outcomes of Brugada substrate ablation: A report from BRAVO | Circulation

Dermatologia

Multifocal Bullous Fixed Drug Eruption | Acta Médica Portuguesa

Senile Gluteal Dermatosis | Acta Médica Portuguesa

Erythema Ab igne | BMJ Case Reports

Infecciologia, Microbiologia & Antimicrobianos

SA Colonization and Acute Radiation Dermatitis in Patients With Breast or Head and Neck Cancer | JAMA Oncology

Técnicas, POCUS, Exames & Outros

✔ A 43 y.o. cook presents with severe wrist pain | Everyday E(B)M

OPINIÃO

REVISÃO NÃO-SISTEMÁTICA / NARRATIVA

tabela de conteúdos ↟

Técnicas, POCUS, Exames & Outros

POCUS for Diastolic Dysfunction: A Review of the Literature | POCUS Journal

PERSPECTIVA

tabela de conteúdos ↟

Geral, Geriatria & Paliativos

Harm of Removing Ovaries During Hysterectomy Might Outweigh Benefit | JAMA

Infecciologia, Microbiologia & Antimicrobianos

✔ First RSV vaccine for older adults is approved in Europe | BMJ

STI Epidemic Worsened in 2021, Syphilis Cases Surged | JAMA

Meta-investigação & MBE

✔✔✔ Medical necessity under weak evidence and little or perverse regulatory gatekeeping | Clinical Ethics - SAGE

✔✔✔ Investigação Clínica da Iniciativa do Investigador em Portugal: Problemas e Propostas para Melhoria | AMP

✔ What Really Happened During the Massive SARS-CoV-2 Omicron Wave in China? | JAMA Internal Medicine

✔✔✔ FOAMed

tabela de conteúdos ↟

Cardiovascular

Is acetaminophen under pressure? - TOOLS FOR PRACTICE #339

Doente crítico/urgente

SGEM#403: UNOS, DOS, TRES – VERTIGO: THE GRACE-3 GUIDELINES

Vicious Cycles: Management of the Tricyclic Antidepressant Overdose | CanadiEM

Gastroenterologia & Hepatologia

#395 Dysphagia with Dr. DianaSnyder | CurbSiders

Geral, Geriatria & Paliativos

#393 Live from SHM: Clinical Updates in Hospital Medicine

#394 Recap, Top Pearls from ACP #IM2023

EMCrit 328 – My Advice to New Residents (But Everyone Else Should Listen Too!) | EMCrit

Beers criteria for potentially inappropriate medication use in older adults - First10EM

Imuno-mediadas

Rituximab, Remission, and Relapses in ANCA Vasculitis | NephJC

Meta-investigação & MBE

How to read and interpret a cancer clinical trial | Sensible Medicine

EBM bibliography updates – April 2023 | First10EM

Oncologia

Mammography saves lives? - Vinay Prasad

Pneumologia

ABG, VBG, and pulse oximetry | IBCC - EMCrit

Técnicas, POCUS, Exames & Outros

Ultrasound-Guided Trigger Point Injections | US GEL

ISBE & Cochrane Portugal Newsletter nº 243: PET-TC vs TC na investigação de febre de origem indeterminada

Emergency Procedure: Lumbar Puncture | Life in the Fast Lane - Emergency Procedures App

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ARA - Aumento de Risco Absoluto | ECA - Ensaio clínico aleatorizado | ITA - Intention-to-treat Analysis | MA - Meta-análise | MBE - Medicina baseada na evidência | NIT - Non-inferiority trial | NNH - Number needed to harm | NNT - Number needed to treat | PPA - Per protocol analysis | RRA - Redução do Risco Absoluto | RS - Revisão Sistemática