CLARITY
@CLARITYresearch
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CLARITY (Collaborative Ageing Research) group. Based @NorthBristolNHS. #PeriopMed #Trauma #GlobalHealth #Parkinsons #MovementDisorders #Frailty #TeleMedicine
Bristol, England
Joined August 2021
🔎Recently published scoping review in @LancetLongevity looking at the extent of discrimination against people living with frailty described in health-care literature. #frailty #healthyageing
@CHCR_UWE @capcbristol @CLARITYresearch Full paper link: https://t.co/xxIpdtmjWN
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🔊 New article today 🔊 Frailism: frailty discrimination. What is it? Does it overlap with age and disability discrimination? Read for free @LancetLongevity
https://t.co/pRFaONhy0G
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🔊 New article today 🔊 Frailism: frailty discrimination. What is it? Does it overlap with age and disability discrimination? Read for free @LancetLongevity
https://t.co/pRFaONhy0G
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With thanks to: @sarah_ibitoye, Lily Bridgeman-Rutledge, Roxy Short, @DrPhilipBraude, @lucypgeridoc, @DrBenCarter We look forward to hearing your feedback.
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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: https://t.co/vmKAtRT6Ht
thelancet.com
Geriatrician assessment was associated with a reduced risk of death for seriously injured older people. These data support routine provision of geriatrician assessment in trauma care. Future research...
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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?
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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.
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https://t.co/nEJwS5c1lq 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.
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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
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See the whole article here in @SAGEJournals Vascular -> https://t.co/tsyYSpdszE Back to the top ⬆️
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
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With thanks hard work of the @CLARITYresearch team and methodologist @DrBenCarter.
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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?
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Very few people then were referred for #PalliativeCare support and of those referred, on average died within 18 days.
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Those that had advance care planning died much sooner - likely because they had appropriate discussions (rather than ACP causing death).
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Many people were already known to elective services, but didn’t have advance care planning.
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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.
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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.
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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
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50 participants randomised! 🎉 Recruitment complete! 🥳 (Just 6 months of follow-up to go) @CLARITYresearch @ResearchNBT
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