Posters

Introduction Our Falls Service utilises an open referral pathway providing rapid access to multi-factorial assessment. Restrictive eligibility criteria, such as falls history, may limit opportunities for earlier identification of risk factors. Evidence and clinical experience indicate that individuals without previous falls can still benefit from comprehensive assessment. Community-based assessments facilitate identification and management of falls risk, incidental findings, delivery of tailored education, advice and appropriate onward referrals. This evaluation examines the clinical value

Background: Fragility fractures are a major source of morbidity and mortality in frail, older adults (1). Early identification of osteoporosis risk allows for timely referral, investigation, and management. Baseline practice in the Frailty Department showed no use of FRAX (fracture risk assessment tool), resulting in missed opportunities for prevention (2). Aim: To increase use of FRAX within the Frailty Department to guide referrals to rheumatology, dual-energy X-ray absorptiometry (DEXA) scanning, or initiation of immediate treatment. Methods: Baseline data collection was undertaken to

Introduction In older adults, the inability to rise independently after a fall increases the risk of long-lies and associated complications. Up to 65% of individuals attended by ambulance crews post-fall are assisted up without requiring further medical intervention. This study investigated the effectiveness of Floor-Rise Training (FRT) in improving floor-rise ability and reducing fear of falling in community-dwelling older adults. Method This pilot cluster-randomised controlled trial was conducted within five existing Otago exercise classes. Sixty-one participants aged ≥65 years were enrolled

Introduction: Proximal femur fractures in older adults are common and often lead to lasting mobility impairments. Evidence comparing mobility outcomes between different surgical procedures with early full weight-bearing, such as osteosynthesis and prosthetic replacement, is limited. The aim of this study is to examine differences in mobility outcomes between both procedures to inform future treatment decisions. Method: Patients aged 65 years and older, treated for proximal femur fracture at the Trauma Surgery Unit at the Klinikum Oldenburg in Germany were enrolled. Besides others, the De

Objective To review and synthesise the existing evidence on the effects of peripheral nerve block (PNB) compared with no nerve block on the incidence of postoperative delirium (POD) in adults undergoing hip fracture repair. Methods A systematic search of electronic databases (PubMed, Web of Science, EMBASE, and the Cochrane Library) for relevant literature published from database inception to 1st May 2025 was conducted. Randomised controlled trials with PNBs as an intervention in adults undergoing surgery for hip fractures were selected. Studies that excluded patients with preoperative

Introduction: Physical resilience represents a person’s ability to maintain mobility or physical function despite aging, illness, or an acute adverse event such as a fall. Notably, falls are often a sentinel event and a significant cause of rapid functional decline, or loss of independence. Thus, we aimed to identify characteristics of physical resilience among older adults who have experienced a recent fall, which may help identify those at greater risk of decline and other adverse outcomes. Methods: Participants were patients of a geriatrician-led falls prevention clinic who were recruited

Introduction: Prolonged emergency department (ED) length of stay beyond 12 hours is a performance priority and disproportionately affects older adults presenting with falls and mobility impairment. We evaluated a pilot integrating Urgent Community Response (UCR) clinicians within the ED frailty service to support early assessment, admission avoidance, and timely discharge. Methods: A five-day service evaluation was undertaken from 12th – 16th May 2025. A UCR matron was co-located with the ED frailty team from 08:00–18:00. Patients were jointly identified through screening of the ED board and

Introduction Falls with head injury in older adults frequently prompt ambulance conveyance to the Emergency Department (ED), despite many patients being clinically stable. Unnecessary conveyance contributes to ED crowding and may expose older patients living with frailty to avoidable risks. This abstract evaluates a collaborative “call before conveyance” model between South East Coast Ambulance Service (SECAmb) paramedics and a specialist frailty team, assessing whether selective non-conveyance is safe and effective. Method Between June and November 2025, paramedics attending patients aged ≥65

Introduction: Current national and international guidelines recommend intravenous zoledronic acid as first line choice post hip fracture. The aim of this work was to analyse treatment choices made by orthogeriatric team over the last four years and assess opportunities for improvement in the pathway. Method: Data was collected retrospectively, using NHFD dataset for Royal Albert Edward Infirmary over 4 year period (2022 – 2025). Details of treatment choice were analysed across the 4 years with particular focus on timeline from admission to hospital to first dose of intravenous zoledronic acid

Introduction: Medication is recognised as potential contributory cause for falls and NICE guidelines recommend a medication review for all hospital inpatients, as a standard component of comprehensive assessment. Recent research suggest that up to 16% of hospital admissions are either a direct result or contributed by an adverse reaction to medication. Understanding the frequency of medication contributing towards falls admission however has not been clearly defined in literature. Method: Data was collected retrospectively, using local coding for hospital admissions over 12 month period (01.04

Introduction The overall incidence of “mild” traumatic brain injury (mTBI) is increasing due to the growing number of older persons. Often, after clinical examination, older adults with mTBI are released from the hospital without any further treatment or recommendations on how to avoid falling. The potential of Digital Mobility Outcomes (DMOs) to improve follow-up care by providing post-TBI guidance and concrete measures is evaluated. Methods Adults over the age of 65 with mTBI are currently taking part in this ongoing pilot study.Alongside a mixed-methods assessment of medical history

Introduction Falls are a leading cause of injury and loss of independence among older people, with significant physical, psychological, and economic consequences. Digital interventions, such as the NHS-approved Keep On Keep Up (KOKU) app, offer scalable solutions for promoting strength and balance exercises. However, existing dashboards often lack usability and meaningful engagement with stakeholders, limiting their effectiveness in clinical practice. Method This planned study will employ a mixed-methods, multi-phase design guided by the Double Diamond framework. Phase 1 will involve focus

Background: More than 30% of cancer survivors are affected by chemotherapy-induced peripheral neuropathy (CIPN) six months post-neurotoxic treatment. Despite the ever-increasing burden of CIPN-related disability in cancer survivors, current management is inadequate. Small-scale trials have demonstrated the benefits of exercise, particularly balance training, on CIPN symptom severity. However, no studies have concurrently addressed the cognitive complaints raised by 20-30% of patients caused by cancer and/or its treatments. We have demonstrated that home-based cognitive-motor step training

Introduction: Dizziness is a common complaint with many of its underlying contributors overlapping with established risk factors for falls. This secondary analysis examined the fall‑risk profiles of middle‑aged (50–64 years) and older (≥65 years) community‑dwelling adults who reported significant dizziness. Method: 305 community‑dwelling adults aged ≥50 years with dizziness were recruited as part of a randomised controlled trial. Participants completed questionnaires assessing demographics, dizziness severity, medication use, and psychological health, alongside an evaluation of sensorimotor

Introduction Concern about falling (CaF), balance confidence, and falls efficacy are conceptually distinguishable psychological constructs in geriatric rehabilitation. Although interrelated, they require construct-specific measurement. Currently, no validated instrument exists to measure falls efficacy in Japan. The Brief Multidimensional Falls Efficacy Scale (MdFES), 4-item instrument for assessing falls efficacy, was recently developed; therefore, this study aimed to evaluate the psychometric properties of the Japanese version of MdFES (MdFES-J). Methods This cross-sectional study included

Introduction: About one in three adults over the age of 65 fall at least once annually. Land-based exercise can cut overall falls by up to 34% and the number of people who fall by more than 15%. However, exercising on land may be difficult for some, such as very frail individuals, those with a high risk or fear of falling, or people with painful joints and limited mobility. Aquatic exercise may also help reduce falls, but the available evidence is limited. This study aimed to develop and deliver an aquatic exercise therapy programme for fall prevention and to assess its feasibility and

INTRODUCTION In the recent falls guidelines, multidomain interventions are recommended for people with Parkinson’s disease (PwP) [PMID:36178003]. Walking aids improve local balance and stability, increase confidence and reduce mechanical effort associated with walking [PMID:20674533], however walking aid use is associated with recurrent falls in PwP [PMID:25095816]. This study aimed to understand pre-fall activity and environmental fall risk in fallers and the differences associated with walking aid use. METHODS An online survey was developed to evaluate retrospective falls in adults ≥60y. 117

Introduction: Prescription medication can increase fall risk in older adults with Parkinson’s disease (PD). Polypharmacy and medications that have a sedative effect are associated with fall risk in the general older population [PMID:24484618]. In addition, PD medications (higher levodopa dose, dopamine agonists, anticholinergics) are associated with fall risk [PMID:24484618]. Levodopa provides symptomatic treatment; however high levodopa doses (>400mg/day) are associated with motor complications and falls [PMID:23630119]. This study aimed to explore the frequency of prescription medications

Parkinson’s disease (PD) is a complex, progressive neurodegenerative disorder that significantly impacts both motor and non-motor functions, leading to an increased risk of falls. Approximately 60% of individuals with PD will fall every year and nearly 70% fall recurrently, many as often as several times a day or week. Falls occur from the complex interaction between personal, environmental, and behavioral factors; however, little focus has been given to understanding the environmental and behavioral circumstances of falls in PD. Knowledge of moment-to-moment changes in personal, environmental

Introduction: Many journals and articles have mentioned the correlation between bone health and cardiovascular health. There are many overlapping lifestyles and a comorbidity history. We are using the FRAX score as we use it in patients presenting with falls risk and fractures to assess osteoporosis risk in patients with cardiovascular disease. Aims and objectives: To assess osteoporosis risk in patients aged 75 years and above admitted to cardiology, using the FRAX score. Osteoporosis risk using the FRAX score Correlation of FRAX score with coronary artery disease, heart failure and similar