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Table 1 Assessment battery during the home visits

From: Sentinel fall presenting to the emergency department (SeFallED) – protocol of a complex study including long-term observation of functional trajectories after a fall, exploration of specific fall risk factors, and patients’ views on falls prevention

Assessment tool

Outcomes

Timepoint

1. Participants’ characteristics (including personal and medical history)

Age, sex, education, pre-existing illnesses, usage of hearing, seeing

and walking aids, living situation, smoking status, alcohol consumption, medication, joint replacements

T1

2. Specific fall history

Time of fall, location, activity before falling, direction of the fall, injuries

T1

3. German short falls efficacy scale (short FES-I) [37, 38]

Total score (ranging from 7 – 28)

T1, T2, T3, T4

4. Montreal Cognitive Assessment (MoCA) [39]

  a.MoCA memory index score (MoCA-MIS) [39, 40]

Total score (ranging from 0 – 30)

Total score (ranging from 0 – 15)

T1, T2, T3, T4

5. Trail Making Test A and B (TMT A + B) [41]

Duration until completion in seconds & number of mistakes

T1, T2, T3, T4

6. (instrumental) activities of daily living:

  a.Lawton’s and Brody’s Index [42]

  b.Barthel Index [43]

  c.Jonkman Index [21]

Total score (ranging from 0 – 8)

Total score (ranging from 0 – 100)

Total score (ranging from 0 – 18)

T1, T2, T3, T4

7. Longitudinal Urban Cohort Ageing Study (LUCAS—FI)

Functional Ability Index [44]

Functional ability classified in: Robust, postRobust, preFrail, Frail

T1, T2, T3, T4

8. Physical activity:

  a.German-Physical-Activity-Questionnaire 50 + (PAQ-50 +) [45]

  b.Physical Activity Scale for the Elderly (PASE) [46]

  c.Activity monitor (activPAL©) worn for 7 days

Energy expenditure per week

Total score (ranging from 0 – 793)

Number of steps, total active / inactive time

T1, T2, T3, T4

9. German Life Space Questionnaire (LSA-D) [47, 48]

Total score (ranging from 0 – 120)

T1, T2, T3, T4

10. Depressive Symptoms

  a.Depression in Old Age Scale (DIA-S) [49]

  b.Cornell Depression Scale [50]a

Total score (ranging from 0 – 10)

Total score (ranging from 0 – 38)

T1, T2, T3, T4

11. Health-related quality of life

EQ-5D – 3L + Scale [51, 52]

Total score (ranging from 0 – 15)

T1, T2, T3, T4

12. Functional performance:

  a.Hand grip strength test [53]

  b.Single leg stance test [54] b

  c.Short Physical Performance Battery Test (SPPB) [55]b

Grip strength measured in kg

Duration in seconds

Total score (ranging from 0 – 10)

T1, T2, T3, T4

13. Fall Calendar

Total number of falls during the follow up period

T2, T3, T4

  1. a The Cornell Depression Scale will be used instead of the DIA-S in case of severe cognitive impairment (MoCA < 18) or an existing diagnosis of dementia, b During the functional assessments, participants will be equipped with three wirelessly synchronized inertial measurement units (IMUs; Opal V1, Mobility Lab™ (ML), APDM, Inc., Portland, OR, USA), which will objectively assess postural sway and gait characteristics [56, 57]