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. 2024 Feb;13(1):1–11. doi: 10.5582/irdr.2023.01113

Table 1. Global frailty screening tools in common.

Title/Year Country Publishers Items Components Frailty classification
Frailty Phenotype (FP) / 2001 US Fried et al. (16) 5 It assesses physical characteristics or phenotype, which include five domains: unintentional weight loss (4.5 kg or more in the last year), exhaustion (self-reported), low physical activity, weakness (low grip strength), and walking speed. Frailty: ≥ 3 items; pre-frailty:1~2 items; robust:0 items
Groningen Frailty Indicator (GFI) / 2001 Netherlands Steverink et al. (20) 15 Physical (9 items), Cognitive (1 item), Social (3 items), and Psychological (2 items), for a total of 4 dimensions. Frailty: score ≥ 4
Frailty Index (FI) / 2001 Canadian Mitnitski et al. (22) 30~70 all the 8 frailty items and all the 3 domains (physical, psychological and social) are assessed. Frailty: score > 0.25; pre-frailty:0.12~0.25; robust: score < 0.12
Clinical Frailty Scale (CFS) / 2005 Canadian Rockwood et al. (28) 9 Total 9 points: each point on its scale has a visual chart and a written description of frailty to assist the classification process. Frailty: score ≥ 5
Edmonton Frail Scale (EFS) / 2006 Canadian Rolfson et al. (29) 11 The EFS is an 11-item scale, of which 9 items are self-reported, It is assesses nine domains of frailty (cognition, general health status, functional independence, social support, medication usage, nutrition, mood, continence, functional performance). The following cut-offs are used to classify frailty severity: not frailty (0-5), apparently vulnerable (6-7), mildly frailty (8-9), moderately frailty (10-11) and severely frailty
The Tilburg Frailty Indicator (TFI) / 2010 Netherlands Gobbens et al. (31) 15 The TFI is composed of 2 parts: Part A about "determinants of frailty and diseases", and Part B about the "presence of frailty" that generates a final score. Part B includes three domains (physical, psychological, and social) and 15 items. Frailty: score ≥ 5