Ravaglia et al reported a frailty score for elderly patients. The authors are from the University of Bologna and McMaster University.
Patient selection: Italians >= 65 years of age
Parameters:
(1) age in years
(2) gender
(3) physical activity
(4) number of drugs taken daily
(5) sensory deficits
(6) calf circumference in cm
(7) difficulty with Instrumental Activities of Daily Living (IADL)
(8) gait and balance test (Tinetti, 1986)
(9) self-assessment of health
|
Parameter |
Finding |
Points |
|---|---|---|
|
age in years |
< 80 years of age |
0 |
|
|
>= 80 years of age |
1 |
|
gender |
female |
0 |
|
|
male |
1 |
|
physical activity |
active |
0 |
|
|
inactive |
1 |
|
number of drugs |
0 to 2 |
0 |
|
|
3 or more |
1 |
|
sensory deficits |
none |
0 |
|
|
present |
1 |
|
calf circumference in cm |
>= 31 cm |
0 |
|
|
< 31 cm |
1 |
|
IADL |
no difficulty |
0 |
|
|
any difficulty |
1 |
|
gait and balance test |
> 24 |
0 |
|
|
<= 24 |
1 |
|
self-assessment of health |
positive or neutral |
0 |
|
|
pessimistic |
1 |
total number of predictors =
= SUM(points for the 9 parameters)
Interpretation:
• minimum score: 0
• maximum score: 9
• Scores >= 3 were associated with mortality, fractures, hospital admission, and disability.
|
Prognostic Score |
Hazard Ratio for Death |
|---|---|
|
0, 1 or 2 |
1 |
|
3 |
2.4 |
|
4 |
4.5 |
|
5 |
9 |
|
6 |
18 |
|
>= 7 |
31 |
Purpose: To evaluate an older adult using the frailty score of Ravaglia et al.
Specialty: Sports Medicine & Rehabilitation
Objective: severity, prognosis, stage
ICD-10: R54,
