Table 1: BOOST and LACE scoring systems:
The BOOST index consisted of eight categories:
- Problem Medication
- Prescribed ≥ 10 medications, or
- One of: insulin, anticoagulants, oral hypoglycaemics, dual
antiplatelet therapy, digoxin, or narcotics.
- Psychological
- Previous PHQ-9 performed, or depression history
- Principal diagnosis
- One of: cancer, stroke, DM, COPD, or heart failure
- Frailty
- Clinical frailty scale score ≥ 5 (Score: ___)
- Poor health literature
- Inability to perform ‘teach back’ for 2/3 of,
- “What is your main problem?”
- “What do you need to do after leaving hospital?”
- “Why is it important that you do this?”
- Poor Patient support
“Do you have someone to help at home should you need it?”
- Prior hospitalisation
Unplanned admission in past 6 months
- Palliation
- Would I be surprised if this patient died in the next year, or
- Does this patient have an advanced or progressive serious illness?
The LACE index consisted of four categories:
- Length of stay: 1 day (+1), 2 days (+2), 3 days (+3), 4-6 days (+4),
7-13 days (+5), ≥14 days (+7)
- Admission Type: Non-emergency (+0), Emergency (+3)
- Comorbidities: Charlson Index score 1 (+1), 2 (+2), 3 (+3), ≥4 (+5)
- Emergency attendances in past 6 months: 0 (+0), 1 (+1), 2 (+2), 3
(+3), ≥4 (+4)