Posters

Introduction Medications with anticholinergic burden are associated with falls and cognitive decline in elderly. About 30% of people aged 65 years and over in the UK have a fall at least once each year, increasing to 50% at the age of 80 and over. Method The last 100 patients admitted to the Frailty unit with falls were identified and Anticholinergic Burden (ACB) scores calculated on admission and at discharge. Patients were defined as having a positive (ACB≥1) or negative (ACB=0) ACB score. Drugs responsible for ACB score were identified and medication changes assessed. Results 75 out of 100

Introduction: With an ageing population, identifying frailty aids reduction of adverse postoperative outcomes. Centre for Perioperative Care - British Geriatrics Society ‘Care for People Living with Frailty’ guidelines state all patients aged >65 should have a documented Clinical Frailty Scale (CFS) score at pre-operative assessment. If CFS≥5, cognitive assessment should be documented and Comprehensive Geriatric Assessment performed. This audit aimed to assess frailty documentation at pre-operative anaesthetic assessment to support introduction of a specialist perioperative frailty pathway

Introduction Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in older adults. More than 70% of adults develop CVD by 70 years of age, among whom more than two-thirds also develop non-CVD comorbidities. There have been recent advances in CVD management but how we apply these to deliver integrated care to the elderly population is key. Thus, there is a clear need for educational strategies that integrate geriatric principles into cardiovascular training. Objectives To design and pilot a structured six week teaching programme in geriatric cardiology addressing

Background: ​Frailty is a multidimensional syndrome characterised by diminished strength, physiological reserve and increased vulnerability. Psychiatric inpatients are a high‑risk, often overlooked population. They typically have reduced life expectancy and are frequently excluded from most research, which leaves their complex healthcare needs unmet. By identifying frailty in this cohort, clinicians can more accurately stratify risks and tailor interventions to each patient’s unique vulnerabilities, and ensure that frailty considerations inform best‑interest decisions. Closing this critical

Introduction: The head-up tilt test (HUTT) is a common diagnostic test in patients presenting with syncope. A fast Italian protocol for HUTT shortens the traditional protocol from 40 to 25 mins (5 min supine phase, 10 min passive phase, 10 min GTN phase). This has been demonstrated to be as sensitive and specific in identifying vasovagal syncope in young adults as the traditional protocol, but not in older adults. We aimed to determine in our practice what proportion of positive results identified using the traditional Italian protocol, could have been identified using the fast Italian

INTRODUCTION Postural hypotension is a significant modifiable risk factor for inpatient falls in older adults. National guidelines recommend lying and standing blood pressure (LSBP) measurement for patients at risk of falls. On our geriatric wards, which care for acute, long-stay and orthogeriatric patients, we observed inconsistent LSBP documentation and delays in identifying postural hypotension. Staff reported difficulty locating LSBP records and a perception that fall prevention was being deprioritised in comparison to post-fall care. This project aimed to assess current practice and

Introduction: One-third of people aged ≥65 years fall at least once a year. Exercise on land reduces falls by up to 34% and fallers by >15%. Exercise on land may sometimes be challenging, e.g., for very frail people with high risk or fear of falling, people with painful joints, obesity and other comorbidities. Aquatic exercise may have positive effects on falls reduction, but research on it is sparce. The aim of this study was to design and deliver an aquatic exercise therapy intervention for falls prevention, and investigate its feasibility and acceptability for older adults with high fall

Introduction Delirium is a recognised complication of emergency surgery and is associated with unfavourable clinical outcomes. Previous work has suggested that delirium is under-diagnosed. Here we describe risk factors for, and the clinical impact of delirium in an older-adult emergency laparotomy cohort. Methods Routinely collected data on emergency laparotomy patients ≥ 65 years admitted to The Grange University Hospital from November 2021 to April 2025 were included. Delirium was scored prospectively using the 4-AT score. Frailty was defined as Clinical Frailty Score (CFS) ≥ 5. Analysis was

Introduction Head and Neck surgery is complex, often requiring prolonged anaesthesia and careful postoperative care to ensure good functional recovery. The surgical pathway can be challenging for older patients living with frailty, who have longer inpatient stays and higher rates of postoperative complications and mortality. We have developed a new Geriatrician led service within the Head and Neck surgical pathway, which started in July 2024. This consists of a multidisciplinary outpatient preassessment clinic (geriatrician, anaesthetist and clinical nurse specialist) and weekly ward round

Introduction The perioperative journey for People with Parkinson's is a high-risk period. The current lack of unified guidance often leads to inconsistent care and unmet patient needs, despite advancements in Parkinson's disease (PD) diagnosis and long-term management. To address this gap, this qualitative study aimed to explore the lived experiences of people with Parkinson's undergoing surgery to inform our clinical guidelines for perioperative PD care that are currently under development. Methods Four patients, recruited from the Parkinson’s UK Patient Network, participated in the study

Introduction Reducing the time people wait for elective care is one of NHS England’s priorities. [1] It is projected that by 2030 there will be 1.4million Londoners aged over 65 [2] and increasing numbers of older people are undergoing surgery. [3] Frailty is a significant risk factor for surgical complications. [4] , [5] Non-electiveOrthogeriatrics is well established, this is not the case for elective orthogeriatrics or indeed other specialities The Centre for Perioperative Care (CPOC) and the British Geriatric Society developed evidence-based guidelines on perioperative care for people

Stevens-Johnson syndrome (SJS) is a serious, potentially life-threatening condition affecting the skin and mucous membranes. This syndrome occurs twice as frequently in females compared to males and affects individuals across all age groups. The most common triggers are drugs. Here, we present a case of SJS linked to doxycycline/flucloxacillin-induced SJS. A 76-year-old woman with Sjögren’s syndrome, rheumatoid arthritis (RA), chronic obstructive pulmonary disease (COPD), and osteoarthritis (OA) was referred by her General Practitioner (GP) with a rapidly spreading, itchy, hyperkeratotic rash

Abstract Content - Introduction Vitamin D is a fat-soluble vitamin essential for bone and muscle health through its role in regulating calcium and phosphate homeostasis. It exists in two main forms: vitamin D3 (cholecalciferol) and vitamin D2 (ergocalciferol). Approximately 90% of vitamin D is synthesized in the skin via exposure to ultraviolet B (UVB) radiation, with the remaining 10% obtained from dietary sources (Holick, 2007). Both forms are biologically inactive and must be enzymatically converted in the liver and kidneys to 1,25-dihydroxyvitamin D (1,25[OH]₂D) (DeLuca, 2004). In addition

Introduction: Certain medications increase the risk of falls in older adults and there is evidence that identification and review of Fall Risk Increasing Drugs (FRIDs) in older adults using a structured approach can significantly reduce falls risk. Anticholinergic burden (ACB), the cumulative effect of medications with anticholinergic activity, is associated with an increased risk of falls in older adults. Studies show that higher ACB scores are linked to higher rates of falls and fractures. Method: Patients admitted to an Older People’s admission ward with a fall as their presenting complaint

Background: This QIP was held in the hospital respiratory medicine and infectious disease wards at UHCW NHS Trust which was focusing on patients who was admitted with increased Oxygen demand. Introduction: Oxygen is a commonly administered medication in acute care, yet inappropriate prescription can be harmful, especially for patients at risk of hypercapnia. The British Thoracic Society and University Hospitals Coventry and Warwickshire (UHCW) NHS Trust’s guidelines mandate clear documentation of oxygen therapy, including target saturation on patients’ records. After the respiratory medicine

Hospital-Acquired Infections in Older Vascular Inpatients (≥60 Years): A Single Center Cohort Study and outcomes analysis A Sargious1, M Shaikh1, M Mohsin2, A Williams2, B Eckley2, L Papp2 Department of Vascular Surgery, North Wales, BCUHB BACKGROUND Older adults undergoing vascular surgery are particularly vulnerable to hospital-acquired infections (HAIs) due to frailty, multi-morbidity, and the high prevalence of emergency interventions. HAIs in this population significantly affect recovery, length of stay, and survival. This study aimed to evaluate the burden, risk factors, and outcomes of

Introduction: Falls are a major health risk for older adults, often resulting in serious injury and long-term care (Montero-Odasso et al., 2022). Adults aged 50+ may also be vulnerable due to age-related changes in physical and cognitive function, highlighting the importance of early intervention (Karvonen-Gutierrez et al., 2020). Home modifications are an effective preventative measure (Clemson et al., 2023), yet many individuals resist making changes to their environment . Qualitative findings from our recent mixed methods systematic review identified emotional attachments and resistance to

Background: Pain management following falls is frequently inadequate, especially in non-verbal or cognitively impaired patients. Poor analgesia can contribute to worsened delirium, delayed mobilisation, and longer hospital stays. This project aimed to evaluate and improve the use of regular analgesia in such patients. Methods: Over three audit cycles, we reviewed 20 consecutive patients per cycle admitted with falls or collapse over 96-hour periods. Data collected included age, sex, analgesia regimen (regular, PRN, or none), and verbal status. After cycle one, interventions such as educational

Introduction Neck of femur (NOF) fractures in older adults result in significant morbidity, delayed mobilisation, and increased opioid exposure. Effective, early analgesia is essential for preoperative optimisation and enhanced recovery. Fascia Iliaca Block (FIB), especially when performed under ultrasound guidance (USS), offers targeted pain relief. This quality improvement project (QIP) aimed to increase adherence to RCEM guidelines on ultrasound use for FIB, thereby improving perioperative analgesia. Methods A closed-loop audit was conducted over two cycles (Cycle 1: November to December

Background This QIP was conducted within the complex care department at Royal Bolton Hospital, led by a resident doctor under consultant supervision. Introduction Regular mobilisation during hospital admission is essential for maintaining independence, supporting mental wellbeing, and reducing length of stay. On the complex care ward, many patients were observed wearing hospital pyjamas and remaining in bed for much of the day. Staff perceived a lack of emphasis on mobility. This QIP aimed to assess and improve mobility by raising awareness of its importance and encouraging patients to wear