Yamada et al reported a prognostic score for a patient with heart failure based on the FLAGSHIP cohort. The score includes physical frailty as a measure. The authors are from Nagoya University and Fujita Health University in Japan.
Patient selection: acute heart failure >= 70 years of age, capable of walking 20 m at discharge
Parameters:
(1) grip strength and sex, as a measure of weakness or muscle strength
(2) walking speed in meters per second
(3) self-efficacy for walking 7 (SEW-7) as a measure of physical inactivity, from 7 to 35
(4) performance measures for activities of daily living 8 (PMADL-8), from 8 to 32
Parameter
Finding
Points
grip strength and sex
male and >= 30 kg
0
male and < 30 kg
5
female and >= 17.5 kg
0
female and < 17.5 kg
5
walking speed
>= 0.98 m/s
0
< 0.98 m/s
4
SEW-7
> 20
0
<= 20
3
PMADL-8
< 21
0
>= 21
2
total score =
= SUM(points for the 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 14
Total Score
Category
2-Year Mortality
0 to 3
I
4%
4 to 8
II
9%
9 to 13
III
16%
14
IV
21%
To read more or access our algorithms and calculators, please log in or register.
