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End of Day 4 of #SNAP3 and we have recruited 6893 patients!! We can't thank our teams enough who have continued to recruit under challenging circumstances today! We are almost there! @HSRCNews Iain Moppett British Geriatrics Society Claire Swarbrick Royal College of Anaesthetists

That's a wrap! DAY 5 Complete! Over 8000 participants recruited to #SNAP3 across the last 5 days! what a success! As always a huge thank you to all our participating sites for all the amazing work put in over the last week. @HSRCNews Iain Moppett Claire Swarbrick Royal College of Anaesthetists British Geriatrics Society

📝The final part of follow up for our participants starts tomorrow for most of our SNAP3 Sites! We will look at participants quality of following their surgery! We have prepared a list of FAQ's for participating sites here niaa.org.uk/SNAP-3-Frailty… Iain Moppett @HSRCNews

SNAP3 is really keen to understand the quality of life of our older population after surgery. Our patient follow ups are now in full swing! 📝🙌 If you have any questions about the follow up process please contact [email protected]. @HSRCNews Claire Swarbrick Iain Moppett Royal College of Anaesthetists

Even with only around a quarter of sites up and running, we’ve already hit 100 participants enrolled in only two days. Fantastic work so far, keep up the great work! Looking forward to more sites coming online at the start of next week.

Dame Julia Slingo currently telling the Anaesthesia Research Conference why she believes anaesthetic gases have a miniscule contributory factor to global warming. Fascinating! Royal College of Anaesthetists NIAA Research STAR Group SASWR

Delighted to see @Sam1Nava presenting some early #SNAP3 data Age Anaesthesia Huge team effort from almost every UK hospital. @HSRCNews SNAPs News

The SNAP3 methodology paper has been published: rb.gy/wm95f1 📝 Our team have been working hard to analyse the results! Lot's of interesting information about the UK’s older surgical population to come! Thank you to all our collaborators & patients who contributed! 👏

One of the most important things any incoming government can do is establish sustainable approaches to care for older people living with fraity. If our system can work for this group, then it can work for everybody. Learn more at: bgs.org.uk/GE2024 @gerisoc

Lots of resources Centre for Perioperative Care to help HCPs support people with tobacco dependence cpoc.org.uk/guidelines-res… SuzieHarrogate Iain Moppett

#AAAConf Something for other conferences? @DrPhilipBraude : Slido to reduce the effect of (white) men getting first questions with roving mikes; private room available - breastfeeding, lactation, prayer. Practical actions to support EDI. Age Anaesthesia

Time for SNAP3- a sneak peak of data! Frailty delirium and anaesthesia. RCoA Centre for Research & Improvement Claire Swarbrick Iain Moppett Tom Poulton #AC2024

Yup! And we have evidence based interventions to reduce incidence, severity and consequences of post op delirium…

SNAP3: Frailty, multimorbidity and delirium in the older surgical patient. Preliminary results presented by Claire Swarbrick at Association of Anaesthetists Annual Congress #AC2024 SNAPs News RCoA Centre for Research & Improvement Royal College of Anaesthetists Uni of Nottingham School of Medicine #WeAreUoN British Geriatrics Society The Royal College of Surgeons of England The Royal College of Surgeons of Edinburgh 🧵1/

SNAP3: 1 in 30 study participants lacked capacity to provide consent for research (probably an underestimate of population we think). Important that we don't exclude people from studies just because it's difficult. RCoA Centre for Research & Improvement Alzheimer's Research UK SNAPs News 8/

SNAP3: One in five older surgical patients living with frailty (Clinical Frailty Scale ≥ 5). Around half with multiple long-term conditions. British Geriatrics Society SNAPs News Centre for Perioperative Care RCoA Centre for Research & Improvement Age UK 10/

SNAP3: Apologies to the geriatricians who already know this… but frailty and multimorbidity aren’t the same thing. Most people who are living with frailty have multiple long-term conditions, but the reverse isn’t true. British Geriatrics Society SNAPs News Age UK 13/

SNAP3: People living with frailty stay in hospital longer. No surprise? But look where the difference starts. CFS-4 (aka ‘vulnerable’ or ‘mild frailty’) – not the totemic CFS-5. I’m pretty certain ‘refer geriatrics’ isn’t the answer. British Geriatrics Society Centre for Perioperative Care SNAPs News RCoA Centre for Research & Improvement 15/

SNAP3: Key messages. Older surgical patients: 20% living with frailty; outcomes (length of stay, delirium, mortality) all worse with frailty - starting at CFS4; service organisation has room for improvement. Centre for Perioperative Care British Geriatrics Society The Royal College of Surgeons of Edinburgh The Royal College of Surgeons of England SNAPs News 28/

Great to see Claire Swarbrick presenting on #SNAP3 on Day 2 of the Winter Symposium. Results show the significant impact that living with frailty has on postoperative outcomes, reinforcing the need for universal frailty screening in older patients. #RCoAWinter SNAPs News Royal College of Anaesthetists