RESUMEN
Cardiovascular risk factors (CVRF) are very prevalent in the elderly population and in addition to predisposing to cardiovascular disease they are related to functional decline, which limits the quality of life in this population. The objective of this work is to offer a review of the current evidence in the management of CVRF in the elderly population. The search strategy was executed in PubMed, Clinicalstrials.org and Embase, to search for clinical trials, observational cohort or cross-sectional studies, reviews, and clinical practice guidelines focused or including elderly population. The results provided were refined after reading the title and abstract, as well as elimination of duplicates, and were finally identified and assessed following the GRADE methodology. A total of 136 studies were obtained for all predefined risk factors, such as sedentary lifestyle, smoking, obesity and metabolic syndrome, hypertension, diabetes mellitus, dyslipidemia and alcohol. We described the results of the studies identified and assessed according to their methodological quality in different recommendation sections: diagnostic and prevention, intervention, or treatment in the elderly population. As the main limitation to the results of this review, there is the lack of quality studies whose target population is elderly patients. This issue limits the recommendations that can be made in this population. Due to this reason, comprehensive geriatric assessment seems the best tool currently available to implement the most appropriate treatment plans based on the baseline situation and comorbidity of each elderly patient.
Asunto(s)
Endoftalmitis , Absceso Piógeno Hepático , Anciano de 80 o más Años , Antibacterianos/uso terapéutico , Endoftalmitis/diagnóstico , Endoftalmitis/tratamiento farmacológico , Humanos , Klebsiella pneumoniae , Absceso Piógeno Hepático/diagnóstico , Absceso Piógeno Hepático/tratamiento farmacológicoAsunto(s)
Humanos , Masculino , Femenino , Anciano , Anciano de 80 o más Años , Síndrome de Creutzfeldt-Jakob/complicaciones , Síndrome de Creutzfeldt-Jakob/diagnóstico , Trastornos del Sueño-Vigilia/complicaciones , Trastornos del Sueño-Vigilia/tratamiento farmacológico , Neuroimagen/métodos , Neuroimagen/tendencias , Encefalopatías Metabólicas , Síndrome de Creutzfeldt-Jakob/fisiopatología , Síndrome de Creutzfeldt-Jakob , Delirio/complicaciones , Delirio/tratamiento farmacológico , Electromiografía , Neuroimagen/instrumentación , Neuroimagen/estadística & datos numéricos , NeuroimagenAsunto(s)
Humanos , Femenino , Anciano de 80 o más Años , Catatonia/diagnóstico , Catatonia/terapia , Trastorno Afectivo Estacional/complicaciones , Trastorno Afectivo Estacional/psicología , Afecto , Negativismo , Catalepsia/complicaciones , Lorazepam/uso terapéutico , Terapia Electroconvulsiva , Pensamiento/fisiología , Cognición/fisiología , Mutismo/complicaciones , Pérdida de Tono Postural/fisiología , Catalepsia/psicología , Terapia Electroconvulsiva/tendenciasAsunto(s)
Catatonia , Anciano de 80 o más Años , Catatonia/diagnóstico , Catatonia/terapia , Femenino , HumanosRESUMEN
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