Posters

Introduction As the incidence of cancer in adults aged ≥65 years continues to rise, so does the complexity of management. Comprehensive Geriatric Assessment (CGA)-led interventions have demonstrated a reduction in treatment-related complications and unplanned hospital admissions, support appropriate treatment decision-making and improve quality of life. We evaluated the implementation of CGA through a new Oncogeriatric clinic in optimising older adults undergoing assessment for surgery and/or chemotherapy with colorectal or hepatobiliary malignancy. Methods We conducted a retrospective audit

Boosting Advance Care Planning for Elderly Surgical Patients: Filtering out errors Introduction: The ReSPECT form documents a patient’s preferences regarding care, religious wishes, preferred place of care/death and the ceiling of care within hospital settings. Although clinical recommendations often align with patient preferences, only around half of ReSPECT plans accurately record these personal wishes. Our goal was to improve compliance and quality in documenting ReSPECT forms for elderly patients admitted to general surgery at Bradford Royal Infirmary, which would lead to better patient

Frailty is known to increase rate of post-operative complications, acquired geriatric syndromes, mortality and loss of independence. Despite this, almost three-quarters of UK hospitals are not routinely screening surgical patients >60 years for frailty. At Whipps Cross Hospital, we established a perioperative frailty MDT for urological patients in May 2021. Our project reviews the outcomes of this MDT over the past 5 years Method MDT and urological notes were retrospectively reviewed for all patients discussed in the frailty MDT from May 2021 - April 2026. Data on the MDT outcomes, actual

Introduction Hip fracture carries substantial early mortality risk in older adults, with reported 30-day mortality of 5–10%. Malnutrition is common in this population and biologically plausible as a contributor to adverse outcomes, yet whether it independently predicts short-term mortality — beyond age, sex, anaesthetic risk, and cognitive status — remains uncertain. This study aimed to determine whether admission nutrition risk, assessed using the Malnutrition Universal Screening Tool (MUST), independently predicts 28-day mortality following hip fracture. Methods Retrospective cohort study of

Introduction Door-to-needle (DTN) time and timely transfer for mechanical thrombectomy (MT) are key modifiable determinants of outcome in acute ischaemic stroke. We assessed reperfusion pathway performance and variables affecting DTN and door-to-departure (DTD) times in MT patients to identify areas for improvement. Method We retrospectively reviewed 239 consecutive patients directly admitted to Northampton General Hospital, University Hospitals of Northamptonshire NHS Trust, who underwent reperfusion therapy (rtPA, referred for MT, or both) between January 2025 and May 2026. Time intervals

Introduction: Prehospital vide triage offers the potential to improve prehospital decision-making before hospital arrival. This study aimed to evaluate the newly introduced Prehospital Video Triage (PVT) service for suspected stroke patients at Northampton General Hospital, University Hospitals of Northamptonshire NHS Trust. Method: A retrospective comparative analysis was conducted of two cohorts: patients triaged via the standard non-PVT pathway (n = 229) and patients assessed via the PVT service (n = 308), covering the period January to May 2026. Both groups included only calls originating

Introduction The AMBER care bundle is a tool supporting recognition and communication for patients with uncertain recovery. Patients may recover or be recognised as dying. Its focus is enabling patients and families to consider future wishes. The aim is to make sure that patients and their carers are involved as much as they want in shared decision making. Alongside AMBER, the Individualized Dying Person's Care Plan (IDPCP) is used in stroke care. We evaluated these tools, assessing initiation timing and if anticipatory prescribing tracked formal dying recognition. Methods Retrospective review

[Introduction] The Otago Exercise Programme (OEP) is an evidence-based fall prevention program for older adults, yet its effectiveness in home settings is limited by poor adherence and unsupervised, incorrect execution. Real-time digital monitoring presents a viable solution to bridge this gap. This pilot study aims to evaluate the feasibility and preliminary efficacy of a smart insole system (iBalanx), which was designed to provide real-time auditory feedback during OEP training. [Methods] A pilot randomized crossover study was conducted with six community-dwelling older adults (aged≥65)

Background: Older adults presenting to the emergency department (ED) following a fall are at high risk for recurrent falls, injuries, and increased healthcare utilization. This systematic review and meta-analysis evaluated the effectiveness of interventions initiated upon ED presentation in reducing falls and related outcomes among older adults. Methods: A comprehensive literature search was performed in six databases (Ovid Medline, Embase, CINAHL, PEDro, Web of Science, and Scopus) up to June 2025, in accordance with PRISMA guidelines. This yielded 9,624 references, of which 4,811 records

Introduction Many falls are due to slippery floor conditions. While building and WHS regulations may impose floor safety requirements, there is minimal research funding, an overreliance on subjective assessments, poor documentation of products and incidents: indeed a perfect recipe for broken bones and, as a consequence, floors requiring premature replacement. Merchants and architects require relevant slip resistance data to ensure floors will remain safe for economically reasonable life cycles when appropriately maintained, thus fulfilling user expectations and sustainability requirements

Introduction Orthostatic hypotension (OH) in older adults is a risk factor for falls. Anticholinergic medications may contribute to OH through autonomic dysfunction, but evidence for symptom-specific outcomes remains inconsistent. This study examined the association between anticholinergic burden and OH symptoms in older adults presenting to the emergency department (ED) after a fall. Methods We conducted a cross-sectional study among adults aged ≥ 65 years presenting to the ED of Amsterdam UMC after a fall between 2014 and 2024. OH symptoms were assessed using the validated CAREFALL Triage

Background Vestibular complaints are common in older adults and are linked to imbalance and falls. Some older adults show impaired vestibular perception despite preserved peripheral-reflex (“vestibular agnosia”). Yet it remains unclear if vestibular agnosia is independently linked to imbalance and falls in otherwise healthy older adults. We therefore investigated the prevalence of vestibular agnosia in community-dwelling older adults, and examined its association to balance and prospective falls. Methods Vestibular perceptual thresholds were measured during yaw-plane rotational chair testing

Background: Post-Acute Sequelae of SARS-CoV-2 (PASC) has emerged as a significant driver of accelerated Older Adult frailty. While peripheral muscle loss is a known falls risk, the intersection of persistent systemic inflammation and central neurovascular impairment remains under-defined. This study utilizes the Cerebro-Sarcopenic Axis framework (Zanker et al., 2021) to investigate how IL-6 mediated disruptions in cerebrovascular reactivity contribute to gait instability in older PASC patients. Methods: We synthesised mechanistic evidence across studies on PASC inflammation and its

Introduction: Accurate hydration chart documentation is pivotal in guiding daily fluid management decisions, particularly on geriatric wards, where older patients living with frailty often cannot advocate for themselves and require monitoring of their hydration status to account for their decreased thirst sensation and ability to concentrate urine (Hooper and Bunn 2015, Bennett 2000, Phillips et al. 1984). On Ward 35 of Aintree University Hospital, inconsistent documentation of drinks consumed along with micturition frequencies rendered hydration charts unreliable for clinical decision-making

Introduction Biomechanical balance models can help identify fall-prone individuals. The often-used extrapolated center-of-mass model describes how well the body is controlled relative to the feet’s functional base-of-support (fBOS). Often, a single foot marker is used to define the fBOS, reducing balance accuracy. Therefore, we created age-specific fBOS models and evaluated changes in the fBOS size with age, frailty, fall history and fear. Methods We assessed 38 young (26±5 yrs), 14 middle-aged (50±7 yrs), and 34 older participants (76±6 yrs; 20 non-frail (Clinical Frailty Scale=1&2); 10

Introduction: Falls in older adults mostly occur during walking under sensory challenges, such as walking in the dark, suggesting inefficient integration of sensory inputs. We developed a novel test titled “Sensory Integration in Walking (SensIWalk)”, which allows for the elucidation of the sensory integration in ecologically valid scenarios. The aim of this study was to evaluate the validity and reliability of the SensIWalk Test in healthy young and older adults. Methods: Data were collected in the GRAIL System (Motek Medical BV, The Netherlands). The SensIWalk Test comprised six walking

Introduction St Marys Hospital is a small acute island hospital. The Isle of Wight is a popular retirement destination with a rapidly aging population. Inpatients comprise a high proportion of older people living with frailty at high risk of falling during their admission. St Mary’s were early adopters of PSIRF, and falls prevention was highlighted as a primary local priority. PSIRF focusses on learning, rather than attributing blame, Method Data from 2023 indicated that 40% falls were related to toileting. Quality Improvement methodology was used to review evidence for improving outcomes

Introduction Current fall risk assessment tools are largely episodic, clinician-led, and not suited to continuous, real-world monitoring. Consumer wearables could offer continuous passive monitoring. Prior studies using wearable data use clinical-grade sensors or lab-based gait tests so limited real-world applicability Consumer wearables (Fitbit, etc.) are widely adopted but underexplored for fall risk classification. Method This was an observational cohort study over 6 months with 140 Fitbit users. Nested cross-validation: outer 10-fold × 5 repeats, inner 10-fold for hyperparameter tuning 6

Introduction Hip fracture is the commonest fracture in adults over 60 years, with high morbidity and mortality. Remote Ischaemic Conditioning (RIC) is a non-invasive intervention consisting of brief, repeated cycles of limb ischaemia and reperfusion for periods that avoid physical injury to the limbs, but induce neurohormonal, systemic or vascular changes in the body. Studies have demonstrated that RIC may have anti-inflammatory and cardiovascular protective effects following orthopaedic surgery and could represent a novel therapeutic strategy to improve outcomes. Method This was a single-arm

Introduction Cervical spine injury (CSI) can cause significant morbidity and mortality in frail older adults. Comprehensive Geriatric Assessment has been shown to improve outcomes and reduce length of stay (Scottish Trauma Audit Group; British Geriatric Society). This retrospective observational study analysed outcomes in 53 CSI patients admitted to the Royal Alexandra Hospital (RAH) between January and August 2025. Methods Variables including age, sex, clinical frailty score (CFS), length of stay (LOS), mortality, physiotherapy input, and geriatrician review were analysed. Patients were