403 The Difficulties of Managing Trauma in Elderly Patients in a West of Scotland Trauma Unit

Abstract Aim An increasing number of elderly patients require admission to Trauma & Orthopaedic units throughout Scotland with admissions often complex and lengthy. We aimed assess the current standard care within a west trauma unit against 2019 British Associations Standard Care (BOAST) - “The older or frail orthopaedic patient” devise multi-disciplinary quality improvement strategy. Method All over age 65 admitted department University Hospital Wishaw between 1st-14th August 2020 were included. Online medical records assessed compared BOAST guideline. Results presented (COTE) team postgraduate teaching before being re-audited from May 2021. Data was analysed using Chi- Squared test. Cycle one vs two: Falls risk assessment carried out in 50/57(87.7%) 49/57(86.0%); Nutritional 53/57(93.0%) 50/57(87.7%); Delirium 54/57(94.7%) 47/57(82.5%). More reviewed by Acute Elderly nurses 24/57(42.1%) 30/57(52.6%). No significant seen percentage COTE consultant:15/57(26.3%) 17/57(29.8%) (P = 0.68). Conclusions Both cycles show good concordance criteria, including physiotherapy reviews, falls delirium assessment, however deficiencies exist, provision input. This has prompted reconfiguration orthogeriatric input for patients, investment recruitment staff.