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Clinical Frailty Scale
Indications:
- bedside evaluation of frailty
Procedure:
- a measure of frailty based on clinical judgment
- originally a 7 point scale
- very fit = 1
- well = 2
- well with treated comorbidity = 3
- apparently vulnerable = 4
- mildly frail = 5 (limited dependence for iADL)
- moderately frail = 6 (needs help with both bADL & iADL)
- severely frail = 7 (completely dependent for bADL & iADL)
- very severely frail = 8 (completely dependent, approaching end-of-life)*
- terminally ill = 9 (life expectancy < 6 months, not otherwise evidently frail)*
- 9 point scale ranging from very fit to terminally ill [3]
- assesses cognition, comorbidity, & function
* two items added to the original 7 point scale [1,3]
Related
frailty
General
frailty score; FRAIL scale, frailty index, Edmonton Frail Scale
References
- Rockwood K, Song X, MacKnight C et al
A global clinical measure of fitness and frailty in elderly people.
CMAJ. 2005 Aug 30;173(5):489-95
PMID: 16129869 PMCID: PMC1188185 Free PMC article
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1188185/
- Church S, Rogers E, Rockwood K, Theou O.
A scoping review of the Clinical Frailty Scale
BMC Geriatr. 2020 Oct 7;20(1):393.
PMID: 33028215 PMCID: PMC7540438 Free PMC article
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7540438/
- Chin M, Kendzerska T, Inoue J et al
Comparing the Hospital Frailty Risk Score and the Clinical Frailty Scale
Among Older Adults With Chronic Obstructive Pulmonary Disease Exacerbation.
JAMA Netw Open. 2023;6(2):e2253692.
PMID: 36729458 PMCID: PMC9896302 Free PMC article
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2800901