Variation in acute and community service provision of care of the elderly services across Scotland: findings from the Scottish Care of Older People (SCoOP) initial scoping survey

Background This scoping survey is a preliminary part of the Scottish Care of Older People (SCoOP) audit programme, which aims to assess specialist service provision for older people with frailty in Scotland, and provide benchmarking data for improving services.

Predicting and preventing avoidable hospital admissions: a review

The strongest risk factors for avoidable hospital admission are age and
deprivation but ethnicity, distance to hospital, rurality, lifestyle and meteorological
factors are also important, as well as access to primary care. There is still
considerable uncertainty around which admissions are avoidable. In terms of
services to reduce admissions there is evidence of effectiveness for education, selfmanagement,
exercise and rehabilitation, and telemedicine in certain patient

Henoch-Schönlein purpura: a rare vasculitis in older adults

Henoch-Schönlein purpura (HSP) is a small vessel vasculitis with immunoglobulin A-dominant immune deposits found in vessel walls. It primarily affects children, is uncommon in adults and often under-recognised in the elderly population due to its rarity in this group. When a purpuric rash develops in an older person it is typically treated with antibiotics for presumed infection, rather than investigated as potentially HSP. It is important to recognise this condition, particularly in older adults, as diagnosis has implications for management and prognosis.