Preoperative medication use and postoperative delirium: a systematic review

Objective: Aims of this review were to identify actual or potential extended services performed in community pharmacy settings, perceptions among community pharmacists (CPs), general practitioners (GPs), consumers and policymakers of these extended services and barriers towards its performance.Methods: A literature review was conducted, using Google Scholar and PubMed as a searching engine.Results: Identifying eight quality full texts to review which fulfil the inclusion searching criteria, revealing a wide range of actual or potential extended services performed by CPs such as counselling on asthma, cardiovascular disease, breast cancer, diabetes, smoking cessation and self-medication. GPs’ perceptions towards these extended services were varied, not or in favour of CPs to perform some actual or potential extended services. Customers were in favour of CPs to perform these actual or potential extended services whereas CPs indicated a few barriers towards the performance of these actual or potential extended services.Conclusion: As a conclusion, CPs in Malaysia were in the right position to perform the actual or potential extended services, collaborating with GPs to promote better medication use and enhance patients’ quality of life. Some barriers towards these extended services must be intervened in order to enhance the quality of the services.

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The risk factors for postoperative delirium in adult patients after hip fracture surgery: a systematic review and meta‐analysis

International Journal of Geriatric Psychiatry ◽

10.1002/gps.5408 ◽

2020 ◽

Vol 36 (1) ◽

pp. 3-14

Author(s):

Juan Wu ◽

Yushuang Yin ◽

Man Jin ◽

Bixi Li

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Hip Fracture ◽

Postoperative Delirium ◽

Meta Analysis ◽

Adult Patients ◽

Hip Fracture Surgery ◽

Fracture Surgery

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Asthma in Competitive Cross-Country Skiers: A Systematic Review and Meta-analysis

Sports Medicine ◽

10.1007/s40279-020-01334-4 ◽

2020 ◽

Vol 50 (11) ◽

pp. 1963-1981

Author(s):

Rikhard Mäki-Heikkilä ◽

Jussi Karjalainen ◽

Jari Parkkari ◽

Maarit Valtonen ◽

Lauri Lehtimäki

Keyword(s):

Systematic Review ◽

Meta Analysis ◽

Medication Use ◽

Asthma Medication ◽

Future Research ◽

Bronchial Biopsy ◽

Qualitative Synthesis ◽

Eosinophilic Asthma ◽

Airway Infections ◽

Cross Country

Abstract Introduction In cross-country skiing, the repetitive ventilation of large amounts of cold and dry air strains the airways. The aim of this systematic review was to establish an overview of the current literature on asthma in cross-country skiers, biathletes and ski-orienteers. Methods Six databases were searched on August 29, 2019. The search yielded 2161 articles. Thirty articles fulfilled the search criteria and were pooled together for a qualitative synthesis. Eight articles were included in the meta-analysis on the prevalence of asthma and the use of asthma medication. Results According to the meta-analysis, the prevalence of self-reported physician-diagnosed asthma in skiers was 21% (95% CI 14–28%). The onset age of asthma was higher in skiers than in non-skiers with asthma. The prevalence of asthma medication use was on average 23% (CI 95% 19–26%). Several studies reported that asthma was underdiagnosed in skiers, as previously healthy skiers without a prior asthma diagnosis or medication use were frequently found to fulfill diagnostic criteria for asthma according to lung function tests. Studies using bronchial biopsy demonstrated that eosinophilic asthma is not detected in skiers with asthma as often as it is in non-skiers with asthma and that there are signs of airway inflammation even in non-asthmatic skiers. Conclusion Our findings suggest that the accuracy and coverage of diagnosing asthma in skiers has improved over the recent decades. However, the optimal treatment and natural course of asthma in this population remain unclear. Future research should investigate how the intensity of training, airway infections and their treatment affect the development of asthma among skiers. PRD registration number CRD42017070940.

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