36 research outputs found

    Increasing frailty is associated with higher prevalence and reduced recognition of delirium in older hospitalised inpatients: results of a multi-centre study

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    Purpose: Delirium is a neuropsychiatric disorder delineated by an acute change in cognition, attention, and consciousness. It is common, particularly in older adults, but poorly recognised. Frailty is the accumulation of deficits conferring an increased risk of adverse outcomes. We set out to determine how severity of frailty, as measured using the CFS, affected delirium rates, and recognition in hospitalised older people in the United Kingdom. Methods: Adults over 65 years were included in an observational multi-centre audit across UK hospitals, two prospective rounds, and one retrospective note review. Clinical Frailty Scale (CFS), delirium status, and 30-day outcomes were recorded. Results: The overall prevalence of delirium was 16.3% (483). Patients with delirium were more frail than patients without delirium (median CFS 6 vs 4). The risk of delirium was greater with increasing frailty [OR 2.9 (1.8–4.6) in CFS 4 vs 1–3; OR 12.4 (6.2–24.5) in CFS 8 vs 1–3]. Higher CFS was associated with reduced recognition of delirium (OR of 0.7 (0.3–1.9) in CFS 4 compared to 0.2 (0.1–0.7) in CFS 8). These risks were both independent of age and dementia. Conclusion: We have demonstrated an incremental increase in risk of delirium with increasing frailty. This has important clinical implications, suggesting that frailty may provide a more nuanced measure of vulnerability to delirium and poor outcomes. However, the most frail patients are least likely to have their delirium diagnosed and there is a significant lack of research into the underlying pathophysiology of both of these common geriatric syndromes

    Steve Stockton & Father Martin Magill

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    Rev. Steve Stockton and Fr. Martin Magill share their story speak on the importance of peacemaking and reconciliation in the places you live. Rev Steve Stockton is minister of Fitzroy Presbyterian Church in Belfast (winners of the Pax Christi Peace Prize) and is author of Walk On; The Spiritual Journey of U2 and is a daily blogger at Soul Surmise where he writes about Art, faith and social justice. Fr Martin Magill is the priest of Sacred Heart Parish in Belfast and studied his Masters Degree in Ecumenism in Rome. The two of them met for a coffee and it changed their lives. A friendship developed that has over more coffee led to the founding of the acclaimed 4 Corners Festival and to the two of them being invited to the Sinn Fein party conference to address that party on Peace and Reconciliation. They have become very much a double act in modeling and working for peace in Ireland. They have also been involved in various peace talks with other international situations