Age | in years |
Sex | M/F |
Admitted to hospital | Y/N |
Type of admission | surgical/medical (if admitted) |
Duration of admission | in days (if admitted) |
Falls in previous year | number of falls |
Location of fall | indoors/outdoors |
Cause of fall | slip or trip/other |
Able to get up after fall | Y/N |
Time spent on floor | <5 min/5–59 min/1–4 h/ >4 h |
Any injury | Y/N |
Prescribed drugs | number of drugs |
Living alone | Y/N |
Type of accommodation | house/flat or bungalow |
Borough of London | Lambeth/Southwark/other |
Use of personal social services: |
home help | Y/N |
meals on wheels | Y/N |
district nurse | Y/N |
day centre | Y/N |
day hospital | Y/N |
other | Y/N |
Previous adaptations | Y/N |
Perceived ability to go out | able/not able |
Mobility | independent/stick/frame/wheelchair |
Smoking | current smoker/past smoker/never smoked |
Alcohol intake | units of alcohol per week |
AMT |
Barthel |