Oliver Todd

Oliver Todd

3 year full-time Research Training Fellowship: Optimising blood pressure management for older people with frailty

My interest in research began with an intercalated degree in Physiology during medical studies at Imperial College London. It was during core medical training in Edinburgh that I was drawn to specialise in Geriatric Medicine, and develop an interest in delirium. I went to work in Germany to perform a study to identify whether sleep is an independent risk factor for delirium. This was followed by work as a medical registrar in Zambia where I undertook a delirium prevalence study and trial of a new cognitive score designed for use in a low resource setting.

Through my work in delirium, I became aware of the concept of frailty. I started my specialty training in geriatric medicine in 2015 at Bradford Royal Infirmary with an NIHR academic clinical fellowship supervised by Dr Andy Clegg. A key issue of clinical uncertainty in our care for older people with frailty is the treatment of blood pressure.

In October 2017, enabled by a Dunhill Medical Trust Doctoral Research Fellowship, I will undertake a PhD to explore the association between blood pressure and outcomes in older people, and determine whether frailty has a modifying effect. My PhD will use mixed methods including systematic review, linked data analysis and qualitative interviewing. I aim to establish whether and how frailty modifies BP management on the net effect on quality of life, independent living and mortality.