Latest Clinical & Research News
Specialty: Geriatric
Researchers at Brigham and Women’s Hospital have determined aspirin and other over-the-counter analgesics are associated with the risk of persistent tinnitus, although the direction and magnitude differ for individual agents.
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The need for advance care planning (ACP) was especially heightened for older, Black, and Latino/a/x patients at the onset of the COVID-19 pandemic. Brigham researchers tested an ACP intervention with video decision aids and remote clinician training, reporting improved ACP documentation rapidly and efficiently.
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In an effort to clearly define the role of a geriatrician and establish best practices for the treatment of geriatric patients, Houman Javedan, MD, clinical director for the Division of Aging, developed a Geriatrics Clinical Reasoning curriculum that has completely transformed geriatric care at the Brigham.
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Patrizia Vannini, PhD, of the Department of Neurology, and colleagues conducted the first study of posttraumatic growth and other mental health factors related to COVID-19 among older adults. They describe how the pandemic affected Black and white older adults differently and name ways to foster posttraumatic growth.
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The Brigham’s Vadim N. Gladyshev, PhD, and colleagues have developed an epigenetic clock that allows predictions of biological age at the single-cell level, pointing to a new direction of aging research with applications for somatic, germline and cancer cells.
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Ariela Orkaby MD, MPH, of the Brigham’s Division of Aging, and colleagues report that increased frailty status as rated on the Clinical Frailty Scale is associated with increased mortality in older adults after in-hospital cardiopulmonary resuscitation.
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Lisa Cooper, MD, and Houman Javedan, MD, of the Division of Aging at the Brigham, and colleagues have adapted the comprehensive geriatric assessment (FI-CGA) tool to be feasible for use by geriatricians to communicate complex geriatric concepts with multiple other clinics at the Brigham that care for older adults.
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A retrospective study at the Brigham, led by Lisa Cooper, MD, and Laura N. Frain, MD, MPH, found that polypharmacy, potentially inappropriate medications, and frailty were not associated with complications after surgery for thoracic malignancies, but frailty was associated with increased length of hospital stay.
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The COVID-19 pandemic had prompted a 130-fold increase in telehealth visits by U.S. Medicare recipients. The Division of Aging at the Brigham was part of that surge, adapting the comprehensive geriatric assessment (CGA) to be suitable for telephone and video visits.
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While clinicians have several tools at their disposal to determine whether patients are delirious, researchers at the Brigham are going a step further by focusing on the severity of delirium. Geriatrician Tammy T. Hshieh, MD, MPH, discusses a more nuanced delirium rating tool featured in a recently published study.
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