Rose Penfold

@adamgordon1978.bsky.social @vickigphysio.bsky.social @rosespenfold.bsky.social @drterryquinn.bsky.social @drtheodorajones.bsky.social @laramitchdr.bsky.social

Time to routinely perform 4AT at the ‘front door’; evidence informing policy and practice A ‘front door’ triple assessment for patients aged over 65 is now advocated to identify those at risk of hospital-acquired complications. This triple asses

Could the 4AT delirium detection tool (www.the4AT.com) also be used to identify possible dementia?

Editorial: academic.oup.com/ageing/artic...

Article: academic.oup.com/ageing/artic...

@gerisoc.bsky.social @amaclullich.bsky.social

Well done on your excellent paper @merrimanniamh.bsky.social @rosespenfold.bsky.social et al! (My next @bmj.com opinion about dementia includes hip fracture- the diagnosis with the biggest use of NHS beds. Just to give context about the huge importance of your delirium/ cognitive impairment study)

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...

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

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.

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.

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).

Our official journal @anaesjournal.bsky.social is looking for two part-time editors to join the team.

Find out more 👉 buff.ly/RJZS3eE

No. This study does not show that drinking champagne could reduce your risk of cardiac arrest.

It shows that many things can predict your chances of cardiac arrest. Unsurprisingly, this includes the amount of champagne you drink, which is doubtless a marker of wealth.

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

Why is Physio not offered routinely on the NHS postpartum?
- state funded in France and other European countries
-essential for recovery, return to activity and mental health
- my partner was offered NHS Physio for a conservatively managed scapula fracture that he acquired mountain biking...

Fantastic news!

Exciting news! MWF is thrilled to announce that, due to high demand and our ongoing commitment to supporting women doctors, we have extended the discounted pricing for our Spring Conference until 30th April. Secure your spot today! medicalwomensfederation.org.uk/news-events/...

Thank you @johnsplatt.bsky.social! A big change but enjoying the new challenge of motherhood. Hope you're well :)

@medicalwomenuk.bsky.social @womenspeakershc.bsky.social

medicalwomensfederation.org.uk/news-events/... MWF conference in Cambridge Fri 16th May. Fantastic opportunity to learn more about issues affecting women in medicine and for networking. I will be virtual this year (baby 8 weeks old!) but look forward to attending again soon! EARLY BIRD CLOSES 16/04

⁉️ Think it's impossible to achieve high rates of DELIRIUM screening?

Think again:

⭐️ 91% completion of 4AT

⭐️ hip fracture patients

⭐️ whole of Scotland data

⭐️ N=18,040

#delirium @rosespenfold.bsky.social

t.co/mE1Dx96EZP

Oops - thanks- have added link! Thanks for sharing @iainmoppett.bsky.social :)

boneandjoint.org.uk/Article/10.1...

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...

(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

(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

Publishers trial paying peer reviewers — what did they find? Two journals embarked on efforts to compensate reviewers, with different results.

www.nature.com/articles/d41...

Why do most #dementia charities show such little awareness of #delirium?

It's something that needs to change.

See attached for an open letter to CEOs of dementia charities.

#WDAD2025

At our event in GM only a couple of colleagues from memory clinics. Information on delirium should helpfully be part of post diagnostic support for people with dementia.

Scarlett McNally: Unleashing the talent of women doctors can improve everyone’s health International women’s day falls on 8 March every year. As the outgoing president of the Medical Women’s Federation, I want this year’s celebration to be followed by action. The number of women doctors...

Article in @bmj.com by Scarlett McNally www.bmj.com/content/388/...

For the first time in the UK, registered women doctors now outnumber men. But...there still remains an imbalance in senior clinical, leadership and academic positions. Great progress but work to be done! @medicalwomenuk.bsky.social @womenspeakershc.bsky.social

Scarlett McNally: Unleashing the talent of women doctors can improve everyone’s health International women’s day falls on 8 March every year. As the outgoing president of the Medical Women’s Federation, I want this year’s celebration to be followed by action. The number of women doctors...

www.bmj.com/content/388/...

What is medical Bluesky—and is it worth engaging with? As doctors, researchers, and other academics flee X (formerly Twitter), Mun-Keat Looi looks at what the social network Bluesky is and why #MedSky might be worth trying In a nutshell, it’s a social ne...

A useful article in @bmj.com on Bluesky - with some people and starter packs to follow! www.bmj.com/content/388/...

We used to have an annual "balloon race" when I was at primary school....which seems awful now!! Agree, I felt bad watching that bit...(but otherwise happily watched the film!)

Sharing this short (10mins) survey by colleagues working to improve care for people with liver disease.

📢 Clinicians (doctors and nurses) in primary and secondary care, in the UK.

🏅Prize draw to win one of five £75 High Street shopping vouchers.

app.onlinesurveys.jisc.ac.uk/s/dundee/adi...

Wow! The number of @bsky.app users just passed 32 MILLION! 👏

LETS DO THIS!