The NICE has published guidelines on the prevention of delirium in hospitalized patients. These include recommendations for assessing and modifying issues that may precipitate delirium, including cognitive impairment / disorientation, dehydration or constipation, hypoxia, infection, immobility / limited mobility, several medications, pain, poor nutrition, sensory impairment, and sleep disturbance. These common sense, multi-disciplinary guidelines are long overdue to be published and systematically implemented (abstract)
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In this large multicenter trial, patients with minor stroke or TIA were randomized to clopidogrel+ASA or ASA alone; 90-day stroke occurred in 8% vs 12% respectively, and rates of hemorrhage or hemorrhagic stroke were the same (abstract).
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