Posters for 2026 Spring Meeting

Title: Outcomes for Older Patients Taking Anti-Platelet Therapy Presenting to the Emergency Department with Injury: A Prospective Observational Cohort Study Abstract Introduction Older patients taking anti-platelet agents (APA) frequently present to the emergency department with injury. In the UK, almost half of patients admitted following injury are aged ≥65 years, and anti-platelet therapy is used in approximately 40% of older adults. The clinical impact of APA use on bleeding outcomes remains uncertain, with conflicting evidence and limited prospective data. Methods We conducted a

Background & Aim We present findings from a joint Geriatrician and Haematologist Myeloma clinic pilot, specifically a) frailty needs of the cohort and b) performance of frailty screening tools including International Myeloma Working Group Frailty Index (IMWG-FI, Performance Status (PS), Geriatric 8 (G8), Clinical Frailty Score (CFS) and Edmonton Frail Scale (EFS), against expert opinion of frailty. Methods During pre-clinic MDM, patients were flagged for Geriatrician review following concern from either Geriatrician or Haematologist. This review was used to benchmark the presence of frailty by

Introduction: Traditional clinical documentation methods were time-consuming and prone to inconsistency within the Frailty Team at City Health Care Partnership (CHCP), affecting productivity across workstreams including Urgent Community Response (UCR) and Comprehensive Geriatric Assessment (CGA). Heidi, an AI scribe developed by Heidi Health UK, generates clinical notes and structured care plans by interpreting patient-clinician discussions, reducing administrative burden and improving note quality. Methods: York Health Economics Consortium (YHEC) conducted a mixed-methods evaluation of Heidi

Introduction The Multi-disciplinary team meeting (MDM) underpins geriatric medicine. The previously-described first phase of this project addressed variations in MDM frequency and practice across Healthcare of Older People (HCOP) wards. This second phase built on those changes with the aim of improving three key areas; process, values and skills. efficiency / effectiveness of meetings (process) team-working (values) empowering of individuals (skills) quality of the documentation (skills) Methods A previous survey of MDT members on 2 HCOP wards identified areas of focus and suggestions for

Background Frailty and urinary incontinence (UI) are common in older adults, contributing to functional decline, reduced quality of life, and increased healthcare use. The role of frailty in predicting new-onset UI remains unclear, as prior reviews focused on prevalence and cross-sectional data. We conducted an updated systematic review and meta-analysis of longitudinal studies to quantify the association between frailty and incident UI. Methods We searched MEDLINE, EMBASE, CINAHL, and Cochrane Library from January 2015 to December 2025 for studies examining frailty and incident UI in adults

Introduction Delirium is a common, serious, and often under-recognised condition in older hospitalised adults. Early identification and management of reversible causes can reduce associated morbidity, mortality, length of stay, and long-term cognitive decline. The 4AT is a validated delirium screening tool recommended for acute hospital settings; however, completion rates in the Emergency Assessment Unit (EAU) were perceived to be low. This project aimed to improve delirium screening and detection in patients aged 65 years and over presenting to the EAU at Horton Hospital. Method All patients

Background: Cognitive frailty, defined as dementia, delirium or low cognitive test score, is prevalent in older in-patients. Current guidance (eg National Audit Dementia 2022) suggests hospital readmission as a performance metric in dementia care but reliable data are lacking. We therefore determined readmission risk by cognitive frailty status in care home residents vs those living at home. Methods: ORCHARD-EPR (2017-2019) includes de-identified EPR data for patients ≥70 years with length of stay (LoS)≥1 day (2017–2019) admitted to four Oxfordshire, UK hospitals. Cognitive frailty was

Background: Over one-third of older people with unplanned admissions to hospital have physical frailty, but there are few data on prevalence and outcomes by cognitive status necessary to individualise care. Methods: ORCHARD-EPR includes consecutive patients ≥70 years with length of stay (LoS) of ≥1 day (2017–2019) admitted to four Oxfordshire, UK hospitals. Physical frailty was determined using a modified Hospital Frailty Risk Score excluding dementia and delirium (mHFRS). Cognitive frailty was defined using a mandatory on-admission cognitive screen as one or more of 10-point Abbreviated

Introduction While Post-Acute Sequelae of SARS-CoV-2 (PASC) is a recognised global priority, clinical definitions derive largely from working-age cohorts. Older adults face high acute severity risk, yet long-term survivorship remains under-characterised. We aimed to characterise and compare clinical PASC phenotypes in older (≥65 years) versus younger (<65 years) adults, distinguishing autonomic, inflammatory and psychosocial manifestations. Method We conducted a retrospective single-centre cohort study of 336 patients attending a dedicated Long COVID clinic at The Beacon Hospital, Ireland

Introduction Up to 30% of adults over 65 experience postural hypotension (PH) – a significant drop in blood pressure (BP) upon standing. PH is associated with increased risk of falls, frailty, and mortality. Using derived accelerometer data and linked healthcare records, we assessed the relationship between PH and physical activity (PA) in UK Biobank participants. Methods We used UK Biobank derived accelerometery data detailing the average time participants spent sleeping (SlA), sedentary (SeA), doing light activity (LA), or moderate & vigorous activity (MVPA). We ascertained participants with

Introduction Treatment decision regret (DR) in chronic disease is linked to suboptimal adherence and poor health outcomes. However, evidence for older people remains fragmented across diseases and lacks consistent synthesis of determinants. This study aimed to estimate the pooled prevalence of DR and identify factors associated with regret in this population. Method Seven English and four Chinese databases were searched from inception to August 2025. Two researchers independently screened studies reporting the prevalence or determinants of DR among older people with chronic diseases. Study

Parkinson’s medications are time critical and delays of over 30 minutes can increase the risk of harm to patients. Complications range from physical deconditioning, with associated risk of prolonged hospital stay or aspiration pneumonia to neuroleptic malignant syndrome. Inspired by Parkinson’s UK ‘Get it on Time’ campaign, we sought to improve administration of Parkinson’s medications to within 30 minutes of prescription time in at least 80% of patients at York Hospital. Parkinson’s patients on medical wards in York Hospital were continuously audited across May, June and July 2025. In May and

Trends in secondary prevention of hip fracture: National Hip Fracture Database (NHFD) data for England, Wales and Northern Ireland Antony Johansen, Will Eardley and Liz Fagan Introduction Patients with a hip fracture are at ‘imminent risk’ of further fragility fractures. In 2021 the NHFD introduced a new ‘key performance indicator’ (KPI7: the proportion of people known to be on bone protection 120-days after hip fracture) specifically to address this. In 2023 the ‘Call to Action’ paper published in Age and Ageing challenged clinicians to respond by giving a first dose of intravenous

Introduction: Eating and Drinking with Acknowledged Risks is an individualised clinical decision balancing risks (may refer to aspiration, malnutrition, dehydration and choking) and benefits (quality of life, pleasure of eating). It may be applied in patients who have irreversible swallowing difficulty, with swallow reflex present where alternative means of providing nutrition are not appropriate. Method: Previous work completed in 2023 looked at cohort of patients where “Eating and Drinking with acknowledged risk” decision was made on Ageing and Complex Medicine ward over 12month period (n=22

Introduction: NHS England has set out an ambitious target of delivering the world’s first net zero health service and responding to climate change, improving health now and for future generations. Medicines account for around 25% of emissions from the NHS, from inhalers. anaesthetic and medical gases (5%) and emissions that are embedded in the supply chain of pharmaceuticals (20%). Reducing waste and ensuring appropriate polypharmacy are cornerstones of the NHS strategy to address this, as summarised in the Overprescribing Report. Method: The 3 aims of the project were: Improve deprescribing

Introduction: Vascular dementia is the second most common subtype of dementia, yet perhaps the most preventable as the underlying pathology is cerebrovascular damage. Therefore, managing vascular risk factors is vital to reduce disease progression. The aim of this study was to assess the management of various risk factors contributing to vascular and mixed dementia patients of the Cardiff and Vale memory clinic. Methods: A retrospective cross-sectional study was conducted, collecting data from 100 patients diagnosed with mixed or vascular dementia between 2022-2024 using WCP and PARIS. Factors

Introduction The GRACE initiative was a pilot designed to enhance inpatient experience of older adults. Proportionate moving and handling techniques were introduced as well as increasing the number of therapy staff on a ward reducing reliance on multiple staff for routine ward care. We aimed to improve patients’ functional independence and prevent deconditioning. Methods A ward of 26 patients was chosen with a control comparison and nursing staff were upskilled in proportionate manual handling. For 4 weeks, therapy staffing was increased from 2 therapists to 4 and patients given additional

Introduction In 2023 the ‘Call to action’ paper recommended giving a first dose of intravenous zoledronate (IV Zol) during hip fracture patients' inpatient stay. However the HORIZON study demonstrated the benefit of annual infusions. To help plan service provision we set out to define the constraints on patients reattending for repeated outpatient IV Zol. Method We reviewed local National Hip Fracture Database (NHFD) data for all patients presenting with a femur fracture in 2024. At 120-days a follow-up questionnaire is sent to all patients and we used this to identify those most physically

Introduction Hospital At Home (HaH) provides hospital-level care for acute medical issues that would traditionally require admission to an acute hospital bed. HaH with Comprehensive Geriatric Assessment has shown similar outcomes for older people living at home compared to those admitted to an acute hospital (Shepperd et al, 2021). Referral to an alternative from hospital can be slow and tortuous. To reduce this delay and chance of hospital admission, a pilot scheme of patient self-referral into HaH was launched in May 2024 and evaluated. Method Anonymised patient data was retrospectively

Introduction: Dementia affects approximately 40% of hospitalised older adults (1-2) often leading to distress, communication challenges, and a decline in functional independence during admission (3). Although multidisciplinary team (MDT) geriatric care improves clinical outcomes,(4) the psychosocial and biographical needs of patients are overshadowed by immediate medical priorities. To address this, our QIP implemented the “About Me” form, a document capturing individual preferences and daily routines, with the aim of increasing staff confidence and supporting more personalised, meaningful