The CATbank is presented as an example of how we can assemble an easy-to-use
collection of documents which answer our questions about clinical practice.
Note that these documents are not regularly updated, so you should check for
new evidence before relying on their conclusions.
All CATs, listed alphabetically by disorder.
| 1 |
ALCOHOLIC HEPATITIS: Glucocorticoids
may be ineffective
|
| 2 |
ALCOHOLIC LIVER DISEASE benefits
from PTU
|
| 3 |
ALZHEIMER DISEASE: Support
for caregivers delayed time to nursing home placement.
|
| 4 |
ANAEMIA: Diagnosis of underlying
cause in the elderly
|
| 5 |
ANAEMIA: Ferritin can diagnose iron
deficiency in the elderly
|
| 6 |
ANGINA, UNSTABLE: LMWH reduces
recurrence, death, MI and need for revascularisation.
|
| 7 |
ANGINA, STABLE: effects of surgery.
|
| 8 |
ANTICOAGULATION: acetaminophen
and other risk factors cause supratherapeutic INR levels in patients on
warfarin.
|
| 9 |
ANTICOAGULATION:
guidelines and consultation reduce bleeds and venous thromboembolism.
|
| 10 |
ASCITES: albumin prevents postparacentesis
circulatory dysfunction in cirrhotics.
|
| 11 |
ASCITES, TENSE benefits from
large volume paracentesis.
|
| 12 |
ASTHMA: peak flow
triggered stepped care reduces revisist to A & E.
|
| 13 |
ATRIAL FIBRILLATION: optimal
therapy for conversion of recent onset AF.
|
| 14 |
ATRIAL FIBRILLATION:
non-valvular and stroke.
|
| 15 |
ATRIAL FIBRILLATION:
warfarin prevents strokes.
|
| 16 |
BACTERIURIA: (in asymptomatic
elderly women) probably doesn't benefit from treatment.
|
| 17 |
CAROTID STENOSIS: Carotid stenosis
(symptomatic, high grade) benefits from endarterectomy (NASCET).
|
| 18 |
CHRONIC AIRFLOW
LIMITATION: exacerbations (of dyspnoea, cough and sputom) benefit from
antibiotics.
|
| 19 |
CHRONIC AIRFLOW LIMITATION:
benefits from smoking cessation.
|
| 20 |
CHRONIC AIRFLOW LIMITATION:
exacerbations may respond to steroids.
|
| 21 |
CHRONIC HEART FAILURE: Beta blockade
decreases mortality.
|
| 22 |
CHRONIC HEART FAILURE: In heart failure
patients in normal sinus rhythm, digoxin decreases hospital admissions
but not mortality.
|
| 23 |
CO POISONING: doesn't benefit
from hyperbaric oxygen (HBO)
|
| 24 |
DELIRIUM: doubles the death rate for
patients over 65 yrs.
|
| 25 |
DIABETES: Diabetics
can inject their insulin through a single layer of clothing.
|
| 26 |
DIABETIC KETOACIDOSIS:
DKA doesn't benefit from NaHCO3
|
| 27 |
EDUCATION: Didactic educational
sessions didn't improve clinicians' performance.
|
| 28 |
EDUCATION: Problem-based
learning graduates are more up to date 15 years later (in managing hypertension)
than graduates of traditional medical schools.
|
| 29 |
GASTROSTOMY (PEG) is safe and efficacious
in neurological dysphagia.
|
| 30 |
GERIATRIC ASSESSMENT: improves
functional status and decreases nursing home admissions
|
| 31 |
GUILLAIN-BARRE SYNDROME: IV immunoglobulin
as effective as plasma exchange
|
| 32 |
HEART FAILURE benefits from
angiotensin-converting enzyme (ACE) inhibitors
|
| 33 |
HYPERTENSION: (systolic, elderly)
diuretics and beta blockers decrease strokes.
|
| 34 |
MENINGITIS: Head jolting and
CSF pleocytosis
|
| 35 |
MI / angina: NNTs for
alternative treatments for prevention of coronary artery disease.
|
| 36 |
MI and AP: Cholesterol reduction
reduces morbidity and mortality (4-S study)
|
| 37 |
MI: Antiplatelet agents reduce the
risk of death
|
| 38 |
MI: Reduction of average cholesterol
levels decreases risk of repeat MI and death.
|
| 39 |
MI: IV beta-blocker can reduce vascular
mortality but has side effects (ISIS-1)
|
| 40 |
MI: Beta blockade after myocardial
infarction decreases mortality
|
| 41 |
MI: MIs with hyperglycaemia benefit
from intensive insulin therapy.
|
| 42 |
MI: PTCA saves more lives (at
6 weeks) than thrombolysis.
|
| 43 |
MI: Streptokinase and ASA save
lives (ISIS-2)
|
| 44 |
MI / STROKE: clopidrogel decreases ischaemic
stroke, MI, vascular death compared to aspirin.
|
| 45 |
MI: survival improved by
stopping smoking
|
| 46 |
MI - Cost effectiveness of tPA
vs streptokinase in acute MI
|
| 47 |
MS - Beta interferon slows progression
and reduces relapses in relapsing MS
|
| 48 |
PARACETAMOL OVERDOSE: Paracetamol
overdose with liver failure benefits from n-acetylcysteine.
|
| 49 |
PULMONARY EMBOLISM: isn't
well diagnosed with arterial blood gases.
|
| 50 |
SEPTIC SHOCK: doesn't
benefit from steroids.
|
| 51 |
STROKE: Evaluation and early
treatment in Edinburgh.
|
| 52 |
STROKE, ISCHAEMIC: Aspirin
decreases death and recurrent stroke.
|
| 53 |
STROKE: risk of seizure.
|
| 54 |
THYROTOXICOSIS: symptoms relieved
by diltiazem.
|
| 55 |
TRICYCLIC OVERDOSE:
the QRS duration on the first limb-lead ECG can SnNout seizures and ventricular
arrhythmias.
|
| 56 |
VENOUS THROMBOEMBOLISM:
DVT: clinical exam and ultrasound can guide diagnosis and therapy.
|
| 57 |
VENOUS THROMBOEMBOLISM:
Permanent oral anticoagulation reduces recurrent thromboembolism.
|
| 58 |
VENOUS THROMBOEMBOLISM:
Low molecular weight heparin produces both fewer recurrences and fewer
bleeds than unfractionated heparin.
|
| 59 |
VENOUS THROMBOEMBOLISM: warfarin
may decrease the risk of recurrence in pts with calf DVT.
|
| 60 |
VENOUS THROMBOEMBOLISM:
compression stockings reduced post-thrombotic syndrome.
|
| 61 |
VENOUS
THROMBOEMBOLISM: in suspected DVT, 2 compression ultrasounds (1 week apart)
are safe.
|
| 62 |
VENOUS THROMBOEMBOLISM:
risk of recurrence.
|
| 63 |
VENOUS THROMBOEMBOLISM: pulmonary
embolism: LMWH as effective as unfractionated heparin.
|
