For patients with an age of 65 or over who have been admitted to hospital this time in an emergency:
1. Altered level of consciousness (Glasgow Coma Score change >2 or AVPU=P or U)
2. Blood pressure (a systolic blood pressure of less than 90 mm Hg)
3. Respiratory rate of more then five and less than 30
4. Pulse rate of less than 40 or more than 140
5. Need for oxygen therapy, or known oxygen saturation of less than 90 per cent
6. Hypolglaecemia blood glucose level (less sugar in the blood than normal)
7. Repeat or prolonged seizures
8. Low output of urine (less than 15 mL/h or less than 0.5 mL/kg/h) or a MEW or SEWS score of more than 4
9. Previous history of disease, including:
10. Advanced cancer
11. Kidney disease
12. Heart failure
13. Various types of lung diseases
14. Strokes and vascular dementia
15. Heart attack
16. Moderate to severe liver disease
17. Mental impairment such as dementia or disability from a stroke
18. Length of stay before this RRT call (>5 days predicts 1-year mortality)
19. Repeat hospitalisations in the past year
20. Repeat admission to the intensive care department of the hospital
21. Frailty
22. Unexplained weight loss
23. Self-reported exhaustion
24. Weakness (being unable to grip objects, being unable to handle objects or lift heavy objects of less than or equal to 4.5kg,
25. Slow walking speed (walks 4.5m in more than 7 seconds) or is
26. Inability to do physical exercise or stand
27. Is a nursing home resident or lives in supported accommodation
28. Having urine in their blood (more than 30mg albumin/g creatinine
29. Abnormal ECG (irregular heartbeat, fast heartbeat and any other abnormal rhythm or more than or equal to 5 ectopics/min and changes to Q or ST waves)
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