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. 2023 Aug 16;14(5):1959–1972. doi: 10.1002/jcsm.13306

Table 1.

A comparison of benefits of the Fried frailty phenotype and Rockwood Clinical Frailty Scale for frailty assessment

Fried frailty phenotype Rockwood Clinical Frailty Scale
Components A fixed 5‐point assessment of signs and symptoms experienced by patients to assess physical frailty Clinical evaluation of multiple patient co‐morbidities and physical and cognitive deficiencies in activities of daily living
Evaluation Can be performed during routine clinical visit without a comprehensive clinical assessment Needs thorough evaluation through a comprehensive multi‐domain clinical assessment
Classification Categorizes phenotype into frail, pre‐frail and non‐frail categories based on a scoring system Continuous variable covering the complete spectrum of ‘very fit’ to ‘severely frail’ phenotype
Advantages
  • Quick and easy to perform and interpret

  • Utility in screening of frailty and pre‐frailty status

  • Assesses clinical, physical and cognitive domains of frailty

  • Utility in temporal assessment of changes in frailty status over time

  • Can be used in assessing frailty in patients that are functionally disabled

Limitations
  • Only assesses physical domain of frailty

  • Inability to longitudinally track changes in frailty status

  • Limited utility in patients that are functionally disabled

  • Reported as a continuous variable that can be difficult to interpret for clinicians

  • Requires a comprehensive, holistic assessment of patient's clinical, physical and functional status