Table XI.
Deficits included in the Comprehensive Rheumatologic Assessment of Frailty (CRAF) index*
Concept/variable | Description | CRAF Value |
1. Nutritional status | Normal/overweight: BMI 25-30 Kg/m2 Obese: BMI > 30 Kg/m2 Underweight: BMI < 18,5 Kg/m2 |
0.00 0.50 1.00 |
2. Weakness | Handgrip strength (in Kg) in men <27 T-score -2.5 or below ≤32 T-score -2 or below >32 Normal Grip Handgrip strength (in Kg) in women <16 T-score -2.5 or below ≤19 T-score -2 or below >19 Normal Grip |
1.00 0.50 0.00 1.00 0.50 0.00 |
3. Falls | Falls less than twice in the last 12 months Falls between two and five times in the last 12 months Falls more than five times in the last 12 months |
0.00 0.50 1.00 |
4. Comorbidity | RDCI score 0 – 1 RDCI score 2 – 3 RDCI score 4 – 5 RDCI score 6 – 7 RDCI score > 7 |
0.00 0.25 0.50 0.75 1.00 |
5. Polypharmacy | Patient uses less than two different medications Patient uses between three and four different medications Patient uses 5 or more different medications |
0.00 0.50 1.00 |
6. Social activity | Not at all/slightly Moderately Quite a bit/extremely |
0.00 0.50 1.00 |
7. Pain | Extreme pain Very severe pain Severe pain Moderate pain Mild pain No pain |
1.00 0.80 0.60 0.40 0.20 0.00 |
8. Fatigue | Extreme fatigue Very severe fatigue Severe fatigue Moderate fatigue Mild fatigue No fatigue |
1.00 0.80 0.60 0.40 0.20 0.00 |
9. Physical function | Extreme limitation Very severe limitation Severe limitation Moderate limitation Mild limitation No limitation |
1.00 0.80 0.60 0.40 0.20 0.00 |
10. Depression | Extreme depression Very severe depression Severe depression Moderate depression Mild depression No depression |
1.00 0.80 0.60 0.40 0.20 0.00 |
Abbreviations: RDCI= Rheumatic Disease Comorbidity Index; BMI=Body Mass Index
*CRAF score of 0 to 0.12=non frailty, >0.12 to ≤0.24=mild frailty, >0.24 to ≤0.36=moderate frailty, >0.36=severe frailty.