Posters

Introduction: Pelvic fractures are a common fragility fracture but often under recognised. There is a wide range of incidence 6.9-78.6/100,000/year being reported in the UK. The objective of this study was to measure incidence of pelvic fracture and re-fracture rate for the population of Gwent (592,000). Methods: A retrospective service evaluation of all fragility fracture patients seen by Aneurin Bevan Fracture Liaison Service (AB-FLS) between January 2022 and December 2025 was completed. Pelvic fracture cases were extracted from the FLS-DB for analysis. Data were analysed to describe patient

Introduction: Chronic Kidney Disease (CKD) affects 5-10% of the world population and is associated with increased fragility fracture risk and mortality. The objective of this study is to measure impact of CKD stage on one-year mortality in fragility fracture patients. Methods: 5320 fragility fracture patients seen by Aneurin Bevan Fracture Liaison Service (AB-FLS) between January 2022 and June 2024 were reviewed retrospectively. 1718 patients’ fragility fracture were excluded due to non-availability of estimated glomerular filtration rate (eGFR). CKD stages were classified based on eGFR (mL

Background Sialorrhoea is a common non-motor complication of Parkinson's disease (PD), but its significance beyond symptom burden remains under-recognised. We hypothesised that referral for sialorrhoea represents a late disease milestone associated with advanced disease stage and may serve as a surrogate marker of frailty and mortality risk. Methods We conducted a retrospective cohort analysis of patients referred to the Parkinson's sialorrhoea service in Cardiff and Vale between May 2021 and June 2025. Demographics, Hoehn and Yahr (H+Y) stage, age-stratified outcomes, referral timelines, and

Herpes zoster (HZ) results from the reactivation of latent varicella zoster virus, acquired earlier in life. The risk of post-herpetic neuralgia (PHN), the most frequent HZ complication, increases with age. In 2024, the Joint Committee on Vaccination and Immunisation extended its recommendation of the recombinant zoster vaccine (RZV) for inclusion in the United Kingdom (UK) National Immunisation Programme to adults aged ≥80 years. In this study, we evaluate the potential public health impact of RZV introduction in adults aged ≥80 years. The ZOster ecoNomic Analysis (ZONA) model was adapted to

Introduction Parkinson’s disease (PD) affects approximately 145,000 individuals in the United Kingdom, and its prevalence is projected to increase by 20% by 2025.Parkinson disease medications are time-critical, and delays in prescribing or administration can lead to worse clinical outcomes. This Quality Improvement Project (QIP) was undertaken to evaluate the accuracy of Parkinson’s disease (PD) medication prescriptions on admission to the University Hospital Lewisham (UHL) Elderly Care Wards Method A retrospective review of patient records and pharmacy medication histories was conducted using

Introduction: Older adults are the main users of acute hospital medical care, however the hospital environment poses well-documented risks, particularly for older adults living with frailty. Hospital-at-homes (HaHs), also known as virtual wards, provide acute multidisciplinary healthcare at home for acute medical conditions. However, little is known about current operational models and clinical activity. This study aimed to describe current UK HaH services and their clinical activity on a national scale. Methods: A national cross-sectional survey of UK HaHs conducted in April 2025, describing

Introduction: Patients with high Clinical Frailty Scale (CFS) scores are experiencing substantial radiological investigations in their final months of life. We quantified imaging use in the last six months of life, examined associations between age, CFS, and imaging frequency, and compared patients with and without an anticipatory clinical management plan (ACMP). Methods: Retrospective cohort study (n=94) of randomly selected care home residents with CFS 5–9 admitted to a District General Hospital between January and December 2024. All had died before inclusion. Imaging data were retrieved

Background Surgery is the curative-intent management of colorectal cancer (CRC). Chronological age inadequately captures perioperative vulnerability. Frailty is associated with worse perioperative morbidity, mortality, and longer hospitalization. Hospital Frailty Risk Score (HFRS) is validated for risk-stratifying hospitalized patients. Methods A total of 47,190 admissions with age ≥65 years and CRC who underwent colorectal surgery in 2022 in the USA were extracted from the national inpatient sample database. Admissions were categorized into 6 admission groups based on age-groups (65-75, 75-85

Introduction: Constipation is common amongst hospitalised older adults and is associated with increased length of stay, delirium and falls, yet bowel hygiene is often under-recognised and poorly documented. On the Ageing and Complex Medicine (ACM) ward at Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust, multiple safety concerns were identified, including difficulty locating the bowel chart in the electronic record, inconsistent documentation and patients going more than five days without a bowel opening without appropriate escalation. Methods: A baseline review

Introduction Older adults with hip fractures have high mortality, loss of independence and a substantial burden of depression and anxiety, yet mood and alcohol use are rarely screened systematically in trauma pathways. We examined whether alcohol risk was associated with post-fracture psychological distress and hospital length of stay (LOS) in a Silver Trauma service, to inform an integrated screening pathway. Methods We undertook a retrospective cross-sectional review of adults aged ≥50 years admitted with hip fracture to the Bristol Royal Infirmary between January and April 2023, using

Introduction Frailty Same Day Emergency Care (FSDEC) is an approach designed to provide rapid assessment, diagnosis, and treatment for older adults with frailty without requiring hospital admission. By reducing unnecessary inpatient stays, Frailty SDEC alleviates pressure on acute beds, improves patient flow, and enhances overall system efficiency. We explored the efficacy of this across 3 acute hospitals. Method A retrospective review of FSDEC activity was conducted from June 2024 for 1 year, across three sites in Surrey Heartlands ICS: ASPH, RSCH, and SaSH (which launched its service in

Introduction Hyponatraemia is a prevalent laboratory abnormality in older patients associated with falls, delirium, and prolonged hospital admissions. Despite established guidance, initial assessment is frequently incomplete, with premature endocrinology referrals made before adequate evaluation. This project aimed to improve the quality of hyponatraemia assessments, initial management, and referrals within our geriatric department. Methodology A two-cycle quality improvement project was conducted using a Plan–Do–Study–Act (PDSA) framework. Baseline audit data (Cycle 1, n=50) identified

Introduction: Evidence suggests older patients and their carers who attend urgent care settings are unaware they can self-refer to community and charity services for ongoing support. Aim: To use the domains of the Comprehensive Geriatric Assessment (CGA) to design a holistic patient resource that signposts patients, relatives and carers to different services, thereby enabling them to age well or manage changes in ability. Method: The Quality Improvement Project received Trust governance approval (Ulysses no. 8911). A literature review was undertaken to establish whether there were existing

Introduction Indwelling urinary catheterisation is common in hospitalised adults but is associated with catheter‑associated urinary tract infection, prolonged hospital stay, deconditioning and discomfort when not optimally indicated or reviewed. A two‑cycle quality improvement project in Morriston Hospital aimed to evaluate and improve the appropriateness, documentation and ongoing review of urinary catheter use to enhance patient safety.​ Method Two retrospective audit cycles were undertaken on adult inpatients with indwelling urinary catheters, using clinical notes and catheter bundles as

Abstract ID - 4412 Abstract title - Should the Clinical Frailty Score (CFS) be used to guide decision-making among Intensive Care Unit (ICU) inpatients? Abstract Author Name - Dr H-M JAMES; Professor A JOHANSEN; Dr B JONES Abstract Provenance - Cardiff and Vale University Health Board, Intensive Care Unit Should the Clinical Frailty Score (CFS) be used to guide decision-making among Intensive Care Unit (ICU) inpatients? Background When deciding on the appropriateness of ICU admission an understanding of patients’ prior dependency is just one issue to be considered, alongside their medical

Introduction Frailty is a clinical syndrome characterised by reduced physiological reserve associated with poor hospital outcomes. Limited epidemiological data exists in Middle Eastern populations, specifically the Kurdistan Region of Iraq. This study aimed to determine frailty prevalence and predictive factors among inpatients in Rizgary Hospital, Erbil, addressing a regional evidence gap. Method A cross-sectional observational study was conducted of 162 inpatients (mean age: 72.4±8.7 (82 male, 80 female)), at Rizgary Hospital between December 2024 and March 2025. Frailty was assessed using

Introduction In many older adults, frailty is due to underlying co-morbidities rather than just due ageing. Frailty was rarely mentioned in the death certificates until the Royal College of Pathologists revised the causes of death list in 2020 which suggests two terms: Frailty syndrome which should be quantified with comorbidities and Frailty of old age if the deceased was above 80. The aim of this study was to identify the trend in deaths coded as Frailty of old age in England and Wales over the last 7 years. Methods We extracted data from the Office for National Statistics. Since ICD

Introduction Social prescribing is a widely implemented tool used to support unmet non-medical needs in the community. This systematic review aimed to summarise the impact of social prescribing on a population of older adults living with frailty and/or multimorbidity. Methods This review was conducted in line with PRISMA guidelines for systematic review. Searches were completed across MEDLINE, EMBASE and PsychInfo. Social prescribing was defined as co-ordinated multi-component individualised community-based referrals via a link worker. Studies of adults age 65+ or predominantly older adults

Introduction Deprescribing in older people living with frailty is an evidence-based, structured, patient-centred process aimed at reducing or stopping medications where potential harms outweigh benefits. Evidence suggests that deprescribing is safe and feasible, reduces number of potentially inappropriate medications (PIMs) in older people, without increasing adverse outcomes and leads to modest clinically meaningful benefits. Identifying PIMs is a critical step in deprescribing and Phase1 of this project aims to proactively identify and understand the size of inappropriate polypharmacy in

Introduction Frailty and falls are significant concerns for older adults, leading to reduced independence and increased healthcare needs. Medicines, particularly polypharmacy, can contribute to frailty and falls yet patient awareness of these risks remains unclear. Patient engagement is essential to inform strategies that improve knowledge and reduce the risk of medicines related harm. Methods Participants were identified by the local NHS patient engagement team and invited to participate in focus groups. Semi-structured interview templates were designed by the study team. Sessions were