Morley et al used the FRAIL scale to screen an adult for frailty.
FRAIL is an acronym for fatigue, resistance, ambulation, illness and weight loss.
Parameters:
(1) Fatigue: feel tired always or most of the time over the past 4 weeks
(2) Resistance: have difficulty walking 10 steps on own without help and without resting
(3) Ambulation: have difficulty walking several hundred years on own without assistance and not using aids
(4) Illness (>=5 out of 11diseases: hypertension, diabetes, chronic lung disease, cancer , heart attack, angina, congestive heart failure, arthritis, asthma, stroke, kidney disease)
(5) weight Loss: unexplained, > 5% over past year
|
Response
|
Points
|
|
no
|
0
|
|
yes
|
1
|
where:
• An inability to walk 10 steps (item 2) infers difficulty with ambulation (item 3).
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 5
• The higher the score the greater the risk of frailty.
|
Total Score
|
Status
|
|
0
|
nonfrail
|
|
1 or 2
|
prefrailty
|
|
3 to 5
|
frail
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