Journal of the American Geriatrics Society
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Randomized Controlled Trial Comparative Study Clinical Trial
Post-operative delirium: predictors and prognosis in elderly orthopedic patients.
To compare the effect of post-operative analgesia using epidural versus intravenous infusions on the incidence of delirium after bilateral knee replacement surgery in elderly patients. Additional risk factors and impact on post-operative recovery were also assessed. ⋯ There is a high incidence of post-operative delirium in elderly non-demented patients following bilateral knee replacement, regardless of whether post-operative analgesia is administered by the epidural or intravenous route.
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To determine if dietary intake, nutritional status, and other physical markers are risk factors for the development of pressure sores in the elderly. ⋯ Risk assessment is recommended upon admission to a nursing home and weekly for the first month. Risk status can be effectively predicted by using the Braden Scale in combination with knowledge of age, blood pressure, temperature, and dietary protein intake.