• Aye Su Mon, Chrys Pulle, and Jack Bell.
• Department of Geriatric Medicine, Prince Charles Hospital, Brisbane, Queensland, Australia.
• Australas J Ageing. 2018 Sep 1; 37 (3): 217-223.

ObjectivesMalnutrition after hip fracture is recognised as the co-morbidity most likely to impact hospital length of stay and cost. Despite this, the role of enteral tube feeding in hip fracture patients remains unclear.MethodsA modified Delphi process was used to establish consensus for an enteral tube feeding decision support tool. Three rounds of the Delphi survey were administered to a purposeful sample of twenty multidisciplinary clinicians from the Australian and New Zealand Hip Fracture Registry.ResultsConsensus markedly improved across the three rounds (33, 44 and 87%, respectively). More than 80% of participants positively supported implementing the tool in clinical practice.ConclusionsThis study describes experienced, multidisciplinary clinician consensus and support for an 'Enteral tube feeding decision support tool' to be applied in acute hip fracture settings. Further studies are being undertaken to identify the impact of the checklist tool on informed consent decision processes in this population.© 2018 AJA Inc.

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