Table 2.
Question or instrument | H1 | H2 | H3 | P1 | P2 | P3 | |
---|---|---|---|---|---|---|---|
1. Medical & demographical data | |||||||
Age | Date of birth | ×* | |||||
Gender | × | ||||||
Postal code | × | ||||||
Date and time of admission | ×* | ||||||
Education | (In accordance with Verhage, 1966 [57]) | × | |||||
Ethnicity | Country of birth patient and parents | × | |||||
Marital status [18] | × | ||||||
Living arrangement [18, 19] | × | × | × | ||||
Medical comorbidity | CCI [21] | ×* | |||||
Severity of acute illness | MEWS [22] | ×* | ×* | ×* | |||
Admission diagnosis | ×* | ||||||
2. Personal interviews/self-report data | |||||||
2.1 Cognitive functioning | |||||||
Cognitive impairment | MMSE [23] | × | × | × | × | ||
Delirium | CAM [24, 58] | × | |||||
Assessing whether: 1] the patient needs help with self-care; 2] the patient has previously undergone a delirium and; 3] the patient has a cognitive impairment [25] | ×* | ||||||
2.2 Behavioral & psychosocial functioning | |||||||
Fear of falling | NRS fear of falling | × | × | × | × | × | × |
Anxiety | STAI-6 [31] | × | × | × | × | × | |
Apathy | GDS-15 [29] | × | × | × | × | × | |
General self-efficacy | ALCOS-12 [34] | × | × | × | |||
Quality of life | 1] In general, how is your quality of life?; 2] How would you grade your life at this moment, with a range between 0 and 10? and; 3] Compared to one year ago, how would you rate your health in general now? [18] | × | × | × | × | × | |
EQ-5D [20] | × | × | × | × | × | ||
2.3 ADL/Physical functioning | |||||||
Disability in ADLs | Modified Katz Index Scale [16, 17] | × | × | × | × | × | |
Independency in walking | FAC [42] | × | × | × | × | × | × |
Mobility | Could you walk outside for 5 minutes two weeks before admission/currently? And how often did/do you do physical activity two weeks before admission/currently? [19] | × | × | × | × | × | |
Falls | Have you fallen once or more in the past (six) month(s)? If yes, how many times? [25] | × | × | × | × | × | |
Pain | NRS pain [35] | × | × | × | × | × | × |
Fatigue | NRS fatigue [37] | × | × | × | × | × | × |
Impact of fatigue | MFIS-5 [38] | × | × | × | |||
Sleep quality | PSQI [39] | × | × | × | × | × | |
Sleep medication | PSQI [39] | × | × | × | × | × | |
Daytime sleepiness | Do you currently suffer from daytime sleepiness? If yes, does this affect your daily living? | × | × | × | × | × | × |
Polynocturia | Do you currently suffer from polynocturia? If yes, does this affect your daily living? | × | × | × | × | × | × |
Dizziness | Do you currently suffer from dizziness? If yes, does this affect your daily living? | × | × | × | × | × | × |
Shortness of breath | Do you currently suffer from shortness of breath? If yes, does this affect your daily living? | × | × | × | ×× | × | × |
Hearing impairment | Do you experience difficulties with hearing, despite the use of a hearing aid? | × | × | × | |||
Vision impairment | Do you experience difficulties with your vision, despite the use of glasses? | × | × | × | |||
Nutrition | SNAQ [25, 41] | × | × | × | × | × | |
Dependency | Do you smoke? Do you use alcohol [19]? | × | × | × | |||
Polypharmacy | Do you use five or more different medications [19]? | × | × | × | |||
2.4 Health care utilization | |||||||
Readmission | Have you been hospitalized in the last (six) month(s)? If yes, for how many days? [18] | ×* | × | × | × | ||
Nursing home admission | Have you had a nursing home admission in the last month? If yes, for how many weeks totally? [18] | × | × | × | |||
Consult physiotherapist and/or occupational therapist | Have you had a consultation with your physiotherapist and/or occupational therapist in the last month? If yes, how many times? | × | × | × | |||
Consult general practitioner | Have you had a consultation with your general practitioner in the last month? If yes, in the evening, night or weekend and how many times totally? [19] | × | × | × | |||
Home care | Do you use home care? If yes, care assistance and/or domestic help and how many hours per week [19] | × | × | × | |||
3. Physical performance tests | |||||||
Handgrip strength | Jamar® [59–61] | × | × | × | × | × | |
Mobility | DEMMI [45] | × | × | × | × | × | |
Agility | CSR [47] | × | × | × | × | × | |
Balance, strength, and gait | SPPB [46] | × | × | × | × | × | |
Walking distance | 2MWT [49] | × | × | × | × | × | |
Body composition | BIA (Bodystat Quadscan 4000) [50] | × | × | × | × | × | |
Activity tracker | Fitbit Flex [51] | × | × | × | × | × | |
Question or instrument | H1 | H2/H3 | P1 | P2 | P3 | ||
4. Blood parameters | |||||||
Inflammation markers | CRP [52] | × | × | ||||
WBC diff | × | × | |||||
TNF-α [53–55] | × | × | |||||
IL-6 [53–55] | × | × | |||||
IL-8 [55] | × | × | |||||
Mortality | Date of death | ×* |
Note: H1 = within 48 h after admission; H2 = during hospitalization on Monday, Wednesday, and/or Friday; H3 = at discharge; P1 = one month post-discharge (home visit); P2 = two months post-discharge (by telephone); P3 = three months post-discharge (home visit);
×* = Data will be obtained from medical record;
CCI Charlson Comorbidity Index, MEWS Modified Early Warning Score, MMSE Mini Mental State Examination, CAM Confusion Assessment Method, NRS Numeric Rating Scale, STAI-6 State Trait Anxiety Inventory-6, GDS-15 Geriatric Depression Scale-15, ALCOS-12 Algemene Competentie Schaal-12 (General Self-Efficacy Scale), EQ-5D EuroQol-5D, FAC Functional Ambulation Categories, MFIS-5 Modified Fatigue Impact Scale-5, PSQI Pittsburgh Sleep Quality Index, SNAQ Short Nutritional Assessment, DEMMI De Morton Mobility Index, CSR Chair Sit and Reach test, SPPB Short Physical Performance Battery, 2MWT 2 Minute Walking Test, BIA Bioelectrical Impedance Analysis, CRP C-Reactive Protein, WBC diff White Blood Cell Differential, TNF-α Tumor Necrosis Factor-α, IL-6 Interleukin-6, IL-8 Interleukin-8