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Oxford University Hospitals NHS Foundation Trust

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ORCHARD

Trial categories: Brain; Dementia

Sponsoring organisation: University of Oxford

Oxford Cognitive Comorbidity, Frailty and Ageing Research Database

We are creating a research database, the Oxford Cognitive Comorbidity, Frailty and Ageing Research database, (ORCHARD) to extend audit/service development projects already undertaken within the Oxford University Hospitals NHS FoundationTrust (OUH) to inform the care of patients with cognitive impairment, complex comorbidity, and physical frailty.

As a result of our previous work, the OUH has introduced the OUH cognitive screen which is now embedded in the OUH Electronic Patient Record (EPR).

The proposed database would hold routinely acquired data on OUH adult in-patients or acute ambulatory care patients including demographics (age, sex), cognitive function (abbreviated mental test score (AMTS), delirium, and dementia diagnoses) clinical details including comorbidities, in-patient complications including falls and pressure sores, length of stay, discharge destination, mortality and readmission.

Anonymised data are obtained from the OUH information team and transferred to the database. Data are stored on the High Compliance drive at the Centre for Prevention of Stroke and Dementia (CPSD).

The research database will be used to examine the prevalence and associated complications of cognitive comorbidity (dementia, delirium, other cognitive impairment), all-cause co-morbidity and physical frailty across different specialities in the OUH and their association with adverse outcomes including falls, pressure sores, length of stay, mortality and readmission as well as trends over time.

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