I guess everything needs a formal research study to be done.
A recent study, published in the Annals of Surgery shows that elderly nursing home residents suffer more complications from major operations (abdominal surgery, including removal of the gallbladder, appendix or colon, or surgery for bleeding ulcers) than other people their age, who don't live in nursing homes.
I wonder if someone is also in the midst of studying if folks living in nursing homes are more impaired or physically ill than others their age who still live at home?
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