STRATIFY Falls Risk (St Thomas's)

Bedside fall-risk screen for elderly hospital inpatients, summing five risk items to flag patients at high risk of falling for targeted prevention.

Fall as presenting complaint OR a fall on the ward since admission?

0 - No +1 - Yes

Is the patient agitated? (primary nurse's judgement)

0 - No +1 - Yes

Visually impaired enough that everyday function is affected?

0 - No +1 - Yes

In need of especially frequent toileting?

0 - No +1 - Yes

Transfer (Barthel transfer subscale, 0-3)

0 - Unable, no sitting balance 1 - Major help (one/two people, can sit) 2 - Minor help (verbal or physical) 3 - Independent

Mobility (Barthel mobility subscale, 0-3)

0 - Immobile 1 - Wheelchair independent 2 - Walks with help of one person 3 - Independent (may use any aid)