Posters

Introduction Frailty in people with heart failure (HF) is associated with poor outcomes. Multidimensional interventions addressing frailty in people with HF are recommended to improve outcomes. Nurses are frequently involved in delivering frailty interventions. Related contributions are rarely described in detail. As part of the development of a novel evidence-informed complex nursing intervention, this study aimed to assess the relevance and feasibility of components addressing frailty in people with HF from the perspective of potential end users. Methods We used the RAND/UCLA Appropriateness

Abstract Perioperative Care of Older People undergoing Surgery (POPS) clinics provide multidisciplinary optimisation for older adults with frailty undergoing surgery. While physical recovery following surgery is well documented, psychological outcomes are less consistently addressed within perioperative pathways. Analysis of patient-reported outcome measures (PROMs) from patients undergoing elective joint replacement identified a disparity between improvements in physical recovery and persistent low mood post-operatively. This quality improvement project aimed to identify gaps in psychological

Introduction The NoLap arm was introduced in year 11 (Y11) of the National Emergency Laparotomy Audit (NELA) to obtain structured data on decision-making and outcomes in patients presenting with inclusion diagnoses who did not proceed to surgery. However, identification of patients presenting with the inclusion criteria for NoLap has been poor and was hypothesized to have resulted in inadequate data collection for Y11. This analysis aims to retrospectively identify patients who fit criteria for NoLap audit inclusion in Grange University Hospital (GUH) in Y11 of NELA. Method All adult patients

Background Singapore has a high hip fracture incidence with substantial morbidity and cost burden. At Woodlands Hospital, a new hospital, it was recognised that high-value fragility fracture care must go beyond hip fractures, beyond the inpatient episode, and beyond osteoporosis. Programme Description Building on established orthogeriatric co-management, the Programme for Osteoporosis Management, Insufficiency fractures and Sarcopenia in the Elderly (PROMISE) was implemented at hospital opening. It manages hip and non-hip fragility fractures across acute, rehabilitative, and outpatient

Introduction Cardiometabolic diseases accumulate with age. Falls are a leading cause of injury, hospitalisation and loss of independence in older adults, and individual cardiometabolic conditions are known to increase falls risk. However, it is unclear how the sequence in which cardiometabolic conditions develop influences subsequent falls risk. We aimed to identify common cardiometabolic disease trajectories and estimate their association with incident falls. Method We used UK primary care data (Clinical Practice Research Datalink), linked to hospital admissions data (HES) in a cohort study

Introduction: Frailty, multimorbidity and older age are associated with poorer postoperative outcomes, increased complications and greater healthcare utilisation. National guidance recommends comprehensive perioperative assessment for these patients. This study evaluates the adherence of a Perioperative Care of Older People undergoing Surgery (POPS) clinic to national standards and explores its impact on perioperative decision-making and healthcare resource utilisation. Methods: A retrospective study was conducted of patients assessed in a POPS clinic over a 1 year period (2024-2025). Data

Background Older spinal surgery patients often exhibit multi-morbidity and frailty syndromes. Hence, they are high risk for adverse outcomes and prolonged hospital admissions. POPS models have demonstrated efficacy in other surgical specialties. Data from dedicated spinal surgery units on staff perceptions of POPS services remains sparse. Objective To evaluate multi-disciplinary staff perceptions regarding the utility, clinical benefit, and impact of a Spinal Surgery POPS weekly in-reach service. Methods A pilot POPS service was established at a Major Trauma Centre (Leeds General Infirmary, UK

Introduction Delirium is a common and serious condition in older adults and is associated with increased morbidity, mortality, prolonged hospital stay, and institutionalisation. National guidance recommends routine delirium screening using validated tools such as the 4AT; however, delirium remains under-recognised in acute hospital settings. This project aimed to assess compliance with 4AT screening in older adults presenting with confusion and to implement interventions to improve delirium recognition. Aim To evaluate compliance with 4AT delirium assessments and documentation of delirium risk

Introduction Cardiovascular disease remains the leading cause of morbidity and mortality in older adults. Conventional disease-focused management often fails to address frailty, multimorbidity, cognitive impairment and polypharmacy, which significantly influence clinical outcomes in this population. This narrative review evaluated current evidence for comprehensive geriatric cardiology and explored multidisciplinary strategies to improve cardiovascular care, functional independence and quality of life in older adults. Method A narrative review was performed using PubMed and the Cochrane

Introduction Perioperative management of Parkinson’s disease (PD) patients warrants specific additions to standard care to prevent degeneration of motor symptoms and complications caused by delayed dosing of dopaminergic medications. Barts Health have produced clinical guidelines for management of inpatients with PD; this audit assesses adherence to this guideline in the context of elective surgical admissions. Method A database search identified patients with PD who had attended pre-operative assessment clinic (POA). Patients were analysed separately in two groups; surgery date pre-guideline

Introduction Hypertension is a leading contributor to cardiovascular mortality; however, its role as an underlying cause of death when intracerebral hemorrhage (ICH) is a contributing factor remains insufficiently characterized. Identifying demographic and geographic patterns may support more targeted prevention strategies. Methods We performed a retrospective observational study using the CDC Multiple Cause of Death database from 1999 to 2020. Adults aged ≥25 years were included if hypertension (ICD-10 codes I10–I15) was listed as the underlying cause of death and ICH (I61) as a contributing

Introduction The involvement of geriatricians in the care of frail, older patients under other specialities, particularly within perioperative settings, has shown to improve outcomes (1). There is growing support for using Comprehensive Geriatric Assessments (CGAs) within Cardiology, due to the prevalence of cardiovascular disease within this cohort and the challenges frailty presents to clinical decision-making (2,3). Methods Our aim was to increase the percentage of CGAs carried out for patients admitted under Cardiology aged ≥65 with a Clinical Frailty Score (CFS) of ≥5 by 50%, between

Introduction: As immune checkpoint inhibitors (ICIs) become standard treatment across an increasing range of cancers, older adults make up a growing share of recipients — yet they may also carry the highest cardiovascular risk from treatment. ICI-induced myocarditis is an uncommon but frequently fatal cardiac complication, with reported mortality of 30–50%. Older age has been repeatedly flagged as a possible risk factor, but no systematic synthesis has examined this alongside other predisposing factors. This review aimed to identify demographic, disease-related, and treatment-related factors

Introduction Frailty is a major predictor of adverse postoperative outcomes, yet routine identification within elective surgical pathways remains inconsistent. National perioperative guidance recommends early frailty identification to facilitate optimisation and shared decision-making, but sustainable implementation at scale has proved challenging. Swansea Bay University Health Board developed and evaluated a digital patient self-assessment pathway using a modified patient-reported Clinical Frailty Scale (CFS). Following a successful pilot in elective general surgery, the pathway was adopted

Introduction Fascia Iliaca (FI) nerve blocks are recommended for patients presenting with neck of femur fractures to provide effective analgesia and reduce opioid requirements. We conducted a quality improvement project (QIP) in a busy district general hospital to increase the proportion of patients receiving FI blocks and improve compliance with post-procedural safety precautions, in line with Royal College of Anaesthetists (RCoA) guidance. Methods Data were collected retrospectively from the local orthopaedic trauma database and electronic patient records over two separate two-week periods

Introduction Frailty is associated with increased rates of postoperative complications, a quarter of adults undergoing emergency laparotomy are living with frailty. The "Care of the Elderly Surgical Liaison service" aims to provide a comprehensive geriatric assessment for surgical patients aged over 65 years old and living with frailty. The aim was to conduct a general review of the Surgical Liaison service at Royal Bolton Hospital and improve the referral process. Method The project was a retrospective study across a period of 3 years, from January 2023 to December 2025. A total of 730

Title: Optimising Guideline-Based Laxative Prescribing in Older Adult Inpatients: A Quality Improvement Project Introduction: Constipation is common in older adult inpatients and is associated with delirium, urinary retention, abdominal discomfort, prolonged hospital stay and increased polypharmacy. Despite national guidance, laxatives are frequently prescribed without adequate assessment of reversible causes or documentation of the indication. We aimed to improve guideline-based, individualised laxative prescribing on two geriatric wards, targeting 85% appropriate management within 8–12 weeks

INTRODUCTION Frailty is common among older adults with atrial fibrillation (AF) and may influence anticoagulation prescribing despite not being incorporated into conventional stroke and bleeding risk assessment tools. Concerns regarding falls, bleeding risk and multimorbidity may contribute to therapeutic uncertainty. This study evaluated the association between frailty, anticoagulation use and clinical outcomes in older adults admitted with AF. METHODS A prospective observational study was conducted across four elderly care wards in a UK district general hospital. Consecutive inpatients aged

Background: Delirium is a common complication of hospitalisation in older adults and is associated with increased mortality, prolonged hospital stay and functional decline. Although routine screening using the 4AT is recommended, delirium assessment and documentation remain inconsistent. Baseline auditing identified poor ward-based 4AT completion, with assessments predominantly undertaken by medical staff despite the multidisciplinary nature of geriatric care. Aim: To improve multidisciplinary recognition, assessment and documentation of delirium by increasing staff knowledge, confidence and

Introduction An accurate Clinical Frailty Score (CFS) is a good predictor of surgical outcomes and should be documented correctly for all surgical patients. However, this is not always followed in practice. This project aims to identify discrepancies in CFS documentation between Emergency Department (ED) triage and the POPS (Perioperative care for Older People undergoing Surgery) team and explore adherence to POPS recommendations. Method This was conducted by the POPS team in a district general hospital in England. The CFS done preoperatively on vascular inpatients separately by ED triage