Cardona M, et al. - Researchers assessed the CriSTAL checklist for its predictive ability to identify patients at risk of death within 3 months who might benefit from timely end-of-life discussions. They assess a prospective cohort of 1,182 patients (aged > 65 year) admitted for at ≥ 1 night via emergency departments in 5 Australian hospitals and 1 Irish hospital. In both health systems, modified CriSTAL tool (with Clinical Frailty Scale instead of Fried's frailty instrument) displayed good discriminant power in improving the certainty of short-term mortality prediction. The predictive ability of models is expected to assist clinicians to gain confidence in initiating earlier end-of-life discussions.