339 SURGICAL INPATIENT DELIRIUM: AN AUDIT OF THE DOCUMENTATION OF THE 4AT SCORE

Abstract Background Postoperative delirium and perioperative neurocognitive disorder are the commonest postoperative complications in patients over 65 years old. This has implications for brain health with an increased risk of length stay, a higher incidence morbidity mortality. Internationally, teams often fail to routinely screen delirium. Our aim was audit documentation 4AT score surgical inpatients old gain insight into on wards. Methods Using guideline Perioperative Care People Living Frailty undergoing Elective Emergency Surgery from CPOC BGS as standard, carried out 3 wards 5 days. Data collected including admission, day 1 post operatively, type surgery & anaesthesia factors (dementia, polypharmacy, opioids benzodiazepine use, PD, surgery>2h, stroke, alcohol, >2 medical conditions, multiple ward moves). Results 36 age were included audit. The average 78 (range 65-91). 50% admitted under orthopaedic team, 31% general teams, 11% urology 8% other specialties. 33% had documented at any stage during their admission 25% baseline preoperatively. 18.7%. Surgical found 69% older inpatients. Conclusion Delirium screening underused our cohort despite proportion developing postoperatively. Under recognition perioperatively is associated poor outcomes Further interdisciplinary educational sessions required increase awareness >65 re-audit 6 months.