Age and ageing最新文献

{"title":"3172 Rising student numbers—using a comprehensive geriatric assessment exercise to educate surplus students?","authors":"M B Patterson, N Kelly, K Dash, C Mamereli, C S Anike-Nweze, K Colquhoun","doi":"10.1093/ageing/afaf133.064","DOIUrl":"https://doi.org/10.1093/ageing/afaf133.064","url":null,"abstract":"Introduction As medical student numbers rise, clinicians are under increasing pressure to provide high quality teaching. To increase Geriatric medicine representation within the undergraduate curriculum, fourth-year students from the University of Glasgow attending Glasgow Royal Infirmary (GRI) are given the opportunity to participate in an ‘Older People’s Services Float (OPS) week’. Clinical Teaching Fellows (CTFs) and Clinical Development Fellows (CDFs) support students to undertake a condensed version of Comprehensive Geriatric Assessment (CGA). Students assess patients from the perspective of various Multidisciplinary Team (MDT) members. The ‘CGA’ is then presented in a simulated ‘MDT meeting’. This promotes self-directed learning and teamwork while alleviating pressure on clinical teams to deliver teaching. Methods The ‘OPS Float week’ was integrated into the medical student timetable over 15 weeks, with 3 students rotating each week. Anonymised quantitative and qualitative feedback was collected using a questionnaire. This included a combination of Likert scales and free text boxes. Results Data was collected from twenty-eight students. Overall, the feedback was positive. Seventy-five percent (75%) of students reported that they ‘strongly agree’ the exercise improved their knowledge of how to undertake a CGA. Eighty-two percent (82%) reported that they strongly agree the exercise has improved their understanding of the different roles within the MDT. An example of the qualitative data collected includes: ‘Really good. . .Definitely made me think more holistically about the patient and identify areas in a patient’s life that could make a real difference to their care’. Conclusion The introduction of the ‘OPS Float week’ has successfully enhanced the learning experience of medical students by offering valuable insights into Older People’s Services, the CGA process and working within an MDT. The model also presents a practical approach to addressing the challenges of increasing student numbers while continuing to provide high quality medical education.","PeriodicalId":7682,"journal":{"name":"Age and ageing","volume":"20 1","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"3029 Healthy ageing in place: perspectives on ‘local’ and age-friendliness in the built environment","authors":"R Tadrous, V Palmer, J R Olsen, M Anderson, R Lewis, K Mitchell, M Thomson, B Rigby, L A R Moore, S A Simpson","doi":"10.1093/ageing/afaf133.093","DOIUrl":"https://doi.org/10.1093/ageing/afaf133.093","url":null,"abstract":"Introduction Age friendly communities aim to create inclusive social and physical environments that facilitate older people to age actively, enjoy good health and continue participating fully in society. The built environment can profoundly influence older adults’ health and wellbeing. This study aimed to explore mid-to-older adults’ perceptions of the age-friendliness of their communities and how they defined localness. Methods Semi-structured interviews were conducted remotely and in-person between September 2023 and March 2024 with community-dwelling mid-to-older aged adults (n = 22; 65.0 ± 5.5 years) from two communities with high levels of deprivation in Scotland, Renfrewshire and South Lanarkshire. Taking a systems-based approach, identified barriers and supports to the age-friendliness of communities were charted against the World Health Organisation Age-Friendly Cities and the Place Standard frameworks, and perceptions of localness were explored. Results Physical influences on age-friendliness included the accessibility of transport modalities, the maintenance of public spaces and paths, the suitability of homes, and seasonal influences and environmental hazards. Social influences included access to places that facilitate social interactions such as churches or community centres, community cohesion, and employment and volunteering-related factors. Service influences included digital inclusion, ageist sentiments, and healthcare accessibility. Localness was defined by i) accessible and preferred modes of transport, with local areas shrinking as mobility declines; ii) the distance people needed to travel to access essential services like supermarkets and pharmacies; and iii) where they knew people, socialised with others, or visited family. Conclusions The gradual deterioration of communities has contributed to a decline in the age-friendliness of mid-to-older aged adults’ local areas. The impact of declining mobility, individual- and area-level deprivation, and closure of essential facilities and social spaces on place attachment must be considered by policy makers to support older adults to age well in place.","PeriodicalId":7682,"journal":{"name":"Age and ageing","volume":"7 1","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144566657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"3170 Factors associated with high adherence to secondary preventative medications 12 months after a stroke","authors":"M D'Alton, L Donaghy, M Baby, M Hamad, O C Sheehan, E Dolan","doi":"10.1093/ageing/afaf133.112","DOIUrl":"https://doi.org/10.1093/ageing/afaf133.112","url":null,"abstract":"Introduction Prior stroke is one of the biggest risk factors for future stroke events. Secondary prevention medications are key to reducing subsequent vascular events, and guidelines recommend use of antithrombotics, antihypertensives and lipid lowering drugs. We carried out a retrospective study of adherence to these medications in a post stroke population. Methods Consecutive patients admitted with acute stroke to a Dublin hospital between July 2022 and November 2023 were invited to participate. Participant interviews were carried out at 1 year post stroke to collect demographic and clinical information and evaluate care needs. Functional ability was graded using the Modified Rankin Scale (mRS). Adherence to three key categories of secondary preventative drugs was assessed using the 4-item Morisky Medication Adherence Scale, and participants were asked to show all current medications, which were compared to the discharge prescription. Results Interviews were conducted with 197 participants 1 year post stroke. Mean age was 68.8 years and 66% were male. Ethnicity was as follows: 79% white Irish, 11% other white, 5% African, 5% Arabic/Asian/others. Twelve (6%) were living in nursing homes while 68% were functionally independent with mRS 0–2. High adherence to all prescribed medicines was reported at 79% and was higher for antihypertensives and antithrombotics (87%) than for lipid-lowering drugs (78%). There were no statistically significant differences in self-reported adherence between gender or race subgroups. Adherence was better for participants who were functionally dependent by mRS (71% vs 97%, p < 0.0001) and those who had an involved caregiver (69% vs 89%, p < 0.0001). Discussion Self-reported adherence to medication was high in this cohort but one fifth were not adherent to important secondary prevention medications 1 year after a stroke. Adherence was higher for those who had more disabling strokes and an involved caregiver. No race or gender disparities in adherence were observed in our population.","PeriodicalId":7682,"journal":{"name":"Age and ageing","volume":"46 1","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"3129 Attitudes and perceptions of Chinese older adults toward the use of home-care robots","authors":"M C Cheung, Y Shi, Z Zhang, R P Che, Y X Ruan, N Kodate, S Donnelly, X Liu, S Suwa, W Yu, D Kong, Y M Leung","doi":"10.1093/ageing/afaf133.083","DOIUrl":"https://doi.org/10.1093/ageing/afaf133.083","url":null,"abstract":"Introduction The exponential growth of the older population on a global scale, coupled with their escalating demand for care, has significantly exacerbated the existing shortage of qualified caregivers. This situation is particularly relevant in the Chinese context due to the weakening of the filial piety tradition, which places the responsibility of care for older adults (OA) on family members. Against this backdrop, there has been a growing development of smart technologies, such as care robots, designed to assist in long-term care for OA, which serves as a potential solution to challenges associated with caring for the older population. This study aimed to understand the attitudes and perceptions of OA toward the development and social implementation of home-care robots in Mainland China. Method 482 community-dwelling Chinese OA (age: 69.92 ± 6.94; male: 146, female 336) in Shanghai, China were interviewed through a structured questionnaire developed by our research team using a cross-sectional survey design. Results The results showed that most Chinese OA were open to using home-care robots (around 80%) and were willing to use them when receiving home-care services (around 64%). Gender difference was observed that male Chinese OA were more open and willing to use home-care robots than their female counterparts (p < 0.05). Moreover, the level of education also affected their openness and willingness. OA with tertiary education or above tended to be more receptive toward home-care robots than those with primary or secondary education (p < 0.05). Regarding the services provided by home-care robots, no significant difference was found in relation to gender and education levels. Conclusions Similar to the findings in our previous study among Western respondents, there were generally positive attitudes and perceptions of using home-care robots among Chinese OA.","PeriodicalId":7682,"journal":{"name":"Age and ageing","volume":"42 1","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144566601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"3085 Functionality in post-COVID-19 older adults vs older adults who have not suffered from COVID-19 attending geriatric OPD","authors":"A Wariar, P Chatterjee, A Chakrawarty, A Mohan, N Wig","doi":"10.1093/ageing/afaf133.095","DOIUrl":"https://doi.org/10.1093/ageing/afaf133.095","url":null,"abstract":"Introduction Coronavirus disease 19 (COVID-19) has had lasting effects on the health of individuals, particularly older adults especially those with comorbidities, who are more vulnerable to severe and long-term illness. Studying the post-COVID 19 period in the older population is relevant for understanding the long-term effects of the disease. There have been conflicting results on functional decline in Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) in post COVID 19 older adults compared to their pre-infection baseline. This study aimed to compare functionality in older people who have survived COVID 19 infection vs those who have never tested positive for COVID 19. Method This study was a cross-sectional observational study. The primary objective was to compare functionality in the two groups, post COVID 19 and never tested positive for COVID 19. Both groups underwent detailed assessment via questionnaire which included socio-demographic details, functionality assessment, Comprehensive Geriatric Assessment (CGA) and details regarding COVID 19 infection in those who suffered from the infection. Results Analysis showed that both groups had no significant differences in median ADL (20 vs 20, p-value = 0.684) or IADL scores (5 vs 5, p-value = 0.181). The COVID 19 group had a higher prevalence of mild cases (70%). Between the two groups, the COVID 19 group had higher BMI (25.90 + 4.45 vs 23.32 + 3.62, p-value = 0.002) and education status (56% vs 20% graduate p-value = 0.001). There were no significant differences in the various domains on Geriatric assessment. Conclusion Functionality did not differ significantly in the COVID 19 survivors vs those who never suffered from COVID 19. Of all the variables, higher Body Mass Index (BMI) and higher education status were associated considerably with COVID 19 infection.","PeriodicalId":7682,"journal":{"name":"Age and ageing","volume":"684 1","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144566602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"3167 The impact of lifestyle and polypharmacy on the progression of multimorbidity in community-dwelling older adults","authors":"Y Chen, C Lai, S Lu, C Yang","doi":"10.1093/ageing/afaf133.058","DOIUrl":"https://doi.org/10.1093/ageing/afaf133.058","url":null,"abstract":"Introduction Globally, about one-third of community-dwelling older adults suffer from complex multimorbidity. Complex multimorbidity (three or more chronic diseases and affecting three or more different body systems) have worse outcomes than multimorbidity, such as more frequent hospitalizations, and premature mortality. The effect of sociodemographic factors in the progression of multimorbidity has been found, but the lifestyle and polypharmacy remain unclear. This study aims to explore impact of lifestyle and polypharmacy on the progression of multimorbidity among community-dwelling older adults. Methods The study used data from the health examination records of older adults residing in Southern China in 2017 and 2020 (n = 3647). The outcome was occurrence of the status of the older adults changed from multimorbidity to complex multimorbidity after 3 years. Logistic regression model was used to analyse the influence of lifestyle (diet, physical activity, smoking and drinking) and polypharmacy of baseline on the progression of multimorbidity. Demographic variables were also included in the model as confounding variables. Results Totally 13.5% (n = 491) of older adults with multimorbidity had developed into complex multimorbidity. The proportion of complex multimorbidity increased from 32.1% to 45.6%. The logistic regression analysis indicated that, compared with who exercise daily, those who don’t exercise (OR = 1.561, 95%CI:1.233–1.976, p < 0.001) and those exercise occasionally (OR = 1.670, 95%CI:1.328–2.100, p < 0.001) are more possibly to have complex multimorbidity. The smokers have a higher risk than non-smokers (OR = 1.636, 95%CI:1.137–2.353, p < 0.01). Those widowed are more likely to developing complex multimorbidity than those married (OR = 1.532, 95%CI:1.221–1.923, p < 0.001). Diet, drinking and polypharmacy had no significant effect on the progression of multimorbidity. Conclusions Lack of exercise, smoking and loss of spouse can significantly increase risk of the progression of multimorbidity and developing into complex multimorbidity among community-dwelling older adults with multimorbidity. Future research could focus on developing and implementing exercise-based interventions to delay the progression of multimorbidity.","PeriodicalId":7682,"journal":{"name":"Age and ageing","volume":"26 1","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"3027 Identifying and coding patients appropriate for the Gold Standard Framework on discharge from an inpatient gastroenterology ward","authors":"K Edwards, C Brighton","doi":"10.1093/ageing/afaf133.040","DOIUrl":"https://doi.org/10.1093/ageing/afaf133.040","url":null,"abstract":"Background A third of hospital inpatients may be in their last year of life and over the past 25 years there has been evidence to show the Gold standard Framework (GSF) reduces hospitalisation and allows more people to live and die in their preferred place of care. Teams undertaking GSF find admissions and lengths of stay are significantly reduced. Our inpatient ward did not have processes to identify those appropriate for the GSF. Aim To identify and code patients appropriate for the gold standard framework on the inpatient gastroenterology ward at Salford Royal. Methods Baseline data was collected, standards were set and data was collected from March 2024 to July 2024 by retrospectively reviewing documentation. Using the PDSA cycle format; the first intervention carried out was an education session. The second intervention was a poster and flow diagram. Other data collected was valuable such as whether the hospital palliative inpatient team had been involved, if advanced care planning discussions had been had and whether community palliative care were informed on discharge. Results Of the 36 patients admitted in the first 2-week period the 11 patients who had a GSF eligible diagnosis were not identified or coded. Following the first and second interventions made 21 further patients were identified as eligible for diagnosis on data collection but no GSF coding was carried out or documentation on the discharge letter. Conclusion The two interventions received positive feedback and engagement however it did not lead to patients being coded. The patients who were reviewed in the Specialist liver disease palliative care MDT (SILP) had referrals placed to the community palliative care team and advanced care planning initiated. Our recommendation was to consider implementing a bundle that suggests referral to the SILP and within the bundle asks for the GSF to be coded.","PeriodicalId":7682,"journal":{"name":"Age and ageing","volume":"70 1","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"3083 Improving post-fall care for inpatients at North Middlesex University Hospital","authors":"A Chandani, C Cunanan, S Ragavan","doi":"10.1093/ageing/afaf133.053","DOIUrl":"https://doi.org/10.1093/ageing/afaf133.053","url":null,"abstract":"Aim We aimed to improve the assessment, documentation, and management of inpatient falls by introducing a memorable CARE poster and promoting the use of a digital falls proforma for both nurses and doctors. This initiative aims to standardise practices and enhance patient safety. Method Cycle 1: Initial data revealed poor documentation of falls, with missing elements such as Clinical Frailty Scale (CFS) scoring, medication review, pain management, and lying/standing blood pressure (LSBP) measurement. These critical aspects were incorporated into the CARE poster. Cycle 2: The CARE poster and digital falls proforma were launched, accompanied by brief training sessions on the geriatric ward. These sessions encouraged resident doctors to prescribe analgesia and supported comprehensive documentation. We audited falls documentation before and after the intervention to evaluate improvements in recording relevant data. For the next cycle, we aim to engage a broader audience, including all medical and surgical teams, by conducting face-to-face campaigns and distributing email reminders. The focus will be on ensuring doctors and nurses complete every section of the proforma. Conclusion The CARE poster and digital falls proforma have significantly improved falls documentation, ensuring the inclusion of critical elements like LSBP, blood sugar checks, and thorough physical examinations. It also highlights key management steps, such as requesting investigations, prescribing analgesia, and reducing polypharmacy. Our project demonstrated a 40% improvement in LSBP documentation and medication review. However, analgesia care improved by only 2%, despite 85% of post-fall patients sustaining injuries. Further education for doctors and nurses is needed to address this gap. Currently in its third cycle, this QIP continues to evolve, with ongoing implementation and a planned audit. We are optimistic that it will enhance clinical practice and uphold our trust’s core value: putting the patient first.","PeriodicalId":7682,"journal":{"name":"Age and ageing","volume":"78 1","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"3044 An overview of the Dementia UK Consultant Admiral Nurse service supporting families affected by frailty and dementia","authors":"K Lyons","doi":"10.1093/ageing/afaf133.024","DOIUrl":"https://doi.org/10.1093/ageing/afaf133.024","url":null,"abstract":"Introduction Emerging and increasing frailty often goes unidentified, and families living with dementia and frailty are missing vital opportunities to receive the right support at the right time. People living with frailty are less able to adapt to stress factors such as acute illness, injury, or changes in their environment, personal or social circumstances, leading to adverse health outcomes and an earlier loss of independence. Method We developed a unique and innovative frailty Consultant Admiral Nurse role and service to address this concern. This service was created alongside a recognition of the need for equal access to better national awareness, knowledge, resources, and support around the management of frailty and dementia. The service provides professional leadership, consultancy, education, and expert clinical practice to families. Results The service has been operational for 12 months, with excellent quantitative and qualitative outcomes. To date, 536 people have received specialist frailty and dementia training. Clinical interventions equated to 2862 activities directly delivered to support families. From carers surveyed, 100% stated that the service helped them manage symptoms of frailty alongside dementia, understand frailty, and cope with the challenges posed by frailty and dementia. Conclusion(s) The Dementia UK Frailty Consultant Admiral Nurse service has demonstrated significant positive impacts on families living with dementia and frailty. The service focuses on reducing barriers to care and support, ensuring equality in service provision. The involvement of Lived Experience partners in service planning and delivery has been crucial. The service aims to expand further, building on the successful outcomes of its first year.","PeriodicalId":7682,"journal":{"name":"Age and ageing","volume":"1 1","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"3201 Evaluation of a new frailty on-call shift for geriatric SpRs at St Thomas' Hospital (STH)","authors":"S Littlewood, T Kalsi, G Walker","doi":"10.1093/ageing/afaf133.035","DOIUrl":"https://doi.org/10.1093/ageing/afaf133.035","url":null,"abstract":"Introduction Frailty-attuned acute hospital care is a vital component of integrated services for older people. The NHS Long Term Plan requires hospitals with major emergency departments to deliver 70 hours of acute frailty services each week. Workforce limitations often prevent services from meeting this target and expanding. Geriatric specialist registrars (SpRs) must gain experience in acute frailty so that the consultant workforce of the future can meet patient needs effectively. St Thomas’ Hospital (STH) Acute Frailty Service expanded hours of operation through the introduction of a frailty twilight SpR. The aim was to increase patients seen by the frailty service, enhance access to Comprehensive Geriatric Assessment (CGA) and provide learning opportunities in acute frailty. Method The twilight frailty SpR was introduced in October 2024 by re-allocating existing on-call resources, without using additional staffing. Retrospective data from April to November 2024 were analysed to compare patient numbers and service performance before and after implementation. Feedback was collected from SpRs on the learning opportunities and challenges encountered. Results Following introduction of the twilight frailty SpR, the average number of patients seen by the acute frailty team increased by 28.3%, from an average of 129 per month (April–September) to 166 per month (October–November). A survey of SpRs revealed that the majority felt twilight frailty shifts provided valuable learning experiences. Key benefits included increased autonomy and enhanced experience in CGA in an acute setting. Challenges included difficulties in discharging patients on the same day due to limited therapy support and the need for additional social care. Conclusion The introduction of a twilight frailty SpR extended acute frailty service hours and increased the number of patients receiving a CGA at the front door. SpRs have gained valuable experience in acute frailty management which is key in developing the consultant workforce of the future.","PeriodicalId":7682,"journal":{"name":"Age and ageing","volume":"74 1","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}