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

Abstract

Aim: To reach consensus on modifiable risk factors for a novel system of care to address Manifestations of Frailty (MoF) in hospitalised 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, organisational and environmental risk factors were modifiable and should be included in a novel system of care.