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The remaining authors declare no conflict of interest, and this paper has not been published or presented elsewhere.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The trial was conducted in accordance with the Declaration of Helsinki, and the study protocol was approved by the SingHealth Centralized Institutional Review Board.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Written informed consent was obtained by a study team member and if the patient lacked capacity to make decisions then consent was obtained from a legally appointed representative (LAR).","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"We certify that this work is novel. It contributes to the literature because, to our knowledge, it is the first randomized, controlled trial that evaluates the effectiveness of a multicomponent interventions, including reverse Trendelenburg position, designed to prevent nosocomial pneumonia in older adults admitted to the general ward.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Impact statement"}}]}}