PRISMA-7 Score for Evaluating an Older Adult

The PRISMA-7 score can screen an older adult for frailty or risk of dependency. The authors are from multiple institutions in Canada.

Patient selection: older adult >=65 years of age

Parameters:

(1) age of the patient in years

(2) sex

(3) number of health problems that limit activities

(4) need for assistance on a regular basis

(5) number of health problems that require staying at home

(6) number of people nearby that can help if needed

(7) use of a stick, walker, or wheelchair to move about

Parameters	Finding	Points
age in years	<= 85 years	0
	> 85 years	1
sex	male	1
	female	0
number of health problems causing impairment	0	0
	>= 1	1
need for assistance on a regular basis	no	0
	yes	1
number of health problems requiring that the patient stays home	0	0
	>= 1	1
people nearby who can help	0	0
	>= 1	1
use of walking aid	no	0
	yes	1

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: 0

• maximum score: 7

• A score >= 3 indicates that the patient is at increased risk of frailty.

To read more or access our algorithms and calculators, please log in or register.