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Table 2 Clinical Frailty Score

From: Frailty in the critically ill: a novel concept

Score

Frailty grade

Description

1

Very fit

People who are robust, active, energetic and motivated. These people commonly exercise regularly. They are among the fittest for their age.

2

Well

People who have no active disease symptoms but are less fit than those of category 1. Often, they exercise or are very active occasionally (that is, seasonally).

3

Managing well

People whose medical problems are well controlled, but are not regularly active beyond routinely walking.

4

Vulnerable

While not dependent on other for daily help, symptoms often limit activities. A common complaint is being slowed up, and/or being tired during the day.

5

Mildly frail

These people often have more evident slowing, and need help in high-order independent activities of daily living (finances, transportation, heavy housework, medications). Typically, mild frailty progressively impairs shopping and walking outside alone, meal preparation and housework.

6

Moderately frail

People need help with all outside activities and with keeping house. Inside, they often have problems with stairs and need help with bathing and might need minimal assistance (cuing, standby) with dressing.

7

Severely frail

Completely dependent for personal care, from whatever cause (physical or cognitive). Even so, they seem stable and not at high risk of dying (within ~6 months)

8

Very severely frail

Completely dependent, approaching the end of life. Typically, they could not recover even from a minor illness.

9

Terminally ill

Approaching the end of life. This category applied to people with a life expectancy <6 months, who are not otherwise evidently frail.

  1. Adapted from Rockwood and colleagues [1].