Publications by authors named "V Smolka"

Purpose: Postoperative delirium (POD) is a common complication in older adult patients after surgery. A patient's preoperative anticholinergic (AC) burden is a potentially modifiable risk factor for POD. As the influence of the drug dose remains unknown, we aimed to compare three AC burden scores in relation to POD, two of which were dose-related.

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Article Synopsis
  • Carotid stenting often requires dual antiplatelet therapy, and clopidogrel resistance can increase the risk of complications; this study examines the effects of routine platelet function testing and therapy adjustments on outcomes.* -
  • A retrospective review was conducted on 241 patients who underwent carotid artery stenting over 8 years; results showed a lower incidence of procedure-related thromboembolic events and deaths compared to findings from established studies.* -
  • The study concludes that personalized antiplatelet therapy is safe and may reduce complications, suggesting the need for larger prospective studies to evaluate its effectiveness compared to standard treatment.*
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Background: Postoperative delirium (POD) is the most common complication following surgery in elderly patients. During pharmacist-led medication reconciliation (PhMR), a predictive risk score considering delirium risk-increasing drugs and other available risk factors could help to identify risk patients.

Methods: Orthopaedic and trauma surgery patients aged ≥ 18 years with PhMR were included in a retrospective observational single-centre study 03/2022-10/2022.

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[The old person in road traffic].

Unfallchirurgie (Heidelb)

August 2023

Due to the demographic change and the rising mobility of older adults in comparison with former generations, the number of old persons involved in road traffic has been continuously growing. The safety of all participating parties in road traffic necessitates a successful interaction of each individual's visual, motor and cognitive functions. These might be negatively affected by age-related physiological changes with a large individual variation.

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