Posters

Background Cardiovascular complications are one of the most common causes of morbidity and mortality perioperatively during non-cardiac surgery. This risk is significantly increased in those ≥65 and those who are frail. NICE and ESC both recommend that all patients ≥65 have a pre-operative ECG to assess each patient's risk of perioperative cardiovascular complications before any intermediate or high-risk surgery. This study aims to assess the risk of perioperative cardiovascular complications in those ≥65 with abnormal ECGs. Methods We analysed data from patients attending our combined

Abstract: Audit of Cardiac Arrests at Nevill Hall Hospital (October 2022 - February 2025) Introduction This comprehensive audit examined cardiac arrests at Nevill Hall Hospital, part of Aneurin Bevan University Health Board (ABUHB), over a 28-month period. The study investigated relationships between patient frailty, comorbidities, resuscitation appropriateness, and clinical outcomes in a unique step-down hospital setting. Following health board restructuring, Nevill Hall operates without on-site specialties, anaesthetics, or intensive treatment unit facilities, comprising multiple Care of the

Aim This study aimed to assess management pathways and outcomes in sigmoid volvulus (SV). Methods A retrospective review was performed on patients first admitted with SV between 2019 and 2023 within a tertiary-level colorectal service. Demographic, management, and outcome data, including frailty, ASA (American Society of Anaesthesiologists), and National Emergency Laparotomy Audit (NELA) score, were collected. Comparative statistics were used to compare baseline demographics between those operated on and those not and to identify factors associated with survival. Results A total of 72 patients

Introduction: Would you drive a car with a worn tyre? Then why use a walking aid with a worn ferrule? Walking aids are essential tools for supporting and maintaining an individual’s independence, function, and safety. They provide greater stability and balance, promote a safe gait pattern by improving speed and stride evenness, and enhance confidence in mobility. However, it is well known walking aids that are incorrectly fitted or equipped with a worn ferrule can increase the risk of injury and or falls and their associated complications, but there is no evidence to suggest worn out ferrules

Introduction: The Centre for Perioperative Care Guidelines for People Living with Frailty emphasises the need for routine frailty assessment and subsequent Comprehensive Geriatric Assessment (CGA) in older adults within the emergency surgical setting. Medication review and optimisation is an integral part of the CGA. The Scottish Government’s Polypharmacy Guidance provides a 7 steps structure for patient-centred medication reviews. Utilising this structure, our aim was to establish a standardised method for documentation and recording of medication reviews as part of CGAs undertaken by our

Introduction: Inpatient falls are common and serious issue in healthcare, often leading to complications like traumatic brain injuries. Timely and appropriate evaluation using Computed Tomography (CT) scan of the head is crucial for diagnosing and managing those injuries. Clinical guidelines, such as those established by the National Institute for Health and Care and Excellence (NICE) and Royal College of Radiology (RCR) outline when CT head should be performed after a fall to ensure timely intervention and efficient use of resources. However, adherence to this guideline varies, sometimes

Introduction The National Hip Fracture Database (NHFD) 2023 report recommended a care bundle for patients leaving theatre recovery to include anaesthetists’ postoperative instructions regarding blood pressure, fluid management, transfusion and postoperative pain to improve outcomes. This audit evaluates our effectiveness in adhering to these recommendations.​ Methods We retrospectively audited the case notes of 51 hip fracture patients undergoing surgery between June and September 2024 in our trauma centre. Results 76.5% of patients were >80 years, 27.5% were ASA grade 4. One of the 51

Introduction In this retrospective study we examined adverse cardiovascular outcomes in patients under and over 80 years of age. Two cohorts were analysed: those undergoing coronary angiography and those treated for acute coronary syndrome (ACS). The first aim was to asses outcomes in those selected for invasive strategy including elective, urgent, or emergency procedures. The second aim was to compare invasive, excluding staged procedures, versus conservative management in the whole cohort presenting with ACS. Methods Data was retrospectively collected from patients treated at Conquest

Intro: Postoperative delirium (POD) affects 15-50% of older cardiac surgery patients, yet its long-term functional consequences remain poorly characterised. This study examines the association between POD and 5-year trajectories of disability using prospectively collected Barthel Index data. Methods: We analysed 135 patients aged ≥60 undergoing elective CABG±valvular surgery at a UK tertiary centre (2017-2023). POD was identified through daily Postoperative Morbidity Survey (POMS) assessments. Functional status was measured via Barthel Index (0-20) preoperatively and at discharge and at 6

Introduction Diabetes is prevalent (15%) in patients undergoing hip fracture surgery, with inadequate perioperative management linked to poor outcomes. National guidelines recommend surgical prioritisation, medication management, strict glycaemic and electrolyte monitoring, yet adherence remains suboptimal. This audit assessed compliance with the Centre for Peri-Operative Care standards at Ealing Hospital. Method A six-month retrospective audit (Aug 2024 – Jan 2025) reviewed the perioperative care of 26 diabetic patients (28% of 94 total hip fracture cases). Data were collected using online

Introduction: The increasing prevalence of osteoporosis, rising numbers of total hip replacements, and longer life expectancy have contributed to a growing incidence of periprosthetic femoral fractures (PPFFs), particularly in elderly, frail, and comorbid populations. In the UK, the Best Practice Tariff (BPT), introduced in 2010, aimed to improve outcomes in neck of femur (NOF) fractures through timely surgery and orthogeriatric care. For NOF fractures, strong, robust evidence links early surgery with better outcomes. Since 2020, the National Hip Fracture Database (NHFD) has included PPFFs

Introduction A growing evidence base demonstrates that perioperative frailty screening is essential to improve post-operative outcomes, yet it is underutilised in many hospitals. People living with frailty undergoing surgery can be complex and multimorbid with a high risk of complications, and comprehensive geriatric assessment in such cases is invaluable. This study quantifies the impact of initiating a POPS service in Swansea Bay University Health Board, with outcome data over a two-year follow-up period. Method In 2022, a quality improvement project to establish a POPS team was undertaken

Introduction Chronic heart failure is a leading cause of hospitalisation in individuals over 65, carrying significant morbidity and mortality, with approximately 50% of patients dying within five years of diagnosis. Despite this, only 40% of patients are under the care of cardiology, a figure projected to decline further. This audit aimed to assess adherence to European Society of Cardiology and NICE guidelines for the investigation and management of heart failure in geriatric inpatients at the Norfolk and Norwich University Hospital. Methods We conducted a closed-loop audit of 100 patients

Introduction: Enhanced Recovery After Surgery (ERAS) protocols have significantly improved outcomes in elective surgery, but their application in emergency settings—particularly for elderly patients—remains limited. Although ERAS guidelines for emergency laparotomy exist, uptake in clinical practice is inconsistent. Data from the National Emergency Laparotomy Audit (NELA) show that patients aged ≥65 experience significantly worse outcomes than younger cohorts, with a 30-day mortality of 15.3% compared to 4.9%, and longer hospital stays (15.2 vs. 11.3 days)1. Our aim was to develop a modified

Introduction & Aims Syncope is a significant cause of morbidity and mortality that is reported to affect up to 20% of adults over 75 years old. We aimed to describe the current Bradford syncope service for older adults. Methods Descriptive statistics were generated using data collected from outpatients discharged from the clinic in September and October 2024. Data were recorded manually using clinic letters and notes. SNOMED CT diagnostic and procedural codes recorded were requested from the Informatics team. Results The study included 46 patients aged 80 years (mean, range 70 to 94), 60% (27)

There is strong evidence in the medical literature that a fracture following a fall, and especially a neck of femur fracture, is one of the most serious events that can happen in an older person’s lifetime. These fractures have been associated with increased morbidity, loss of independence, a high rate of institutionalization, and mortality. Rates of mortality after a year from femoral fractures have been proven to be three to four times higher than the expected in the general population, ranging between 15% to 36%. This emphasizes the importance of developing well-organized care pathways for

Introduction: As neurosurgical procedures are increasingly performed on older patients, there is a growing need to incorporate geriatric care to optimise clinical outcomes. In response, the neurosurgical and geriatric teams at our institution collaborated and launched an in-reach service for elderly patients on neurosurgical wards in January 2025. This project aimed to identify staff perceptions around how the new service could benefit neurosurgical patients and identify areas for improvement. Methods: This qualitative study involved interviewing 15 colleagues across the Neurosurgical multi

Introduction. Discussions about resuscitation provide patients with the opportunity to be involved in highly consequential decisions about the care they receive. Such discussions often occur in response to a clinical deterioration late in the hospital admission or do not happen at all (Parliamentary and Health Service Ombudsman, 2024). This QIP aimed to increase the proportion of care of the elderly (COTE) inpatients at South Tyneside District Hospital with a documented discussion about resuscitation status. Method. Three rounds of data (n=31, n=31 and n=75) were collected at a snapshot in

Introduction Neck of femur (NOF) fractures account for over 60,000 cases in England and are often elderly, with multiple co-morbidities. Post-operative delirium is a frequent complication seen in these patients. With an increasingly frail population, the rates of NOF fractures and associated delirium are projected to increase. Current guidelines state that professionals should actively assess for cognitive impairment upon initial presentation. We aimed to evaluate the compliance of utilising the 4AT tool in post-operative NOF patients, and correlation between post-operative delirium with

Introduction: Falls are a common occurrence in both inpatient and emergency settings with CT head imaging being the gold standard for assessing potential intracranial injuries. However, it was noted that CT scans are often inappropriately requested leading to unnecessary radiation exposure and increased healthcare costs. The aim of the audit was to evaluate adherence to NICE Head Injury Guidelines on CT head[i] scanning after falls in a district hospital. Methods: In the first PDSA cycle, 50 adult patients who attended the ED with a fall were randomly selected. Data was collected