Table 1

Risk factors, their corresponding statement in the Drug-Associated Risk Tool (DART) and criteria to evaluate correlation between the answers in DART and objective data

Risk factorCorresponding statement in DARTAcceptance criteria for correlation
Language issues (eg, migration background)1No comparison with objective data
Polymorbidity: divided in subcategories
 Renal impairment2Diagnosis of renal impairment and/or GFR <60 mL/min for at least 3 months33
 Hepatic impairment3Diagnosis of hepatic impairment and/or chronic hepatitis and/or hepatic cirrhosis
 Chronic cardiac disease4Diagnosis of chronic cardiac disease (heart failure, coronary heart disease, arrhythmias)
 Chronic respiratory disease5Diagnosis of asthma or chronic obstructive pulmonary disease
 Diabetes6Diagnosis of diabetes mellitus type 1 or 2 or diabetes caused by steroids
 Cognitive impairment/dementia7Diagnosis of cognitive impairment or dementia or 25/30 points in the Mini-Mental State Examination34 or <14/20 points in the Micro-Mental Test26
The patient takes medication(s) besides the prescribed ones (eg, over-the-counter, vitamin supplementation)8No comparison with objective data possible
Polypharmacy9The patient takes more than five medicines when admitted to the hospital
Antiepileptic, anticoagulants, non-steroidal anti-inflammatory drugs (NSAIDs), combination of NSAIDs and anticoagulants, digoxin, corticosteroids, diuretics, tricyclic antidepressants, anticholinergic drugs, benzodiazepines, opiates/opioids, oral antidiabetics/insulin, medication with a narrow therapeutic range10The drug is present on patients’ medication list at hospital admission
Non-adherence11No comparison with objective data24
Earlier experience of adverse drug reactions12–16Negative total score in both—the statements 12–16 and the Beliefs about Medicines Questionnaire (BMQ)25 or a positive total score in both—the statements 12–16 and the BMQ25
Missing information, partial knowledge of the patient, the patient does not understand the goal of the therapy17No comparison with objective data
Impaired manual skills—causing handling difficulties18No comparison with objective data
Visual impairment/impaired eyesight18No comparison with objective data
Difficult to handle medication19Medicines for parenteral, transdermal or inhalative application at time of hospital admission
  • GFR, glomerular filtration rate.