Risk domain | Instrument | Questions | Cut-off | Scorea |
---|---|---|---|---|
Fall risk | Single question | Did you fall in the last 6 months? | yes = 1 | 1 |
Malnutrition | SNAQ [53] | Assessing whether the patient: 1) lost weight unintentionally in the last 36 months and/or 2) experiences a decreased appetite and 3) used supplemental drinks or tube feeding | Question 1 = yes or Question 2 + 3 = yes | 1 |
Delirium | Single questions | Assessing whether: 1) the patient has cognitive impairment; 2) the patient needed help with self-care in the last 24 h; 3) the patient has previously undergone a delirium | ≥  1 point = 1 | 1 |
ADL-functioning | KATZ-6 [54] | Assessing whether the patient needs help with: 1) bathing, 2) dressing, 3) toileting, 4) transferring from bed to a chair, 5) eating, and 6) whether the patient uses incontinence material | ≥ 2 points = 1 | 1 |
Total score |  |  |  | 0–4 |