Topic | Check | Score | ||
---|---|---|---|---|
Age | ≥80 years old |  | ||
⎕ Yes | 1.5 | |||
⎕ No | 0 | |||
Serum C-reactive Protein | ≥3.0 mg/dL |  | ||
⎕ Yes | 2.0 | |||
⎕ No | 0 | |||
Risk for malnutrition | < 24 on 30 |  | ||
⎕ Yes | 0.5 | |||
⎕ No | 0 | |||
Physical examinations | Standing balance | Â | ||
- Side-by-side stand | Â | |||
⎕ 10 s | ⎕ 1 |  |  | |
 | ⎕ < 10 s | ⎕ 0 |  |  |
 | - Semi-tandem stand |  | ||
 | ⎕ 10 s | ⎕ 1 |  |  |
 | ⎕ < 10 s | ⎕ 0 |  |  |
 | - Full-tandem stand |  | ||
 | ⎕ 10 s | ⎕ 2 | ⎕ < 8 points | 2.5 |
 | ⎕ 3–9.9 s | ⎕ 1 |  |  |
 | ⎕ < 3 s | ⎕ 0 | ⎕ 9–10 points | 2.0 |
 | 6MWT |  |  |  |
 | ⎕ > 350 m | ⎕ 4 | ⎕ 11–12 points | 0 |
 | ⎕ 300–350 m | ⎕ 2 |  |  |
 | ⎕ < 300 m | ⎕ 0 |  |  |
 | STS |  |  |  |
 | ⎕ < 11.19 s | ⎕ 4 |  |  |
 | ⎕ 11.20–13.69 s | ⎕ 3 |  |  |
 | ⎕ 13.70–16.69 s | ⎕ 2 |  |  |
 | ⎕ 16.70–49.99 s | ⎕ 1 |  |  |
 | ⎕ > 50 s or impossible | ⎕ 0 |  |  |
Handgrip force | Male < 26 kg, female < 18 kg |  |  |  |
 | ⎕ Yes |  |  | 1.5 |
 | ⎕ No |  |  | 0 |
Intra-dialytic hypotension | MAP decrease > 9.99 mmHg |  |  |  |
 | ⎕ Yes |  |  | 1.5 |
 | ⎕ No |  |  | 0 |
Risk of falls assessment | Tinetti < 11 on 12 points |  |  |  |
 | ⎕ Yes |  |  | 2.5 |
 | ⎕ No |  |  | 0 |
Total score | Â | Â | Â | /12 |