The association between frailty risk and COVID-19-associated all-mortality in hospitalised older people: a national cohort study.

Introduction: Frailty has emerged as an important construct to support clinical decision-making during the COVID-19 pandemic. However, doubts remain related to methodological limitations of published studies.

Methods: Retrospective cohort study of all people aged 75 + admitted to hospital in England between 1 March 2020 and 31 July 2021.

Atypical presentations of COVID-19 in care home residents presenting to secondary care: A UK single centre study.

Background: Atypical presentations of COVID-19 pose difficulties for early isolation and treatment, particularly in institutional care settings. We aimed to characterize the presenting symptoms and associated mortality of COVID-19 in older adults, focusing on care home residents admitted to secondary care.

Methods: A retrospective cohort study of 134 consecutive inpatients over 80 years old hospitalized with PCR confirmed COVID-19 in the United Kingdom.

Increasing advance care planning in the secondary care setting: A quality improvement project.

Background: Advance care plans (ACP) provide patients the opportunity to communicate their goals and wishes for future care.

Local Problem: A retrospective case note review of 50 inpatient deaths in 2017 confirmed a doctor had discussed expected death in 90%, however only 2% had an ACP.

Methods: Patients appropriate for ACP were identified on a single geriatrics ward.

Copper deficiency: an unusual case of myelopathy with neuropathy.

Copper deficiency is an unusual but potentially treatable cause of myelopathy. It should be considered in patients with poor nutrition or a history of gastrointestinal surgery. We report the case of an 82-year-old man who presented with sensory symptoms and gait ataxia.