Table VI.
The Edmonton Frail Scale (EFS) for the identification of frailty.
Frailty Domain | Item | 0 Point | 1 Point | 2 point |
Cognition | Please imagine that this pre-dawn circle is a clock. I would like you to place the numbers in the correct positions then place the hands to indicate a time of “ten after eleven” | No errors | Minor spacing errors | Other errors |
General health status | In the past year, how many times have you been admitted to a hospital? | 0 | 1-2 | ≥2 |
In general, how would you describe your health? | Excellent/Very good/Good | Fair | Poor | |
Functional independence | With how many of the following activities do you require help: meal preparation, shopping, transportation, telephone, housekeeping, laundry, managing money, taking medications? | 0-1 | 2-4 | 5-8 |
Social support | When you need help, can you count on someone who is willing and able to meet your needs? | Always | Sometimes | Never |
Medication use | Do you use five or more different prescription medications on a regular basis? | No | Yes | |
At times, do you forget to take your prescription medications? | No | Yes | ||
Nutrition | Have you recently lost weight such that your clothing has become looser? | No | Yes | |
Mood | Do you often feel sad or depressed? | No | Yes | |
Continence | Do you have a problem with losing control of urine when you don’t want to? | No | Yes | |
Functional performance | I would like you to sit in this chair with your back and arms resting. Then when I say “Go”, please stand up and walk at a safe and comfortable pace to the mark on the floor (approximately 3m away), return to the chair and sit down | 0-10 seconds | 11-20 s econds | >20 seconds, patient unwilling or requires assistance |
Total | Final score is the sum of column totals | /17 |
Scoring the Reported Edmonton Frail Scale (…./17):
Not Frail 0-5; Apparently vulnerable 6-7; Mild Frailty 8-9; Moderate frailty 10-11; Severe frailty 12-17