Implementation of a Frailty Care Bundle (FCB) targeting mobilisation, nutrition and cognitive engagement to reduce hospital associated decline in older orthopaedic trauma patients: pretest-posttest intervention study
dc.contributor.author | Naughton, Corina | en |
dc.contributor.author | de Foubert, Marguerite | en |
dc.contributor.author | Cummins, Helen | en |
dc.contributor.author | McCullagh, Ruth | en |
dc.contributor.author | Wills, Teresa | en |
dc.contributor.author | Skelton, Dawn A. | en |
dc.contributor.author | Dahly, Darren | en |
dc.contributor.author | O’Mahony, Denis | en |
dc.contributor.author | Ahern, Emer | en |
dc.contributor.author | Tedesco, Salvatore | en |
dc.contributor.author | Sullivan, Bridie O. | en |
dc.contributor.funder | Health Research Board | en |
dc.contributor.funder | Health Service Executive | en |
dc.date.accessioned | 2024-03-13T10:11:39Z | |
dc.date.available | 2024-03-13T10:11:39Z | |
dc.date.issued | 2024-03 | en |
dc.description.abstract | Objective: To implement and evaluate a Frailty Care Bundle (FCB) targeting mobilisation, nutrition, and cognition in older trauma patients to reduce hospital associated decline. Methods: We used a two group, pretest-posttest design. The FCB intervention was delivered on two orthopaedic wards and two rehabilitation wards, guided by behaviour change theory (COM-B) to implement changes in ward routines (patient mobility goals, nurse assisted mobilisation, mealtimes, communication). Primary outcomes were patient participants' return to pre-trauma functional capability (modified Barthel Index - mBI) at 6-8 weeks post-hospital discharge and average hospital daily step-count. Statistical analysis compared pre versus post FCB group differences using ordinal regression and log-linear models. Results: We recruited 120 patients (pre n=60 and post n=60), and 74 (pre n=43, post n=36) were retained at follow-up. Median age was 78 years and 83% were female. There was a non-significant trend for higher mBI scores (improved function) in the post compared to pre FCB group (OR 2.29, 95% CI 0.98-5.36), associated with an average 11% increase in step-count. Conclusion: It was feasible, during the Covid-19 pandemic, for multidisciplinary teams to implement elements of the FCB. Clinical facilitation supported teams to prioritise fundamental care above competing demands, but sustainability requires ongoing attention. ISRCTN registry: ISRCTN15145850 (https://doi.org/10.1186/ISRCTN15145850) | en |
dc.description.sponsorship | Health Research Board of Ireland ((Ref APA-2019-009): HSE South West Hospital Group as part of the HRB Applied Partnership funding award) | en |
dc.description.status | Peer reviewed | en |
dc.description.version | Published Version | en |
dc.format.mimetype | application/pdf | en |
dc.identifier.citation | Naughton, C., De Foubert, M., Cummins, H., McCullagh, R., Wills, T., Skelton, D.A., Dahly, D., O’Mahony, D., Ahern, E., Tedesco, S. and Sullivan, B.O., (2024) 'Implementation of a Frailty Care Bundle (FCB) Targeting Mobilisation, Nutrition and Cognitive Engagement to Reduce Hospital Associated Decline in Older Orthopaedic Trauma Patients: Pretest-Posttest Intervention Study', Journal of Frailty, Sarcopenia and Falls, 9(1), pp.32–50. https://doi.org/10.22540/JFSF-09-032 | en |
dc.identifier.doi | https://doi.org/10.22540/JFSF-09-032 | en |
dc.identifier.endpage | 50 | en |
dc.identifier.issn | 2459-4148 | en |
dc.identifier.issued | 1 | en |
dc.identifier.journaltitle | Journal of Frailty, Sarcopenia and Falls | en |
dc.identifier.startpage | 32 | en |
dc.identifier.uri | https://hdl.handle.net/10468/15663 | |
dc.identifier.volume | 9 | en |
dc.language.iso | en | en |
dc.publisher | Hylonome Publications | en |
dc.relation.ispartof | Journal of Frailty, Sarcopenia and Falls | en |
dc.rights | © 2024. Published under Creative Common License CC BY-NC-SA 4.0 (Attribution-Non Commercial-ShareAlike) | en |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-sa/4.0/ | en |
dc.subject | Hospital associated decline | en |
dc.subject | Mobility | en |
dc.subject | Nutrition | en |
dc.subject | Orthopaedic | en |
dc.title | Implementation of a Frailty Care Bundle (FCB) targeting mobilisation, nutrition and cognitive engagement to reduce hospital associated decline in older orthopaedic trauma patients: pretest-posttest intervention study | en |
dc.type | Article (peer-reviewed) | en |
dc.type | journal-article | en |
oaire.citation.issue | 1 | en |
oaire.citation.volume | 9 | en |