7articles were included. One study showed that in clinical practice, TCAs dispensations were maintained after the diagnosis of dementia. Two studies concluded that TCAs are the antidepressants least associated with the onset of dementia. In another study, the long-term use of TCAs was associated with a decrease in the incidence of dementia. A review by the Cochrane Group stated that the evidence on the safety of antidepressants in patients with dementia is of moderate quality, with little data from the antidepressant subgroups. The last two articles associated the use of antidepressants with dementia without differentiating the antidepressant groups.
Conclusion and RelevanceBased on the data from our population, the high inappropriateness of TCAs prescription according to the STOPP criteria suggests that this is a field with ample room for improvement. PPIs could be reduced if STOPP criteria were computerised in electronic prescription programs. Since the results of the review are not consistent, we believe that the STOPP criteria regarding the use of TCAs in patients with dementia should be more flexible, assessing the benefit-risk of treatment on an individual basis and closely monitoring adverse effects.
Self-reported health rating was 62.42 before the surgery and 77.27 afterwards (p<0.05).The school earned an overall satisfaction rating of 9.8/10.
Conclusion and relevanceThe implementation of an ERAS programme has proven highly successful in accomplishing faster recovery, which has led to a reduction in hospital stay length and surgery cancellations. In addition, the programme achieved good PROs (high patient satisfaction and an optimal pain management).
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