A QI project of frailty assessment in patients with COPD to enable care planning (ID 353)
Chapel street surgery Rigg Milner medical center and Corringham health center
Funding: None
Abstract
Aim:Patients with COPD have increased incidence of frailty due to their respiratory compromise. A QI project to undertake frailty reviews using the Comprehensive Geriatric Assessment (CGA) toolkit to enable proactive community care planning in primary care was undertaken.
Method:
198 patients on the COPD register were offered a CGA across three sites in order to assess their health and social care needs over a period of 12 months. Doing a CGA enabled proactive future care planning and were escalated to the health and social care MDT. The CGA enabled identification of physical functional social and environmental needs and in addition psychological assessment to identify anxiety and depression and undertake structured medication reviews.
Result:
We found of the 198 patients there was a correlation between the MRC scores and Electronic frailty indices a correlation coefficient of r= 0.7686 a p value of 0.05. In addition, the EFI and MRC scores showed a correlation with depression PHQ9 (r= 0.5808) and Anxiety GAD (r=0.5016).
Conclusion:
The CGA tool is a holistic tool appropriate for patients with multiple co-morbidity including COPD. The CGA enables proactive care planning encompassing both physical, social and psychological needs. Undertaking this assessment enabled proactive health and social care planning and improved patient safety and during the COVID-19 pandemic helped reduce unplanned hospital admissions.
Conflicts of interest: None
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