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It is not recommended a prolonged use of benzodiazepines, of more than 4 weeks, for the treatment of anxiety disorders in adults due to the risk of tolerance, dependence, and serious side effects ...
Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]
CAMFIC-Sociedad Catalana de Medicina Familiar y Comunitaria
Anxiety disorders represent one of the most common mental health problems among the general population and often appear in association with other mental illnesses. According to data from 2014, 18.2% of people in Catalonia report problems of depression or anxiety and are the second health problem that most affects the quality of life related to health. In this context, the consumption of benzodiazepines in our environment has continued to grow progressively in recent years, remaining in many ...
ver más ... 2016Do not use a physical performance tool to assess frailty in a person who is acutely unwell.
NICE
National Institute for Health and Clinical Excellence (NICE)
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ver más ... 2016Don’t order CT head scans in adult patients with simple syncope in the absence of high-risk predictors.
Choosing Wisely Canada
Canadian Association of Emergency Physicians
Patients commonly present to the emergency department with syncope. Syncope is a transient loss of consciousness followed by a spontaneous return to baseline neurologic function that does not require resuscitation. The evaluation of syncope should include a thorough history and physical exam to identify high-risk clinical predictors for CT head abnormalities. These high-risk predictors include, but are not limited to: trauma above the clavicles, headache, persistent neurologic deficit, age over ...
ver más ... 2016In patients with asymptomatic hyperuricemia, it is not recommended to treat with drugs, unless the figures are very high, in cancer treatments or in the presence of urinary excretion of uric acid ...
Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]
CAMFIC-Societat Catalana de Medicina Familiar i Comunitària
Hyperuricemia (uric acid levels above 7 mg / dL in men and 6 mg / dL in women) has a prevalence of approximately 5% of the general population. It increases with obesity, alcohol intake, foods with high content of purines (seafood and red meat) and transplanted solid organs. Plasma determination of uric acid is very widespread because it is assumed that, apart from gout, it is associated with renal, cardiovascular and metabolic alterations, although the evidence of its clinical utility is ...
ver más ... 2016In children younger than 2 years with mild traumatic brain injury, routine skull radiography is not recommended. It should be replaced by scales that include clinical data and the traumatic mechanism ...
Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]
Societat Catalana de Pediatria
The most recent systematic reviews establish the scales of the CATCH (Canada), Chalice (UK) groups, and the Pediatric Emergency Care Applied Research Network (PECARN) study in the United States. The best to predict the presence of an intracranial injury in children with mild traumatic brain injury. The PECARN study has separately assessed more than 4,500 children younger than 2 years and has identified the following independent risk factors for severe intracranial injury: altered mental status, ...
ver más ... 2016