Thickened liquids have *thin* evidence for mortality benefit. Risks for dehydration, decreased food intake, decreased quality of life with modified liquids.
#ags25 #agslitreview @amergeriatrics.bsky.social #thickenedliquidchallenge

Limitations - timing unclear, missing confounders, dietary fluidity in groups.

Higher rates of respiratory complications in thick liquids, lower risk of intubation. No change in in-hospital mortality.

Over 13k patients, 1/3 received thickened liquids for most of hospital stay.

One RCT showed no difference between thickened liquids and chin tuck (aspiration risk was the same)

Routine cath/PCI is not indicated in patients over 75 admitted for NSTEMI! #ags25 #agslitreview @amergeriatrics.bsky.social

All cause mortality was higher in invasive group (36.1%) vs conservative (32.3%) - though not statistically significant. HR 1.13 (CI 0.95-1.34)

SENIOR-RITA RCT looked at 1518 people admitted with NSTEMI. Looked over 4.1 years for CV death or non-fatal MI - similar rates invasive vs conservative (HR 0.94).

Specifically looked at PSA testing, urine testing, and diabetes over treatment.
No differences between study groups for hospitalizations, harms. Some previously controlled diabetics had increased A1c > 9%

The more difficult it is for patients to see us, the more they are seeing us. How can we decrease the burden on patients?
#ags25 #agslitreview @amergeriatrics.bsky.social

Factors associated with increased healthcare contact -
Increased age, female sex, ADL difficulty, behavioral characteristics (do you see the doctor as soon as you are feeling bad?)