1. 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

2. Brief presentation, new project
Opportunities
Hurdles

3. 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

4. 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

5. Developing a research question
What factors predict poor outcomes in patients admitted with prior or new cognitive impairment?

6. Ongoing work Learning from others
Suggestions from NIHR A&A Specialty Group welcome!