New England Journal of Medicine - Geriatry

1. Intravenous Contrast in Patients with Acute Kidney Injury or Chronic Kidney Disease

   Iodinated IV contrast agents need not be avoided in patients with mild-to-moderate renal dysfunction.

2. Primary Prevention of Cardiovascular Disease with Statins in Adults with HIV

   A new guideline calls for broader use of statins in this population.

3. Falls in Older Adults with Dizziness Who Use Vestibular Suppressants

   Anxiolytics and antiemetics were associated with heightened risk for falls that required medical attention.

4. Amiloride for Patients with Resistant Hypertension?

   In patients with resistant hypertension, amiloride and spironolactone have similar — and impressive — effects on home blood pressure.

5. How Well Do RSV Vaccines Work in Older People?

   One dose of vaccine RSVpreF3 OA was 63% efficacious at preventing RSV-associated lower respiratory disease over three consecutive seasons.

6. Disability After Clinically Significant Extracranial Bleeding

   In a secondary analysis of the ASPREE trial, bleeding was associated with new functional dependency.

7. Acute Cholecystitis Management in Older Patients with Comorbidities

   Patients who received operative intervention fared better than patients who received nonoperative treatment, even in a high-risk cohort.

8. A New Medication for Non–Cystic Fibrosis Bronchiectasis

   Brensocatib led to fewer bronchiectasis exacerbations during 1 year than did placebo.

9. Managing Microscopic Hematuria

   The American Urological Association provides a reasonable risk-stratified approach.

10. Does Metformin Provide Renal Protective Effects in Type 2 Diabetes?

    In an observational study, patients taking metformin were less likely to progress to chronic kidney disease.