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Royal Devon and Exeter Hospital, Exeter, UK and Guy’s and St Thomas’ NHS Foundation Trust, London, UK
Postoperative delirium is a common complication in older adults, often resulting from the vulnerability of cerebral functioning to various stressors. The article emphasizes the need for early identification of patients at risk, allowing for the modification of predisposing factors. It reviews the effectiveness of various strategies, including the avoidance of certain medications and the use of structured risk factor modification. The authors also address the barriers to implementing these interventions in clinical practice, noting the lack of widespread use of delirium prediction tools.
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