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ABSTRACTS Canadian Frailty Network (CFN) National Conference Abstracts Contributions from the CFN Trainees

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ABSTRACTS Canadian Frailty Network (CFN) National Conference Abstracts Contributions from the CFN Trainees ABSTRACTS Canadian Frailty Network (CFN) National Conference Abstracts Contributions from the CFN Trainees https://doi.org/10.5770/cgj.20.284 CANADIAN FRAILTY NETWORK ABSTRACTS FROM THE MEETING IN TORONTO, SEPTEMBER 27-29, 2015 INTRODUCTION to interact with colleagues, and access disciplinary and interdisciplinary data and diagnostic tools. The Canadian Frailty Network (CFN) was funded in July There are three main ways an HQP can enter the program: 2012 under the Canadian Networks of Centers of Excellence (NCE) program. CFN aims to facilitate evidence-based • The Interdisciplinary Fellowship Program; research, knowledge sharing, and clinical practices that • As HQP within TVN-funded research programs; or improve healthcare outcomes for frail elderly Canadians, • The Summer Student Award Program. their families, and caregivers across all settings of care. CFN’s vision is to position Canada as a global leader in Within the Interdisciplinary Fellowship program, providing the highest quality of care for its aging population. HQPs work in teams of four to identify and develop an As part of the NCE’s mandate and CFN’s strategic priorities online collaborative project. Online collaborative projects and mission, we have developed a unique Interdisciplinary facilitate interprofessional collaboration through multisector Training Program, designed to promote and facilitate and multidisciplinary learning by enabling interactions. interdisciplinary learning by providing experiential and The fellows also participate in an external placement in a entrepreneurial opportunities that cross health sciences, sector and/or discipline that they have not been previously law, social sciences, and ethics. The goal is to develop engaged in, and that aligns with their learning goals. Highly Qualified Personnel (HQP) with the disciplinary, Under the direction of their supervisors and mentors, interdisciplinary, and transdisciplinary skills, experiences, fellows complete at least two academic products involving and attitudes necessary to provide creative solutions to knowledge mobilization efforts. Mentorship is another the complex and multifaceted issues confronting the component of the training program, whereby HQPs meet frail elderly. The program provides trainees with unique with interdisciplinary mentors, patients and their families educational experiences that deepen appreciation for holistic and support system (PFSS), and peers. The essence of each care, increase exposure to interdisciplinary research through meeting is captured in a reflection on what they discovered knowledge creation and translation projects, and advance through dialogue with their mentors, and how this discussion intellectual and professional development. will influence their future studies and practice. The goals for the CFN Interdisciplinary Training One of the components of the CFN Interdisciplinary Program are aligned with the NCE training mandate, which Training Program is for HQPs to disseminate their work is to: 1) create a collaborative, multidisciplinary training through publication and meetings. The main dissemination program to develop HQP, 2) improve trainee’s viability for event of CFN is the annual conference; the 3rd CFN Annual future employment, and 3) provide support to trainees to Conference on Improving Care for the Frail Elderly was facilitate their success. The training program was launched held in Toronto, September 27-29, 2015 and the 4th CFN in Summer 2013. We currently have over 180 HQP in Annual Conference was held in Toronto, on April 23-24, approximately 25 different disciplines—including law, 2017. The goal for both conferences was to bring together ethics, public policy, social work, engineering, and other key researchers, practitioners, educators, policy-makers, disciplines—with an interest in improving care for the advocates, and organizations devoted to improving health frail elderly participating in our training program. These care for the seriously ill, frail elderly, and to highlight HQP individuals may be undergraduates, graduates, postdoctoral research. All 2015 and 2016 HQPs in the Summer Student fellows, or working professionals. The program emphasizes Award Program, the Interdisciplinary Fellowship Project, the acquisition and application of knowledge and skills across and project HQP involved with a CFN-funded project all its components. All HQPs collaborate online through a submitted an abstract for their affiliated conference. learning management system that provides opportunities The abstracts were reviewed for quality, and the authors © 2017 Author(s). Published by the Canadian Geriatrics Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No-Derivative license (http://creativecommons.org/licenses/by-nc-nd/2.5/ca/), which permits unrestricted non-commercial use and distribution, provided the original work is properly cited. CANADIAN GERIATRICS JOURNAL, VOLUME 20, ISSUE 3, SEPTEMBER 2017 120 CANADIAN FRAILTY NETWORK (CFN) ABSTRACTS presented them as posters during the conferences. In what patients showed significant correlation with frailty score follows, we present the compilation of research abstracts (r2=0.21, p<.05). US of rectus femoris in all females was that were presented by CFN HQP at the 3rd and 4th annual significantly associated with frailty score (r2=0.19, p=.008). conferences. The annual conference will continue to be The receiver-operating characteristic (ROC) for thigh expanded in coming years, and next year we will accept ultrasound was not able to distinguish sarcopenic patients abstracts from all researchers who are engaged with the (area ROC curve=0.6, p=.8). seriously ill, frail elderly. Conclusion: CT identified sarcopenia was associated with Authors: John Muscedere1 MD, Sarah Grace Bebenek2 high-risk frail patients. US measured muscle thickness was MSc, Denise Stockley PhD2, Laura Kinderman2 PhD, predictive of frailty but not of CT identified sarcopenia. and Carol Barrie1 CPA, CA. 1Canadian Frailty Network, 2Queen’s University. Validity and Reliability Testing of Two Acute Care Nutrition Support Tools Ultrasound of Thigh Muscle Can Predict Frailty in Elderly Patients J. McCullough1, H. Keller2, E. Vesnaver3, H. Marcus4, T. Lister5, R. Nasser6, L. Belley7. 1University of Waterloo, S. Salim, L. Warkentin, A. Gallivan, T. Churchill, V. Waterloo, ON, Canada; 2Department of Kinesiology, Baracos, R. Khadaroo. University of Alberta, Edmonton, University of Waterloo, Waterloo, ON, Canada; Schlegel- AB, Canada. University of Waterloo, Research Institute for Aging, Waterloo, ON, Canada; 3Department of Family Relations Background: Sarcopenia, defined as loss of muscle mass and Applied Nutrition, University of Guelph, Guelph, ON, and function, has been associated with high morbidity and Canada; 4Grand River Hospital, Kitchener, ON, Canada; mortality in patients over 65 years. Yet, it is not part of 5Vancouver Island Health Authority, Vancouver, BC, the routine screening process in geriatric care. Computed Canada; 6Regina Qu’Appelle Health Region, Regina, SK, tomography (CT) scan has been used as the gold-standard Canada; 7Centre hospitalier de l’Université de Montréal, tool to identify sarcopenia. Unfortunately, the high cost, Montreal, QC, Canada. limited availability, and radiation exposure limits the use of CT scans. Thigh muscle ultrasound (US) may provide a Abstract: Poor food intake is common with patients in feasible diagnostic modality to identify frail older patients. acute care, which can affect their recovery. Research We hypothesize that thigh ultrasound is predictive of frailty describes that many barriers to food intake and poor intake and post-operative complications in high-risk elderly patients. is associated with a longer hospital stay. Thus, identifying problems and intervening as soon as possible is important. Methods: Thirty-eight patients above the age of 65 years The aim of this project was to test the validity and reliability referred to Acute Care Surgery service were recruited. of recently developed tools designed to monitor food intake Using ultrasound, thigh muscle thickness was standardized and barriers experienced by patients. 120 patients over the to patient height. CT scan images at L3 were analyzed and age of 65 were recruited at four hospitals. Patients reported the skeletal muscle index was calculated. Sarcopenia was their food intake for a single meal on the My Meal Intake defined as skeletal muscle index < 41cm2/m2 for females Tool (M-MIT) and reported mealtime barriers at a single and <43cm2/m2 or < 53cm2/m2 for males (with BMI 25kg/ meal on the Mealtime Audit Tool (MAT). Validity of the m2, respectively). Rockwood Clinical Frailty score (1-3 M-MIT was determined by comparing patient completed non-frail, >4 frail) was used to assess patient condition. M-MIT with food intake estimations conducted by on-site dietitians. Sensitivity (SE) and specificity (SP) for solid food Results: The mean age of our preliminary study group was and individual fluid intake (≤ 50% vs. > 50%) was adequate 78 ± 8 years and 68% (n=26) were females. Sarcopenia was (solids: SE 76%, SP 74%; juice: SE 74.1%, SP 88.1%; coffee/ identified in 69% of the patients via CT. Sarcopenic patients tea: SE 70.6%, SP 97.0%; milk: SE 64.3%, SP 83.3%). had a greater number of in-hospital complications (48% vs. According to the MAT, the mean number of food intake 16.6% in non-sarcopenic, p=.0001). There was no difference barriers that patients experienced
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