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Table 1 Screening tool for vulnerable elderly of the Dutch Safety Management Program

From: The cardiac care bridge program: design of a randomized trial of nurse-coordinated transitional care in older hospitalized cardiac patients at high risk of readmission and mortality

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
  1. Abbreviations SNAQ Short nutritional assessment questionnaire, ADL Functioning activities of daily living-functioning, KATZ-6 Modified KATZ-6 index
  2. aPatients are at high risk of functional decline if aged 70–79 years and score ≥ 2 or aged ≥ 80 years and score ≥ 1