Using consensus methods to prioritize modifiable risk factors for development of manifestations of frailty in hospitalized older adults

Susanne Coleman; Faye Wray; Kristian Hudson; Anne Forster; Simon Conroy; Jonathan Tremyl; Susan D Shenkin; Jane Nixon; Mandy Fader; Victoria A Goodwin; Danielle Woods; Shelley Crossland; Rachel Holt; Louise Mcgregor; Rebecca Maud; Zoe Wyrko; Sarah E Lamb; Elizabeth Teale

doi:10.1002/nop2.1370

Using consensus methods to prioritize modifiable risk factors for development of manifestations of frailty in hospitalized older adults

Nurs Open. 2023 Feb;10(2):1016-1028. doi: 10.1002/nop2.1370. Epub 2022 Sep 26.

Authors

Susanne Coleman¹, Faye Wray^{2

3}, Kristian Hudson⁴, Anne Forster^{3

5}, Simon Conroy⁶, Jonathan Tremyl⁷, Susan D Shenkin⁸, Jane Nixon⁹, Mandy Fader¹⁰, Victoria A Goodwin¹¹, Danielle Woods¹², Shelley Crossland¹³, Rachel Holt¹⁴, Louise Mcgregor¹⁵, Rebecca Maud¹⁶, Zoe Wyrko¹⁷, Sarah E Lamb¹⁸, Elizabeth Teale^{3

19}

Affiliations

¹ Clinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, UK.
² Academic Unit for Ageing and Stroke Research, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.
³ Academic Unit for Ageing and Stroke Research, Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
⁴ The Improvement Academy, Bradford Institute for Health Research, Bradford, UK.
⁵ Department of Stroke Rehabilitation, Academic Unit for Ageing and Stroke Research, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.
⁶ Central and North West London NHS Foundation Trust, London, UK.
⁷ Queen Elizabeth Hospital Birmingham, Birmingham, UK.
⁸ Geriatric Medicine, Usher Institute, University of Edinburgh, Edinburgh, UK.
⁹ Tissue Viability and Clinical Trials Research, Leeds Institute Health Sciences, Leeds, UK.
¹⁰ Department of Continence Technology, University of Southampton, Southampton, UK.
¹¹ Department of Ageing and Rehabilitation, University of Exeter, Exeter, UK.
¹² University of Highlands and Islands, Perth, UK.
¹³ Leicestershire Partnership NHS Trust, Leicester, UK.
¹⁴ Mid Yorkshire Hospitals NHS Trust, Wakefield, UK.
¹⁵ St Georges University Hospitals NHS Foundation Trust, London, UK.
¹⁶ University College London Hospital, London, UK.
¹⁷ Riverstone Living, London, UK.
¹⁸ Medical School Building (F.02), St Lukes Campus, Exeter, UK.
¹⁹ Geriatric Medicine, Academic Unit for Ageing and Stroke Research, Leeds Institute of Health Sciences, University of Leed, Leeds, UK.

Abstract

Aim: The aim of the study was to reach consensus on modifiable risk factors for a novel system of care to address Manifestations of Frailty in hospitalized older adults.

Design: Consensus study.

Method: A modified nominal group technique, incorporating expert group face-to-face interaction, review of existing evidence and pre/post-meeting questionnaire completion was undertaken November 2019-February 2020.

Results: Seventy-one risk factors, within seven risk factor domains (pain, medication, fluid and nutrition intake, mobility, elimination, infection, additional patient factors) were considered. It was agreed that 44 risk factors incorporating patient, organizational and environmental risk factors were modifiable and should be included in a novel system of care.

Keywords: acute care; consensus methods; frailty.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Aged
Frailty*
Humans
Pain
Risk Factors