Discharge to home versus a post-acute nursing facility is an important decision faced by many people hospitalized for heart failure. In this observational study, we found that dementia and serious mental illness are associated with nursing facility discharge.
authors.elsevier.com/c/1kkkG5QyCq...

Discharge to home versus a post-acute nursing facility is an important decision faced by many people hospitalized for heart failure. In this observational study, we found that dementia and serious mental illness are associated with nursing facility discharge.
authors.elsevier.com/c/1kkkG5QyCq...

ersatz-bookmarked.

What career advice do you wish you could go back and give yourself?

No bookmark feature, so I am quote-posting this fascinating thread.

Why is it important to argue that medical interventions such as comprehensive dementia care or (ahem) GLP-1 agonists for obesity will 'save money' (often asserted with poor quality evidence), whereas for most medical interventions, there is no expectation for cost savings, just clinical benefit?

Fitting the rationale, aims, plan, innovation, and significance onto a single page.

Consumer devices now allow measurement of heart rate variability (HRV), and include instructions like 'how to increase your HRV.' Where is the evidence that this is a good idea? Are we prioritizing it just because the measurement is available and feels 'new?'

0.75 point higher QoL with intervention in Care Ecosystem RCT. Effects most robust in first 2 years. Is this clinically significant?
alz-journals.onlinelibrary.wiley.com/doi/10.1002/...

If you get all 12 of these on your CV, yell 'Bingo!'

Cool observational study comparing denosumab to bisphosphonates effect on hypocalcemia. [paywalled] www.acpjournals.org/doi/10.7326/...

I would say so, particularly the issue of censorship prior to recruitment. In fairness they recognize this but I do not know enough about the setting or their Farrington adjustment to know whether it's adequate to deal with potential biases. A target trial approach would help here...

It turns out that as long as the incidence is low, the bias is very small. It's likely to be smaller than the bias from uncontrolled confounding in between-person comparisons (I worked on case-crossover designs in air pollution epi)

Hey #EpiSky! Genuine question about design of this FDA analysis. Vaccine recipients compared to themselves post-vax (treatment=1-21 days, control 43-90 days) for incidence of stroke. Surely a stroke in days 1-21 affects future risk, making this not a good control?

www.medrxiv.org/content/10.1...

'But how can people with dementia participate in qualitative research?'

By adapting methods.

journals.sagepub.com/doi/10.1177/...

@spilleron.bsky.social 👋TY