Why Don’t We Tube Feed Hip Fracture Patients? Findings from the Implementation of an Enteral Tube Feeding Decision Support Tool
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Participants and Protocol
2.2. The Enteral Tube Feeding Decision Support Tool
2.3. Implementation
2.4. Data Collection
2.5. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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|
Demographic Characteristics | Pre-Implementation | Post-Implementation | Statistic |
---|---|---|---|
Age (years) median | 83.0 | 84.5 | p = 0.304 † |
Gender (female) n (%) | 57 (63%) | 57 (66%) | χ2 (1) 0.167; p = 0.683 |
From private residence, n (%) | 63 (70%) | 57 (66%) | χ2 (1) 0.281; p = 0.596 |
Malnutrition, n (%) | 37 (41.6%) | 43 (50.6%) | χ2 (1) 1.423 p = 0.233 |
n | |
---|---|
Able to take medications per oral | 14 |
Risk of repeated dislodgement of NGT | 11 |
Medically contraindicated (e.g., Advanced dementia, palliative) | 11 |
NGT-related contraindications or complications | 8 |
NGT-related aspiration risk | 6 |
Well-nourished | 5 |
Against patient’s expressed or documented wishes | 4 |
Other | 0 |
Patient 1 83 Years; F | Patient 2 90 Years; M | Patient 3 77 Years; M | |
---|---|---|---|
Able to take medications per oral | Unlikely | ||
Medically contraindicated (e.g., advanced dementia, palliative) | Unlikely | Likely | |
NGT-related aspiration risk | Likely | ||
Well-nourished | Unlikely | Likely | Unlikely |
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Barrimore, S.; Davey, M.; Pulle, R.C.; Crouch, A.; Bell, J.J. Why Don’t We Tube Feed Hip Fracture Patients? Findings from the Implementation of an Enteral Tube Feeding Decision Support Tool. Geriatrics 2021, 6, 12. https://doi.org/10.3390/geriatrics6010012
Barrimore S, Davey M, Pulle RC, Crouch A, Bell JJ. Why Don’t We Tube Feed Hip Fracture Patients? Findings from the Implementation of an Enteral Tube Feeding Decision Support Tool. Geriatrics. 2021; 6(1):12. https://doi.org/10.3390/geriatrics6010012
Chicago/Turabian StyleBarrimore, Sally, Madeleine Davey, Ranjeev Chrysanth Pulle, Alisa Crouch, and Jack J. Bell. 2021. "Why Don’t We Tube Feed Hip Fracture Patients? Findings from the Implementation of an Enteral Tube Feeding Decision Support Tool" Geriatrics 6, no. 1: 12. https://doi.org/10.3390/geriatrics6010012
APA StyleBarrimore, S., Davey, M., Pulle, R. C., Crouch, A., & Bell, J. J. (2021). Why Don’t We Tube Feed Hip Fracture Patients? Findings from the Implementation of an Enteral Tube Feeding Decision Support Tool. Geriatrics, 6(1), 12. https://doi.org/10.3390/geriatrics6010012