🏠👨🏻‍⚕️👵🏻Geriatra di Comunità. ✍️Il Consiglio Regionale della Lombardia ha approvato una risoluzione dedicata all’istituzione della figura del Geriatra di Comunità, individuandola come elemento strategico per rafforzare l’assistenza territoriale.

💡 One of the most important findings in delirium research in recent years, and I think it's still not widely enough known. The DECIDE study (Richardson et al, Age and Ageing 2021) followed 305 older adults from the population-based CFAS II-Newcastle cohort. They compared cognitive trajectories in three groups: hospitalised with delirium, hospitalised without delirium, and a matched group who weren't admitted to hospital at all. The hospitalised patients who didn't develop delirium had essentially the same cognitive trajectory as those who were never admitted. No significant difference. But those who developed delirium during their admission showed a 2.2-point MMSE decline at one year compared to the no-delirium group (P<0.001). Neither the number of admissions nor total length of stay were significant predictors. For years we've assumed that hospital admission itself is bad for the brain. This study suggests the real culprit is delirium. And delirium is something we can detect and, at least partly, prevent. That makes it potentially a modifiable risk factor for dementia - at least it means that we need to look into this more and explore the potential benefits of early detection and aggressive treatment aimed at protecting the brain. #medtwitter #dementia