Age and ageing
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Comment Letter
Comment on 'Care home medicine in the UK--in from the cold'.
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'Grandpa was never the same after his operation!'. This statement describes a myriad of possible clinical difficulties that can afflict older people after hospitalisation for major surgery. ⋯ So far none of the expected surgical, anaesthetic and environmental risk factors have been convincingly demonstrated to be responsible for this observed deterioration. While recognising the high incidence of the condition as an neuropsychological entity we accept that it is difficult to translate this into a reliable estimate of clinical risk for the individual patient.
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to determine the incidence of post-operative troponin I rises and its association with 1-year all-cause mortality and cardiac events after emergency orthopaedic-geriatric surgery, which has not been studied before. ⋯ there is a high incidence of post-operative troponin I rises in older patients undergoing emergency orthopaedic surgery with 1-year mortality and cardiac events being significantly increased in these patients. Future studies are needed to determine whether any intervention can improve outcome for these patients.