54 Frail older patients have a greater improvement in physical quality of life than robust patients at one year following invasive treatment for non-st elevation acute coronary syndrome

Abstract

offs during the end of life care by 50%, over a 6 month period. Since January 2016, there were different interventions every month; including Grand round, departmental teaching, posters (Figure 1), implementing related questions in the palliative pathway and e-messages. Results After 4 months, 66% of patients with an active ICD/ CRT-D received discussions and switch-offs in advance with good timing before death (Figure 2). In turn, there was a strong impact on patient-centred care, quality and co-ordinated care, efficiency, effectiveness, cost and patient safety. Figure 2 Abstract 53