Posters

Introduction Sitting out of bed plays a crucial role in preventing deconditioning, muscle wasting, pressure injuries and thrombosis among older inpatients. It also fosters social interaction and cognitive engagement, reducing hospital stay duration and combating 'PJ Paralysis'. Objective To improve the number of older patients sitting out of bed during lunchtime in the COTE ward, thereby supporting their functional recovery and overall well-being. Methods Direct observations were conducted over two consecutive days at baseline and again three weeks after intervention were implemented. Patients

Introduction Older adults have historically been excluded from research, in part due to preconceived notions from researchers, clinicians and patients themselves about research being for younger patients or those with certain medical conditions. These assumptions persist despite “Healthy Ageing” being a priority theme for the National Institute for Health and Care Research and the extensive body of evidence that involvement in research benefits clinical care for older adults. This quality improvement project (QIP) aimed to improve older adults’ understanding of opportunities for research

Introduction Osteoporosis poses a significant health challenge in older adults, especially due to fragility fractures that increase morbidity and mortality. The FRAX tool, designed to estimate a 10-year risk of major osteoporotic and hip fractures, is a key resource for guiding treatment decisions. This audit evaluated how effectively FRAX scoring and primary prevention strategies were being used in a Front Door Frailty ward. Methods: Two retrospective audit cycles were conducted. The first included 51 patients (May–August 2024), and the second 50 patients (January–April 2025), admitted with

Background General Medical Council (GMC) recommends effective departmental inductions to support doctors to transition and work in complex, unfamiliar situations with sick patients. Acute stroke care is time critical, multidisciplinary, multi-specialty clinical work and requires doctors to fully comprehend and be able to perform assessments and interventions correctly and timely. This requires effective and tailored clinical induction. Introduction In our hospital, stroke medicine induction is delivered in large group teaching as part of geriatric medicine and general medicine induction

Introduction A significant proportion of hospital admissions among the elderly are attributed to falls, contributing to morbidity and mortality. NICE guidelines recommend a comprehensive assessment in elderly patients presenting with fall including lying standing blood pressure (LSBP) test, carrying out structured medications review and osteoporosis risk assessment. While a large proportion of patients are reviewed and assessed by frailty team after hospital admission, there are a considerable number of elderly patients with falls admitted to Acute Medical Unit especially during out-of-hours

Introduction: The appropriate use of CT scans is essential for patient safety and effective healthcare delivery. This audit aimed to evaluate whether resident doctors in the NHS are requesting CT scans in line with the Royal College of Radiologists (RCR) guidelines, and to assess the impact of educational interventions on improving compliance. Method: A retrospective audit was conducted in two cycles. Cycle 1 involved reviewing CT scan requests made by resident doctors (up to ST2 level) for patients aged 80+ fin August,2024. The compliance with RCR guidelines was assessed on several criteria

Introduction Blood tests are frequently ordered in geriatric wards, often without clear clinical justification. This can lead to patient discomfort, increased costs, and unnecessary workload on staff and laboratory services. This audit aimed to evaluate the frequency and appropriateness of blood test ordering and reduce unnecessary investigations in geriatric wards. Method We reviewed blood tests ordered over a 2-week period across the four geriatric wards at Leicester Royal Infirmary. Seven commonly requested tests were included: full blood count (FBC), urea and electrolytes (U&E), C-reactive

Introduction: Inappropriate polypharmacy is the use of medications with no evidence-based indication, unmet treatment goals, high risk of adverse drug reactions, or when the patient is unwilling / unable to take treatment as intended. This is particularly concerning in geriatric care, due to increased risk of hospital admissions, adverse drug reactions and significant healthcare costs. To address these risks, clinicians should conduct patient-focused medication reviews. This project aimed to assess and improve polypharmacy reviews at Royal Albert Edward Infirmary (RAEI), with a focus on

Introduction Acute heart failure (AHF) is a life-threatening condition that frequently necessitates emergency hospital admission. Intravenous (IV) diuretics, particularly furosemide, are vital in initial management, with early administration shown to improve outcomes. Despite guideline recommendations, delays or deviations in prescribing practices are common. This quality improvement project aimed to assess compliance with European Society of Cardiology (ESC) guidelines regarding the timely administration of IV furosemide in patients with AHF. Method A retrospective audit was undertaken at

Introduction Pain is a common yet under-recognised and debilitating symptom among elderly patients, particularly with dementia, cognitive impairment, or communication barriers. Inadequate assessment can result in adverse outcomes, including reduced mobility, falls, and prolonged hospitalisation. This Quality Improvement Project aims to improve compliance with pain assessment and documentation on acute and frailty geriatric wards. At our hospital, a gap in systematic pain assessment was identified, hence we sought to address this by implementing standardized protocols, enhancing timely

Introduction Parkinson’s disease (PD) is the second most common neurodegenerative condition globally. Its cardinal motor signs are bradykinesia, rest tremor, rigidity, and postural instability. The motor symptoms of PD often lead to dependence on others to perform daily activities. Globally, the incidence of PD is rising. However, for countries in sub-Saharan-Africa such as Tanzania, research on the motor aspects of PD and the associated disability is sparse. The primary aim of this study was to determine the motor symptoms, and burden of motor symptoms, in newly diagnosed people with

INTRODUCTION The increasing prevalence of frailty in the ageing UK population poses significant challenges for healthcare systems, particularly in emergency departments (EDs). Frailty is a leading factor in hospital readmissions among individuals over 65 years old. This project aims to analyze readmissions of frail patients within 7 and 30 days of ED discharge following comprehensive geriatric assessments (CGAs). METHOD This retrospective audit aimed to identify 7 day and 30 day readmissions of patients discharged by the Frailty Emergency Service (FES) at Leicester Royal Infirmary over a six

Background: Sarcopenia, a prevalent geriatric syndrome with multifactorial origins, is strongly influenced by malnutrition alongside immobility and chronic illness and contributes substantially to falls, disability, and mortality. The SARC-F (Strength, Assistance with walking, Rise from a chair, Climb stairs, and Falls) questionnaire is widely used to screen for probable sarcopenia; however, the conventional cut-off of ≥4 has yielded insufficient sensitivity across studies. Objective: To evaluate how SARC-F scores correspond to muscle strength and physical performance tests endorsed by the

Background Cumulative deficit frailty indices from randomised controlled trials (RCT) are increasingly used to assess whether trial findings are applicable to people living with frailty. The aim of this study was to examine the range and type of deficits included in these frailty indices and compare these to those from cohort studies. Methods We identified RCTs assessing treatment effect modification using the cumulative deficit frailty index, as well as cohort studies assessing mortality risk associated with frailty, from recent systematic reviews. We extracted the deficits included in the

Aims This study assesses national trends and, sociodemographic and clinical factors associated with polypharmacy and potentially in appropriate prescribing among people with type 2 diabetes in Scotland from 2012 to 2022. Methods Retrospective cohort study using nationwide data from the Scottish Care Information – Diabetes database. Individuals aged ≥40 years with type 2 diabetes were included. Medication counts were based on unique medications dispensed per calendar year. Potentially inappropriate medications were based on the 2023 Beers criteria and applied to people aged over 65 years. A

Background Randomised controlled trials are often criticised for excluding older people with multiple long-term conditions. This study used individual participant data (IPD) for 25 trials of sodium glucose co-transporter-2 inhibitors (SGLT2i) to compare baseline characteristics, comorbidities, and event rates between trial participants and community SGLT2i-treated people. Methods Trials were identified through a systematic review with subsequent application for IPD. Community SGLT2i-treated people in routine care were identified from SAIL databank. For each trial, we applied the eligibility

Introduction Iron deficiency anaemia (IDA) is one of the most common reasons for referral to day-case settings, reflecting its significant contribution to global morbidity and disease burden. In 2017/2018, over 100,000 treatments were delivered nationally at a cost of £465 million – averaging £449/ case. Locally in South London, a single trust treats 50-60 patients monthly. In the general population , anemia is defined as a haemoglobin <130g/L in men and <120 g/L in non-pregnant women, in association with a serum ferritin<30 mg/L (in the absence of inflammation).The diagnostic criteria differs

Introduction: Anticholinergic medications are widely prescribed to manage pain, urinary incontinence, allergies. Patients with high frailty scores are more susceptible to anticholinergic adverse effects such as falls, cognitive impairment, urinary retention. The Anticholinergic Burden Score (ACB) is a tool used to quantify the cumulative anticholinergic effect of patients' medications. A score of 3 or more is associated with an increased risk of mortality and worse cognitive function. This quality improvement project aims to quantify and reduce ACB scores of patients admitted to the Acute

Introduction: Venous thromboembolism (VTE) is a common complication in post-stroke patients, with an incidence of approximately 17%. Pulmonary embolism accounts for 25–50% of reported VTE-related deaths. Pharmacological prophylaxis with low-molecular-weight heparin (LMWH) is contraindicated within the first 30 days following stroke due to the risk of haemorrhagic transformation and clot instability. As an alternative, mechanical prophylaxis using intermittent pneumatic compression (IPC) has demonstrated efficacy in reducing VTE incidence and improving survival outcomes. Evidence from the CLOTS

Introduction: In October 2023, the electronic patient record system Epic® was introduced across two London NHS Foundation Trusts — King's College Hospital (KCH) and Guy's & St Thomas' (GSTT). This replaced legacy documentation processes, including the Comprehensive Geriatric Assessment (CGA). At KCH, a CGA template widely used by the multidisciplinary team was lost, leading to inconsistent CGA documentation, poor communication of outcomes at discharge, and reduced data usability. This quality improvement project aimed to standardise CGA documentation and communication across care settings