Lurz et al reported a frailty score for pediatric patients with chronic liver disease. The authors are from multiple hospitals in Canada and the United States.
Patient selection: pediatric patient with chronic liver disease
Frailty elements measured:
(1) weakness (grip strength)
(2) slowness (walking distance)
(3) shrinkage (body constitution, triceps skinfold thickness)
(4) exhaustion
(5) diminished physical activity
Parameter
Z-Score for Age and Sex
Points
weakness
> -1
0
-1 to -2
1
< -2
2
slowness
shrinkage
exhaustion
physical activity
total score =
= SUM(points for all 5 elements)
Interpretation:
• minimum score: 0
• maximum score: 10
• The higher the score the greater the frailty.
• A score > 5 indicates frailty.
Performance:
• The area under the ROC curve was 0.83.
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Specialty: Sports Medicine & Rehabilitation