RT @REACHBristol: 🔎Recently published scoping review in @LancetLongevity looking at the extent of discrimination against people living with….

RT @CLARITYresearch: 🔊 New article today 🔊. Frailism: frailty discrimination. What is it? Does it overlap with age.and disability discrimi….

What do you want to know?.

🔊 New article today 🔊. Frailism: frailty discrimination. What is it? Does it overlap with age.and disability discrimination?. Read for free @LancetLongevity .

With thanks to:.@sarah_ibitoye, Lily Bridgeman-Rutledge, Roxy Short, @DrPhilipBraude, @lucypgeridoc, @DrBenCarter . We look forward to hearing your feedback.

3. Geriatric assessment is associated with less mortality (aHR 0.55, 95% CI 0.38-0.79). This reflects the findings of our multicentre study FITR 2:.

2. Half of those living with very mild frailty (CFS 4) died by the end of follow up (4y), suggesting a poorer prognosis for injured adults compared to previously described populations living with frailty. Should patients with very mild frailty be a target group for intervention?.

3 key messages about older adults admitted following traumatic injury:.1. Frailty is associated with long-term mortality (up to 4 years). Figure 1: Kaplan-Meier survival plot for time from admission to death, stratified by Clinical Frailty Scale (CFS) score.

We are pleased to share the latest work by CLARITY research, published in Injury. Continuing on the theme of frailty in trauma patients, here we describe outcomes at 4 years for older adults admitted to hospital with trauma.

It’s out!.

RT @CLARITYresearch: New @CLARITYresearch article. 📢 Amputation and advance care plans: decision making and long-term outcomes in a vascula….

See the whole article here in @SAGEJournals Vascular -> Back to the top ⬆️.

With thanks hard work of the @CLARITYresearch team and methodologist @DrBenCarter.

Next:.- how does frailty alter outcomes in elective and emergency care?.- how and when to involve patients in ACP? Few people in elective services will have an amputation. - how to support surgeons in ACP discussions?.- how to improve links with palliative care?.

Very few people then were referred for #PalliativeCare support and of those referred, on average died within 18 days.

Those that had advance care planning died much sooner - likely because they had appropriate discussions (rather than ACP causing death).

Many people were already known to elective services, but didn’t have advance care planning.

Advance care planning (ACP) was documented for 40% of people. Not much more than cardiopulmonary resuscitation was discussed. Conversations mainly involved physicians rather than surgeons.

Two years of people admitted for an amputation to the regional vascular centre. Median follow up time of 1.5 years. Mortality was high, but highest if admitted as an emergency.

New @CLARITYresearch article. 📢 Amputation and advance care plans: decision making and long-term outcomes in a vascular centre. Congrats Rob Grange for his first first author paper👏🏼. With @DrBenCarter @C_A_Chamberlain @BrooksMedBris Ramya Nitharsan @TwineVasc @DrPhilipBraude

RT @VIGILrct: 50 participants randomised! 🎉.Recruitment complete! 🥳.(Just 6 months of follow-up to go).@CLARITYresearch @ResearchNBT https:….