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Complications: 1) cardiovascular a) decreased cardiac output -> decreased aerobic capacity (deconditioning) b) orthostatic intolerance c) venous thrombophlebitis 2) respiratory a) atelectasis b) relative hypoxemia c) pneumonia 3) musculoskeletal a) muscle atrophy & loss of strength b) decreased muscle oxidative capacity -> decreased aerobic capacity c) bone loss (osteoporosis) d) joint contractures e) osteoarthritis 4) gastrointestinal -> constipation 5) genitourinary a) urinary incontinence b) renal calculi 6) skin -> pressure ulcers 7) functional -> impaired ambulation 8) psychological -> sensory deprivation [3]

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References

  1. Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 685
  2. Journal Watch, Mass Med Soc 19(23):182 (Dec) 1999
  3. Harper & Lyles, JAGS 36:1047, 1988