959 OPTIMISING MEDICAL CARE IN OLDER EMERGENCY UROLOGY PATIENTS USING A GERIATRICIAN-LED PERI-OPERATIVE SERVICE

Abstract Introduction Older and frail patients account for a large proportion of urology service use (Drch GW, Griebling TL., JAGS, 2003; 51: S355–8). Frail are at higher risk complications readmissions (Suskind A et al., BJUI, 2016; 117:836–42). Emergency may not be optimised before admission, leading to further increased time restraints on care planning. Therefore, geriatrician-led Perioperative Care People Undergoing Surgery (POPS) was established within the department District General Hospital improve older emergency inpatients’ outcomes. We reviewed impact medical management, readmissions, Method Retrospective documentation review aged over 65 admitted in 3 months POPS implementation, compared those by following. Median clinical frailty score group 6. The Comprehensive Geriatric Assessment based inpatient perioperative created using co-design staff questionnaires were completed post-implementation. Results 100% (n = 26) would recommend other surgical wards comments improvements focused expansion (9/15). Conclusion significantly improved recognition management conditions reduced readmissions. Increased end life planning allowed patients’ wishes acted on. This successfully implemented with high acceptance.