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

Coleman, Susanne
Wray, Faye
Hudson, Kristian
Forster, Anne
Conroy, Simon
Tremyl, Jonathan
Shenkin, Susan D
Nixon, Jane
Fader, Mandy
Goodwin, Victoria A
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2022-09-26
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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.
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Coleman S, Wray F, Hudson K, Forster A, Conroy S, Tremyl J, Shenkin SD, Nixon J, Fader M, Goodwin VA, Woods D, Crossland S, Holt R, Mcgregor L, Maud R, Wyrko Z, Lamb SE, Teale E. 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
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