A5080257001- Frailty in Older Adults
- Hip and Femur Fractures
- Nutrition and Health in Aging
- Cerebral Palsy and Movement Disorders
- Palliative Care and End-of-Life Issues
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Systems and Technology
- Emergency and Acute Care Studies
- Stroke Rehabilitation and Recovery
St. James's Hospital
2013-2024
Abstract Introduction Frailty is associated with adverse outcomes among patients attending emergency departments (EDs). While multiple frailty screens are available, little known about which variables important to incorporate and how best facilitate accurate, yet prompt ED screening. To understand the core requirements of screening in ED, we conducted an international, modified, electronic two-round Delphi consensus study. Methods A involving 37 participants from 10 countries was undertaken....
BackgroundOlder people in the Emergency Department (ED) are clinically heterogenous and some presentations may be better suited to alternative out-of-hospital pathways. A new interdisciplinary comprehensive geriatric assessment (CGA) team (Home FIRsT) was embedded our acute hospital's ED 2017.AimTo evaluate if routinely collected CGA metrics were associated with disposition outcomes.DesignRetrospective observational study.MethodsWe included all first patients seen by Home FIRsT between 7th...
Abstract Background Frailty screening and early comprehensive geriatric assessment (CGA) in the emergency department (ED) is recommended to deliver optimal care for older adults with frailty reduce associated pressures on hospital systems.1 Interdisciplinary acute teams (AFT) are best placed lead these specialist assessments a newly-expanded AFT was launched February 2024.2 Activity data from initial months of AFT’s operations analysed understand patient profile, service demand vs capacity...
Abstract Background Older adults with frailty who present to the Emergency Department (ED) are at increased risk of hospitalisation, prolonged length stay, deconditioning and loss independence.1 Early identification using a validated tool, such as Clinical Frailty Scale (CFS), is widely recommended inform clinical decisions, identify best pathway care for older frailty, potential use predictor or an outcome.2 We aimed develop implement system which highly visible, digitised integrated...
We evaluated predictors of the Clinical Frailty Scale (CFS) scored by an interdisciplinary team (Home FIRsT) performing comprehensive geriatric assessment (CGA) in our Emergency Department (ED). This was a retrospective observational study (service evaluation) utilising ED-based CGA data routinely collected Home FIRsT between January and October 2020. A linear regression model computed to establish independent CFS. complemented classification tree (CRT) evaluate main predictors. There were...
The eighth Annual Conference of the Rehabilitation and Therapy Research Society (RTRS) was held on Friday, 25 May 2012, hosted by School Public Health, Physiotherapy Population Science at University Dublin. society provides a forum for dissemination current research within three professions occupational therapy, physiotherapy, speech language therapy across island Ireland.The theme this year’s conference ‘Promoting Health Wellbeing Lifespan’. Keynote speaker Professor Elizabeth Dean, British...
Abstract Background Frailty intervention teams are now commonplace in Emergency Departments (EDs). A geriatric assessment the ED should be multidimensional and include demographics, details of presenting complaint, frailty, delirium. The aim present review was to establish which these dimensions most predictive patient disposition (i.e. admit vs. discharge) a large university hospital. Methods Data reviewed from attendees aged ≥65 years assessed by frailty team over three-month period. Age,...
Abstract Background In a large teaching hospital, specialist interdisciplinary team identify frailty and begin comprehensive geriatric assessment of older adults in the Emergency Department (ED). This study aimed to determine clinical utility range measures: grip strength, calf circumference, functional mobility evaluate whether they help estimate care pathways for patients. Objectives included: (1) To ascertain prevalence (2) profile this population’s demographics, falls history,...
Abstract Background Older People are attending Emergency Departments (EDs) in increasing numbers but the optimal assessment measures to use have yet be established. This study examined clinical utility of different assessments strength, functional mobility, sarcopenia, cognition and frailty used by physiotherapist an interdisciplinary team (IDT) ED determined any associations with outcomes. Methods observational cross-sectional recruited adults ≥70 years who were assessed IDT on weekdays...