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Reposted by Niamh Merriman

UCD Ageing Network @ucdageingnetwork.bsky.social · Jun 24

🧓🏽👥 Launching tomorrow: the UCD Ageing Network — advancing research, collaboration & engagement on ageing at @ucddublin.

🎧 Also launching the UCD Age Well podcast:
open.spotify.com/episode/2PZx...

#UCD #Ageing #Research #Podcast

Introducing the AgeWell Podcast, an UCD Ageing Network Initiative.

Age Well Podcast · Episode

open.spotify.com

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Rose Penfold @rosespenfold.bsky.social · Apr 28

Great to see our systematic review of delirium detection tools used in routine care featured in the JAGS Top 10 studies of 2024:
www.americangeriatrics.org/publications...
Full paper: doi.org/10.1111/jgs....
@agsjournal.bsky.social @amaclullich.bsky.social

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Cris Ojeda-Thies @ojedathies.bsky.social · Jun 9

Excited to share this international collaboration led by @merrimanniamh.bsky.social I could be part of, recently published in #EurGeriatrMed. How do hip fracture audits collect data on #delirium and #cognition?
Insights that will help improve #HipFracture care.
Link in thread below.
Enjoy!!

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Niamh Merriman @merrimanniamh.bsky.social · Jun 6

@rosespenfold.bsky.social @marywalsh14.bsky.social @eithnesexton.bsky.social @louisebrent28.bsky.social Pamela Hickey Tara Coughlan @ojedathies.bsky.social @antonyjohansen.bsky.social Andrew Hall @amaclullich.bsky.social Niamh O'Regan Catherine Blake @noca-irl.bsky.social @ucd-chas.bsky.social

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Niamh Merriman @merrimanniamh.bsky.social · Jun 6

Read the full article here: link.springer.com/article/10.1...

Delirium and cognitive assessment in national hip fracture registries: a scoping review - European Geriatric Medicine

Purpose Delirium and cognitive impairment are common in older adults with hip fracture and are associated with adverse patient outcomes. The Fragility Fracture Network recommends that national hip fra...

link.springer.com

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Niamh Merriman @merrimanniamh.bsky.social · Jun 6

While most identified HFRs recommended delirium and/or cognitive assessment, there was considerable variation in methods of assessment and documentation.

Greater standardisation in data items and their collection could improve international comparability and patient care.

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Niamh Merriman @merrimanniamh.bsky.social · Jun 6

Key findings:
- 22 eligible HFRs were identified
- 64% collected delirium assessment data
- 82% collected cognitive assessment data
- Heterogeneity in recommended delirium and cognitive assessment tools (although 50% recommended the 4AT), cut-off scores, and tool completion and positive score rates.

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Niamh Merriman @merrimanniamh.bsky.social · Jun 6

New research alert!
📢Published in #EuropeanGeriatricMedicine, this @hrbireland.bsky.social-funded scoping review examined #delirium and #cognitiveassessment data items currently collected by national #hipfracture registries (HFRs).

$Screenshot of the European Geriatric Medicine journal article titled "Delirium and cognitive assessment in national hip fracture registries: a scoping review," published on June 6, 2025.$

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Rose Penfold @rosespenfold.bsky.social · Apr 2

(2/2) Delirium assessment on initial presentation is feasible using an easy-to-implement tool such as the 4AT (the4AT.com).
This should be standard care for all patients presenting with a hip fracture @amaclullich.bsky.social @gerisoc.bsky.social @antonyjohansen.bsky.social

4AT - Rapid Clinical Test for Delirium Detection

4AT: rapid assessment test for delirium detection. Designed by Alasdair MacLullich (University of Edinburgh), Tracy Ryan and Helen Cash (NHS Lothian). Used in clinical care by doctors, nurses, occupat...

the4AT.com

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Rose Penfold @rosespenfold.bsky.social · Apr 2

(1/2) Published today: our study in >18000 hip fracture patients using national clinical registry data: boneandjoint.org.uk/Article/10.130…
- Delirium is prevalent, affecting 21% of hip fracture patients at time of presentation
-associated with higher mortality, less likely to return home again

https://boneandjoint.org.uk/Article/10.130…

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Mary Walsh @marywalsh14.bsky.social · Mar 28

Please share this video to help people who have experienced hip fracture in Ireland know that they are not alone. It affects 4,000 people (and families) every year and there is a community of people working tirelessly to ensure they receive the best possible care #IHFD #HipFORGE

National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · Mar 25

NOCA are delighted to present a patient education video: Supporting your hip fracture recovery journey. The aim of this video is to empower patients with knowledge of what to expect during their recovery from hip fracture. 🔗 vimeo.com/noca/hipfrac... #HipFORGE #IHFD @marywalsh14.bsky.social

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Mary Walsh @marywalsh14.bsky.social · Mar 25

I’m very proud of this output from our HRB award which concludes this month @ucddublin.bsky.social. It aims to provide reassurance and information to empower people experiencing hip fracture in Ireland on their recovery journey #HipFORGE.

National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · Mar 25

NOCA are delighted to present a patient education video: Supporting your hip fracture recovery journey. The aim of this video is to empower patients with knowledge of what to expect during their recovery from hip fracture. 🔗 vimeo.com/noca/hipfrac... #HipFORGE #IHFD @marywalsh14.bsky.social

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National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · Mar 25

Dr Mary Walsh presents the HSeLanD Training Module: “Enhancing Individual Recovery after Hip Fracture”. It aims to support healthcare staff in optimising recovery for patients in the weeks and months following a hip fracture. Available via www.hseland.ie in the coming weeks @marywalsh14.bsky.social

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National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · Mar 25

NOCA are delighted to present a patient education video: Supporting your hip fracture recovery journey. The aim of this video is to empower patients with knowledge of what to expect during their recovery from hip fracture. 🔗 vimeo.com/noca/hipfrac... #HipFORGE #IHFD @marywalsh14.bsky.social

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National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · Mar 25

Anne O’Shea-Clarke from Sage Advocacy & Mary Harkin from Age & Opportunity share the patient, carer & public perspective of HipFORESST. Their input was key to creating a powerful video resource to support people recovering from hip fracture. #HipFORGE #IHFD #ClinicalAudit @marywalsh14.bsky.social

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National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · Mar 25

Dr Mary Walsh launches the HipFORESST Project- 'Hip Fracture Outcome Recording – Empowering, Supporting and Sustaining Teams’. Funded by HRB, the project delivered 2 new resources co-designed with patients & partners incl. Age & Opportunity, Sage Advocacy and NOCA. #HipFORGE @marywalsh14.bsky.social

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National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · Mar 25

HipFORGE shows care varies across Ireland—but local champions are leading change. They need clear guidance, networks, time & resources. Attendees now break into groups to discuss actions on nutrition, mobility, delirium & outcomes. Knowledge Translation in action! #HipFORGE #IHFD #ClinicalAudit

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National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · Mar 25

Hospital teams in the IHFD Coordinator Network are preparing for the close of the 2024 file on the 31st March. New dashboards, DVR validation, and strong collaboration are supporting high-quality data collection and continuous improvement. #IHFD #HipFORGE #ClinicalAudit @marywalsh14.bsky.social

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National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · Mar 25

Dr Mary Walsh, HipFORGE Project, highlights the dedication of hospital teams piloting long-term outcome data collection after hip fracture. Their work is key to improving recovery and informing national standards. #HipFORGE #IHFD #ClinicalAudit @marywalsh14.bsky.social @louisebrent28.bsky.social

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National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · Mar 25

Dr Niamh Merriman, HipCog Study @ucddublin.bsky.social presents findings on cognitive screening post-hip fracture. Analysis of 22 registries shows wide variation, highlighting the need for international standardisation to benchmark delirium and cognitive screening #HipFORGE @marywalsh14.bsky.social

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National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · Mar 25

Dr Niamh O’Regan shares progress from the IHFD Orthogeriatric Network, highlighting the value of coordinated multidisciplinary care. Suggests developing orthogeriatric-specific standards and a formal Model of Care to reduce national variation. #HipFORGE #IHFD @marywalsh14.bsky.social

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National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · Mar 25

Naomi Bates, Senior Dietitian @svuh.bsky.social, shares progress on developing an IHFD Dietitian Network. HipFORGE found variation in nutritional screening, leading to a Dietitian joining IHFD Governance. Workshops will explore barriers and solutions. #HipFORGE #IHFD @marywalsh14.bsky.social

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National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · Mar 25

Shanice Vallely highlights the impact of IHFD professional networks—driving best practice in hip fracture care. The Physiotherapy Network has helped to boost early mobility nationwide through Standard 7, resulting in improved weekend staffing. #HipFORGE #IHFD #ClinicalAudit @marywalsh14.bsky.social

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National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · Mar 25

Dr Mary Walsh, PI of the HipFORGE Project, outlines today’s agenda—sharing solutions to issues identified by the project. The event, funded by the HRB (ARPP 2020 and KTA 2024) also launches an education module and patient video. #HipFORGE #IHFD #ClinicalAudit @marywalsh14.bsky.social

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National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · Mar 25

Prof Tara Coughlan opens the HipFORGE Dissemination Event & HipFORESST Launch, in collaboration with the Irish Hip Fracture Database Networks, uniting hip fracture care teams to share solutions, reduce variation, and raise standards nationwide. #HipFORGE #IHFD #ClinicalAudit @marywalsh14.bsky.social

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