Age and ageing
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Case Reports Randomized Controlled Trial Clinical Trial
Patients with recurrent falls attending Accident & Emergency benefit from multifactorial intervention--a randomised controlled trial.
To determine the effectiveness of multifactorial intervention to prevent falls in cognitively intact older persons with recurrent falls. ⋯ Multifactorial intervention is effective at reducing the fall burden in cognitively intact older persons with recurrent falls attending Accident & Emergency, but does not reduce the proportion of subjects still falling.
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Age is thought to be strongly associated with intensive care outcomes, but this relationship may be confounded by many clinical variables. ⋯ Morbidity and mortality in elderly patients admitted to the ICU are higher than in younger patients. The most important factors independently associated with the highest risk of death are the severity of illness, impaired level of consciousness and infection.
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Delirium is a common disorder in hospitalised older people and established cases may have a poor outcome that is not readily improved by intervention. Prevention of cases through education of medical and nursing staff has not been fully studied. ⋯ A focused and inexpensive educational programme can decrease the prevalence of delirium among older inpatients.