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Table 1 Aspects covered by the assessment tools

From: Assessment tools for determining appropriateness of admission to acute care of persons transferred from long-term care facilities: a systematic review

Aspect

Examples of items included in the tools

Number of tools covering the aspect

Specific medical diagnoses

Suspected fracture, ACSC (asthma, congestive heart failure, angina, grand mal seizure disorder, hypoglycaemia, hypertension, etc.), death

8

Acuteness or severity of symptoms at time of transition

Sudden onset of unconsciousness, incapacitating pain, tachycardia, gastrointestinal bleeding symptoms, signs of being systemically unwell

7

Resident’s characteristics prior to admission to hospital

Resident’s baseline health status, level of functional ability, resident with advanced cognitive impairment, presence of a terminal illness

6

Resource availability/requirement

Requirement of intravenous antibiotics, laboratory, radiology, admission to hospital, physician and nurse availability and expertise

10

Residents’/families’ wishes

Advance care directive in place, request of hospital admission or emergency department visit by family

3

Information on the existence of a care plan

Actions taken by staff before the transfer (including presence of advanced care planning)

1