Age and ageing
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Randomized Controlled Trial Multicenter Study Comparative Study
The role of selective decontamination of the digestive tract in acute stroke.
following a stroke, morbidity and mortality is high, with aspiration pneumonia being a common complication. ⋯ high carriage of and colonisation by AGNB was found within this study, which was reduced by the addition of SDD. Although SDD reduced the presence of both organisms and documented episodes of pneumonia, mortality remained unchanged.
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Randomized Controlled Trial
Does home treatment affect delirium? A randomised controlled trial of rehabilitation of elderly and care at home or usual treatment (The REACH-OUT trial).
delirium is a frequent adverse consequence of hospitalisation for older patients, but there has been little research into its prevention. A recent study of Hospital in the Home (admission substitution) noted less delirium in the home-treated group. ⋯ home rehabilitation for frail elderly after acute hospitalisation is a viable option for selected patients and is associated with a lower risk of delirium, greater patient satisfaction, lower cost and more efficient hospital bed use.
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Comparative Study
Low bone mineral density measurements in care home residents--a treatable cause of fractures.
to assess predictors of fracture risk and treatment for osteoporosis among elderly care home residents. ⋯ of the tools used to assess function, only CAPE predicted low BMD in EMI residential care. Rates of CaD supplementation are particularly low in EMI care, where risk factors for fracture were the greatest. We conclude that fracture risk is neglected in these homes, and targeted education and treatment are warranted.