Dr Susan D Shenkin Clinical Senior Lecturer & Honorary Consultant Using routinely collected data to investigate causes and consequences of cognitive impairment Dr Susan D Shenkin Clinical Senior Lecturer & Honorary Consultant
Brief presentation, new project Opportunities Hurdles
Opportunities 213,000 admissions per year >65 (Lothian 28,500) Large amount of routinely collected data CT, blood tests, AMT, MMSE, ?delirium assessment Increasingly electronic Can link using CHI number Outcome data (ISD) Scotland National dementia strategy etc
Hurdles My experience Clinical reality Legislation Lifecourse cohort study of cognition & neuroimaging Healthy volunteers Research MRI and detailed cognitive battery Clinical reality Data collected, quality, outcomes Legislation Is it service development/audit/research? Approvals from ethics, information governance etc. Data storage and linkage Permissions
Developing a research question What factors predict poor outcomes in patients admitted with prior or new cognitive impairment?
Ongoing work Learning from others Suggestions from NIHR A&A Specialty Group welcome!