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#gerisky
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2018 was a pivotal year. Slide shoes some Euro cash notes and the Golden Hip trophy.
#AAAIGSConf Louise Brent - money (best practice tariff / process performance bonus) and competition (Golden Hip award, a gift from the Scottish Hip Fracture Audit) both act a drivers for improvement. #AnSky #GeriSky
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Interesting comment from Prof Plant. Once upon a time the surgeon was the curator and custodian of the physiological response to injury and surgery. Have they given up that role now? (I paraphrased slightly). #AnSky #SurgSky #GeriSky
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Top of the POPS?
Here’s our QI paper in @futurehealthj.bsky.social on improving frailty score accuracy on a vascular ward… 📊
tinyurl.com/59376has
@rcphysicians.bsky.social @gerisoc.bsky.social
@cpoc.bsky.social
@jkdhesi.bsky.social @nhselect.bsky.social
#MedSky #GeriSky #VascSky
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#Delirium and the older surgical patient. Delirium is common in the older surgical patient and unpleasant for all concerned. It’s associated with a host of worse outcomes. It’s time for clinicians and service planners to act. www.bjanaesthesia.org/article/S000...
#AnSky #GeriSky #SurgSky 18/FIN
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#Delirium and the older surgical patient. Sorted! ‘Controlled fear’, disorientation, sleep deprivation, noise – all increase ‘cerebral stress’. This is evidence-based medicine not some nice to have optimism pmc.ncbi.nlm.nih.gov/articles/PMC...
#AnSky #GeriSky #SurgSky 17/n…
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#Delirium and the older surgical patient. Sorted! The patient’s environment is a strongly modifiable factor – we need to be avoiding ‘delirogenic’ environments. How much are we - health care providers - adding to cerebral stress?
#AnSky #GeriSky #SurgSky 16/n…
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A graphic of the PINCHME mnemonic to help identify potential causes of delirium. Pain; Infection; Nutrition; Constipation; Hydration; Medication; Environment.
#Delirium and the older surgical patient. Sorted! Delirium can be conceptualised as cerebral stress. So, what can we do to relieve that? PINCHME is a great place to start. Again, not solely the purview of the medics – everyone can be thinking about it
#AnSky #GeriSky #SurgSky 15/n…
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#Delirium and the older surgical patient. Say it! Use the word delirium. Patients and their families deserve and appreciate an honest, sympathetic explanation of what is happening. Isn't that what you would want?
#AnSky #GeriSky #SurgSky 14/n…
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Delirium and the older surgical patient. Say it! Use the word delirium. This helps with coding – if delirium isn’t visible to health care planners then it won’t get the attention it deserves. And it makes it clear to your colleagues what you are thinking.
#AnSky #GeriSky #SurgSky 13/n…
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#Delirium and the older surgical patient – See it! Top tip. The key issue is inattention. So, you (we) need to ensure we get all the way through those months of the year backwards. Stop at three or four correct and we’ll miss people’s inattention.
#AnSky #GeriSky #SurgSky 12/n…
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#Delirium and the older surgical patient – See it! Identification of delirium is made so much easier if everyone (not just resident doctors) uses the 4AT on a regular basis. www.the4at.com/trythe4at @amaclullich.bsky.social
#AnSky #GeriSky #SurgSky 11/n…
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#Delirium and the older surgical patient - See it! All clinicians involved in the perioperative pathway need to know who is at risk (frailty, emergency surgery are the bid risk factors) and build pathways that recognise and adapt to this risk.
#AnSky #GeriSky #SurgSky 10/n…
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#Delirium and the older surgical patient – what does this mean for clinical practice? @proflizsampson.bsky.social points to the key messages of our paper when she talks about delirium: See it! Say it! Sorted! (Apologies to traumatised UK public transport users).
#AnSky #GeriSky #SurgSky 9/n…
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#Delirium and the older surgical patient – postoperative mortality. Why isn't the effect on mortality not seen earlier? Not really sure to be honest. Maybe in-hospital processes mitigate. Maybe the smaller numbers meant we didn’t find it. #AnSky #GeriSky #SurgSky 8/n…
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Figure showing the predicted effects of delirium on mortality after surgery in older people. There is an increasing mortality at 30 days, 120 days and one year (as expected). Those with delirium are more likely to die at all time points, but the difference is only really evident at 120 days and one year. Data are from the SNAP3 study.
#Delirium and the older surgical patient – postoperative mortality. This gets a bit more complicated. Delirium is associated with mortality at all timepoints up to a year. But… we found, that after adjustment this effect was only really seen at 120 days and a year. #AnSky #GeriSky #SurgSky 7/n…
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A graphic of the PINCHME mnemonic to help identify potential causes of delirium. Pain; Infection; Nutrition; Constipation; Hydration; Medication; Environment.
#Delirium and the older surgical patient – postoperative morbidity. The causal odds ratio for morbidity in those with delirium vs those without delirium was 10.2. A ten-fold difference. So, if someone has delirium we should be looking for other morbidity. Think PINCHME #AnSky #GeriSky #SurgSky 6/n…
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Figure showing the predicted length of stay for people with and without delirium. The median goes from zero to around 5 day, and the 80th gentile from around 0.5 days to 10 days. Data are from the SNAP3 study.
#Delirium and the older surgical patient - Length of hospital stay: We estimate delirium is estimated to increase median LOS by 5 days and 80th percentile LOS by 10 days. Compares that with the impact of other things we think make a difference. #AnSky #GeriSky #SurgSky 5/n…
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#Delirium and the older surgical patient: Delirium is associated with worse outcomes in the older surgical patient, even after appropriate adjustment for important patient and surgical factors. www.bjanaesthesia.org/article/S000... Click on to see some specifics. #AnSky #GeriSky #SurgSky 4/n…
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#Delirium and the older surgical patient: People with delirium have worse outcomes – mortality, length of stay, readmissions, needs for care. Is this due to delirium itself, a marker of someone who is at risk of adverse outcomes already or the impact of surgery itself? #AnSky #GeriSky #SurgSky 3/n
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#Delirium and the older surgical patient: It’s common. Overall, around 1 in 16 (6%) of older surgical patients will develop delirium. Delirium is more common in those living with frailty and those having emergency surgery. www.bjanaesthesia.org/article/S000... #AnSky #GeriSky #SurgSky 2/n…
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Our latest SNAP3 paper is out: What impact does #delirium have on outcomes after surgery in older people? www.bjanaesthesia.org/article/S000...
#WDAD #AnSky #SurgSky #GeriSky #SurgSky @rcoa-cri.bsky.social @bjajournals.bsky.social @uniofnottingham.bsky.social 1/n…🧵
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It’s Music Therapy Month! Check out this article from 2023 where KTP Scientist and geriatrician Dr. Jennifer Watt discusses the benefits of music for older patients.
unityhealth.to/2023/09/musi...
#MusicTherapyMonth #GeriSky @andreatricco.bsky.social
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In the Concentric Value of Vaccination graphic, the Gerontological Society of America highlights some of the many benefits of vaccination and illustrate how these benefits ripple outward—from the individual to the societal and the broader economy—reinforcing vaccines as one of the most powerful tools in public health. The benefits of vaccines include individual health outcomes (e.g., increased life expectancy), economic benefits (e.g., health care cost savings), and societal health impacts (e.g., community immunity).
Why Vaccines Are Especially Important for Older Adults www.nfid.org/why-vaccines...
#vaccines #aging #health #wellness #publichealth #gerontology #geriatrics #GeriSky
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Three logos on white background: Knowledge Translation Canada, Knowledge Translation Program, St. Michaels - Unity Health Toronto. KT Canada Seminar Series - expert-led webinars dedicated to current and emerging knowledge translation topics. Joins us: www.ktcanada.org/events Image of QR code. Dark blue background.
Are you interested in KT research on aging and mental health?
Register now for the next KT Canada seminar series presentation >> ktcanada.org/event/kt-can...
Happening at noon Eastern time on March 12th!
#HealthyAging #ImpSci #GeriSky
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This study describes how the team used an implementation science approach to support the development of a national practice guideline to improve ACP implementation.
Visit the link to see how the team used the KTA model, their reflections & lessons learned: bit.ly/4aYYNSZ
#GeriSky #HealthyAging
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Check out the @unityhealthto.bsky.social Honour Roll for February, featuring KT Program Scientist Dr. Jennifer Watt! 😊
unityhealth.to/2026/02/febr...
@uoftmedicine.bsky.social #GeriSky
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‘It’s chronic disease, stupid!’ The central challenge facing health care theconversation.com/its-chronic-...
#ChronicDisease #publichealth #health #aging #gerontology #geriatrics #GeriSky
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