Kim et al reported the Multidimensional Frailty Score. This can identify an older adult who may be at risk for postoperative mortality. The authors are from the Seoul National University.
Patient selection: >= 65 years of age undergoing surgery
Parameters:
(1) cancer (malignant disease)
(2) Charlson Comorbidity Score (CCI)
(3) serum albumin in g/dL
(4) modified Barthel index for activities of daily living (ADL)
(5) Lawton and Brody index for instrumental ADL
(6) cognitive function
(7) risk of delirium by the Nursing Delirium Screening Scale
(8) Mini-Nutritional Assessment (MNA)
(9) midarm circumference in cm
|
Parameter |
Finding |
Points |
|
cancer |
no |
0 |
|
|
yes |
1 |
|
Charlson Comorbidity Index |
0 |
0 |
|
|
1 or 2 |
1 |
|
|
> 2 |
2 |
|
serum albumin |
> 3.9 g/dL |
0 |
|
|
3.5 to 3.9 g/dL |
1 |
|
|
< 3.5 g/dL |
2 |
|
modified Barthel index |
independent |
0 |
|
|
partially dependent |
1 |
|
|
fully dependent |
2 |
|
Lawton and Brody index |
independent |
0 |
|
|
dependent |
1 |
|
cognitive function |
normal |
0 |
|
|
mild cognitive impairment |
1 |
|
|
demented |
2 |
|
Nursing Delirium Screening Scale |
0 or 1 |
0 |
|
|
2 or more |
1 |
|
nutritional status by MNA |
normal |
0 |
|
|
at risk for malnutrition |
1 |
|
|
malnourished |
2 |
|
mid-arm circumference in cm |
> 27 cm |
0 |
|
|
24.6 to 27 cm |
1 |
|
|
< 24.6 cm |
2 |
total score =
= SUM(points for all 9 parameters)
Interpretation:
• minimum score: 0
• maximum score: 15
• A score > 5 indicates frailty. Frailty is associated with increased postoperative mortality and longer hospitalizations.
Purpose: To evaluate an older adult in the hospital using the Multidimensional Frailty Score of Kim et al.
Specialty: Sports Medicine & Rehabilitation
Objective: disability and performance, quality of life
ICD-10: ,
