Endocrine Abstracts

Background: During Covid-19 pandemic, we recognised the importance of optimising adrenal insufficient patients’ ability to manage adrenal crisis and seek medical intervention thereby reducing the need for more intensive support. Evidence suggests omission of steroids during an adrenal crisis is a medical emergency and can be fatal. Research by National Reporting Learning System (2020) identified 4 deaths, 4 admissions to critical care, 320 incidents relating to steroid re...

Background: University Hospitals Birmingham NHS Foundation Trust offers a comprehensive bone health assessment, through the Fracture Liaison Service (FLS), to individuals who sustain fragility fracture/s. Patients requiring assessment are identified daily through admissions from Accident and Emergency and Trauma and Orthopaedics. A bone density scan is requested for further investigations according to the FRAX tool to identify more accurately their fracture risk and to help de...

Background: The incidence of adrenal crisis remains constant, despite the introduction of behavioural interventions to educate and empower patients. To increase the success of future behaviour change interventions, theoretically informed and empirically supported behaviour change frameworks are available. The current review aimed to identify and evaluate available evidence of interventions used to prevent adrenal crisis in people with primary adrenal insufficiency to inform fu...

Background: Behavioural interventions have been developed to empower patients with adrenal insufficiency and prevent adrenal crisis. Behavioural theory, such as the theoretical domains framework, can inform future intervention development. The current systematic review aims to describe what techniques have been employed in previous interventions and highlight neglected behavioural barriers that could be targeted in future interventions.Methods: We perfor...