A systematic review of predictors and screening instruments to identify older hospitalized patients at risk for functional decline.

Aims And Objectives: To determine a valid, reliable and clinical user-friendly instrument, based on predictors of functional decline, to identify older patients at risk for functional decline. The predictors of functional decline are initially considered and, subsequently, the characteristics and psychometric qualities of existing screening instruments are investigated.

Background: Functional decline is a common and serious problem in older hospitalized patients, resulting in a change in quality of life and lifestyle.