Frailty Index (from routine data collection)
1 | Falls in last 12 months | 0=no, 1=yes | |
2 | Dementia diagnosis | 0=no, 1=yes | |
3 | Altered cognition | 0=no, 1=yes | |
4 | On four or more medications, at least one affecting CNS/CVS | 0=no, 1=yes | |
5 | Vision impairment | 0=no, 1=yes | |
6 | Hearing impairment | 0=no, 1=yes | |
7 | Assistance with transferring | 0=no, 1=yes | |
8 | Assistance with mobilising | 0=no, 1=yes | |
9 | Assistance with toileting | 0=no, 1=yes | |
10 | Assistance with bathing | 0=no, 1=yes | |
11 | Assistance with dressing | 0=no, 1=yes | |
12 | Postural hypotension/dizziness | 0=no, 1=yes | |
13 | Bowel incontinence | 0=no, 1=yes | |
14 | Urinary incontinence | 0=no, 1=yes | |
15 | Eating poorly? | 0=no, 1=yes | |
16 | Lost weight without trying? | 0=no, 0.5=1–10 kg, 1 =>10 kg | |
17 | Pressure injury- current or past | 0=no, 1=yes | |
18 | Neuropathic foot disease | 0=no, 1=yes | |
19 | Problems managing at home prior to admission | 0=no, 1=yes | |
20 | Often feels sad or depressed? (Edmonton)* | 0=no, 1=yes | |
21 | Requires assistance with eating? (Katz)† | 0=no, 1=yes | |
Charlson Comorbidity Data ‡ | |||
22 | Ischaemic heart disease | 0=no, 1=yes | |
23 | Congestive heart failure | 0=no, 1=yes | |
24 | Peripheral vascular disease | 0=no, 1=yes | |
25 | Cerebrovascular disease | 0=no, 1=yes | |
26 | Hemiplegia | 0=no, 1=yes | |
27 | Chronic lung disease | 0=no, 1=yes | |
28 | Connective tissue disease | 0=no, 1=yes | |
29 | Peptic ulcer disease | 0=no, 1=yes | |
30 | Chronic liver disease | 0=no, 1=yes | |
31 | Diabetes | 0=no, 1=yes | |
32 | Leukaemia/lymphoma | 0=no, 1=yes | |
33 | Malignant tumour | 0=no, 1=yes | |
34 | Metastatic cancer | 0=no, 1=yes | |
35 | Moderate/severe kidney disease | 0=no, 1=yes | |
36 | Moderate/severe liver disease | 0=no, 1=yes | |
Total= |