New BOAST published

The BOA is pleased to launch its newest BOAST on ‘The care of the older or frail orthopaedic trauma patient’. The BOA Trauma Group has produced this document, which is supported by the British Geriatrics Society, National Hip Fracture Database and the Fragility Fracture Network UK.

This BOAST has been prepared to take the place of the BOAST on Fragility Hip Fracture, because it was felt that it should have a patient rather than injury focus.  Patients with hip fractures make up a significant proportion of inpatient trauma workload and over the last 10 years there have been significant quality improvements in care through multidisciplinary working as demonstrated by the NHFD; however, often patients with other injuries don’t benefit from the same approach.  The reasons for this are multifactorial but the Trauma Group felt strongly that the aim should be to deliver the same standards to all older or frail patients who are admitted under our care whatever their injury. 

The newly designed BOAST includes two formats of document, including a one page printable version which can be found here

Background of the BOAST:

The care of orthopaedic trauma in the older or frail patient is dependent on coordinated multidisciplinary working to manage the physical injury, co-morbidities and rehabilitation, including measures to prevent further injury. Previously, patients with a hip fracture have been the focus of such collaboration but the need extends to patients sustaining other injuries. The frail patient with severe injuries is at risk of undertriage, delayed diagnosis and consequent sub-optimal care. The Trauma Audit Research Network (TARN) Elderly Trauma report showed in that, in this group, it is not high energy mechanisms but falls from a standing height that predominate.