The Geriatrician’s Impression of Frailty (GCIF) can be used to evaluate an older adult for current and future frailty.
Domains likely to threaten level of independence in the next 6 months:
(1) health attitudes
(2) mood
(3) balance and mobility
(4) burden of medical illness
(5) continence
(6) nutrition
(7) cognition
(8) social support
(9) medication issues
Problems that have developed recently suggesting an acute stressor:
(1) incontinence
(2) delirium
(3) weight loss and/or dehydration
(4) falls immobility
(5) decline in independence for activities of daily living (ADL)
Is there a past pattern of similar presentations of illness?
|
Response
|
Points
|
|
no
|
0
|
|
yes
|
1
|
subscore =
= SUM(points for all 15 items)
Frailty domains:
(1) physical decline and sarcopenia
(2) physiological decline in reserve capacity
(3) disability with functional loss
(4) dynamic frailty and precarious state
|
Status
|
Points for Each Domain
|
|
no frailty
|
0
|
|
minimal frailty
|
1
|
|
mild frailty
|
2
|
|
moderate frailty
|
3
|
|
marked frailty
|
4
|
|
maximal frailty
|
5
|
subscore =
= SUM(points for all 4 domains)
total score =
= SUM(subscores)
Interpretation:
• minimum score: 0
• maximum score: 35
• The higher the score the greater the frailty.
