Table 2.
Frailty measure | Description | Advantages | Disadvantages |
---|---|---|---|
Fried Frailty Phenotype Model |
• Quantifies the decline in physiological reserve across 5 domains: weight loss, weakness, poor endurance, slowness, and low physical activity levels | • Most commonly used tool to assess frailty in the literature | • Poor discriminatory power • Overlap in clinical features of HF and frailty • Time and resourceintensive |
Frailty Index | • Based on a “multiple hit” model • Quantifies frailty as an accumulation of deficits across several healthrelated domains • Estimated as the ratio of the total deficits present to the number of deficits assessed across signs, symptoms, comorbidity index, laboratory values, and ADLs |
• Continuous nature of the estimate with a wide range of distribution • Ability to use preexisting data from medical records for estimating frailty • Ability to estimate cut-offs for specific clinical populations |
• The number of deficits assessed is not standardized and vary according to available data • Focuses more of the number of deficits and does not account for the severity of deficits |