Deprescribing in older adults during COVID-19 pandemic; Opportunity or risk?

Castelli, Letizia; Loreti, Claudia; Coraci, Daniele; Fusco, Augusto; Biscotti, Lorenzo; Giovannini, Silvia; Padua, Luca

doi:10.1016/j.sapharm.2020.11.016

Cited by 3 publications

(2 citation statements)

References 9 publications

(9 reference statements)

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“…The specific treatments should also be evaluated in the light of the guidelines, which are continuously updated. Due to the fragile nature of the patients, many other aspects should be considered in the evaluation of future studies, such as hospitalization, polypharmacy, co-morbidity, and coexisting chronic conditions, that should be assessed together with specific symptoms of COVID-19 [40][41][42][43].…”

Section: Discussionmentioning

confidence: 99%

Developing Pulmonary Rehabilitation for COVID-19: Are We Linked with the Present Literature? A Lexical and Geographical Evaluation Study Based on the Graph Theory

Fusco

Padua

Coraci

et al. 2021

JCM

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The Coronavirus Disease 2019 (COVID-19) pandemic is a severe ongoing global emergency. Despite high rates of asymptomatic patients, in many cases, the infection causes a rapid decline in pulmonary function due to an acute respiratory distress-like syndrome, leading to multi-organ failure and death. To date, recommendations about rehabilitation on COVID-19 are based on clinical data derived from other similar lung diseases. Rehabilitation literature lacks a standard taxonomy, limiting a proper evaluation of the most effective treatments for patients after COVID-19 infection. In this study, we assessed the clinical and rehabilitative associations and the geographical area involved in interstitial lung diseases (ILD) and in COVID-19, by a mathematical analysis based on graph theory. We performed a quantitative analysis of the literature in terms of lexical analysis and on how words are connected to each other. Despite a large difference in timeframe (throughout the last 23 years for ILD and in the last 1.5 years for COVID-19), the numbers of papers included in this study were similar. Our results show a clear discrepancy between rehabilitation proposed for COVID-19 and ILD. In ILD, the term “rehabilitation” and other related words such as “exercise” and “program” resulted in lower values of centrality and higher values of eccentricity, meaning relatively less importance of the training during the process of care in rehabilitation of patients with ILD. Conversely, “rehabilitation” was one of the most cited terms in COVID-19 literature, strongly associated with terms such as “exercise”, “physical”, and “program”, entailing a multidimensional approach of the rehabilitation for these patients. This could also be due to the widespread studies conducted on rehabilitation on COVID-19, with Chinese and Italian researchers more involved. The assessment of the terms used for the description of the rehabilitation may help to program shared rehabilitation knowledge and avoid literature misunderstandings.

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Section: Discussionmentioning

confidence: 99%

Developing Pulmonary Rehabilitation for COVID-19: Are We Linked with the Present Literature? A Lexical and Geographical Evaluation Study Based on the Graph Theory

Fusco

Padua

Coraci

et al. 2021

JCM

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“…This requires great attention from physicians; in fact, polypharmacy is associated with several adverse outcomes, including hospitalization, length of hospital stay and mortality. In a previous study, we described that polypharmacy (5–9 drugs) and excessive polypharmacy (≥10 drugs) are factors associated with polypharmacy status, including not only co-morbidity but also specific symptoms and age [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Neuropathic Pain in the Elderly

et al. 2021

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Neuropathic pain due to a lesion or a disease of the somatosensory system often affects older people presenting several comorbidities. Moreover, elderly patients are often poly-medicated, hospitalized and treated in a nursing home with a growing risk of drug interaction and recurrent hospitalization. Neuropathic pain in the elderly has to be managed by a multidimensional approach that involves several medical, social and psychological professionals in order to improve the quality of life of the patients and, where present, their relatives.

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Discomfort and Pain Related to Protective Mask-Wearing during COVID-19 Pandemic

Padua

Castelli

Gatto

et al. 2022

JPM

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The SARS-CoV-2 pandemic made the use of facemasks mandatory to prevent contact with the virus. Recent studies have revealed that intensive use of facemasks significantly exacerbated pre-existing headaches and triggered de novo headaches. In our experience, some subjects also complain of symptoms of neuropathic pain in the head/facial regions. Until now, the relationship between neuropathic pain and facemasks has not been documented. The aim of the study is to investigate the occurrence of neuropathic pain related to facemask use. It is a cross-sectional survey using a questionnaire, developed following a commonly accepted outcome research methodology. Participants, both health care and non-health care workers, responded to items included in the questionnaire about the type of facemasks, time and manner of wearing them, side effects such as skin lesions, symptoms of neuropathic pain, etc.

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Deprescribing in older adults during COVID-19 pandemic; Opportunity or risk?

Cited by 3 publications

References 9 publications

Developing Pulmonary Rehabilitation for COVID-19: Are We Linked with the Present Literature? A Lexical and Geographical Evaluation Study Based on the Graph Theory

Developing Pulmonary Rehabilitation for COVID-19: Are We Linked with the Present Literature? A Lexical and Geographical Evaluation Study Based on the Graph Theory

Neuropathic Pain in the Elderly

Discomfort and Pain Related to Protective Mask-Wearing during COVID-19 Pandemic

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