Posters for 2025 G4J (Geriatrics 4 Juniors)

Introduction: Older adults with frailty are particularly vulnerable to harm from tight glycaemic control, with hypoglycaemia contributing to falls, cognitive decline, and increased mortality. National (JBDS: Inpatient Care of the Frail Older Adult with Diabetes) and local (Buckinghamshire, Oxfordshire & Berkshire–BOB) guidelines recommend individualising glucose targets according to frailty level, but adherence is inconsistent. This quality improvement project evaluated glycaemic management in inpatients with frailty, aiming to reduce hypoglycaemia and improve target setting in line with

Patients with advanced heart failure (New York Heart Association Class III–IV) frequently experience distressing symptoms including breathlessness, fluid overload, anxiety, and pain. Although national and international guidelines advocate for the use of palliative medications to manage these symptoms, their use remains inconsistent particularly opioids and anxiolytics. This audit aimed to evaluate current prescribing practices for symptom relief in this population and identify areas for clinical improvement. A retrospective audit was conducted on 35 patients with NYHA Class III–IV heart

Introduction Immobility during hospitalisation is a major contributor to muscle loss, deconditioning, functional decline, and prolonged length of stay in older adults. Evidence shows that increased mobility in hospitalised older people is associated with improved health outcomes, reduced functional limitation, and improved quality of life. Hospital-based mobility interventions, such as supervised walking and structured sit-to-stand protocols, help counteract the adverse effects of inactivity and support independence at discharge. Method This quality improvement project was conducted on the

Introduction NICE CG124 recommends that Hip Fracture Programmes should have responsibility for the whole pathway of patients’ recovery. Contacting patients at 120-days provides an ideal opportunity to examine how many of them are still on treatment and to offer support to those who are having problems. National Hip Fracture Database (NHFD) 120-day follow-up was introduced in patient’s electronic patient record (EPR) in December 2023. Methods All local hospital’s NHFD hip fracture patients (173) who have completed 120-day telephone clinic follow-up in year 2024 were included for data collection

Introduction In 2023, the average acute length of stay in the local hospital=23 days (national=16.0), 30-day mortality post hip fracture=6.6% (5.4%), prompt mobilisation=78% (81%) and return to original residence= 72% (74%). Nottingham Hip Fracture Score (NHFS) is most widely studied hip fracture risk stratification system especially in the UK, positively correlated with clinical frailty score (CFS), and is a simple tool to utilise on hip fracture admissions. High-risk identification distinguishes preoperative factors that are linked to clinical adverse outcomes after hip fracture surgery for

Background High-sensitivity cardiac troponin (hs-cTn) assays underpin accelerated diagnostic protocols for non-ST elevation myocardial infarction (NSTEMI). The 2023 European Society of Cardiology (ESC) guidelines recommend 0/1-hour or 0/2-hour algorithms. Despite strong evidence, adherence in practice is inconsistent. This study aimed to assess and enhance the compliance with the ESC 0/2-hour algorithm in a large UK district general hospital. Methodology A retrospective cross-sectional study was conducted at Blackpool Victoria Hospital. Adults presenting with chest pain who underwent hs-cTn