NICE - assessment of frailty

Last reviewed 01/2018

Assessment of frailty

  • how to assess frailty
    • consider assessing frailty in people with multimorbidity
    • be cautious about assessing frailty in a person who is acutely unwell
    • do not use a physical performance tool to assess frailty in a person who is acutely unwell

Primary care and community care settings

  • when assessing frailty in primary and community care settings, consider using 1 of the following:
    • an informal assessment of gait speed (for example, time taken to answer the door, time taken to walk from the waiting room)
    • self-reported health status (that is, 'how would you rate your health status on a scale from 0 to 10?', with scores of 6 or less indicating frailty)
    • a formal assessment of gait speed, with more than 5 seconds to walk 4 metres indicating frailty
    • the PRISMA-7 questionnaire, with scores of 3 and above indicating frailty

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