A quick frailty measure before elective procedures, such as the FRAIL scale (fatigue, resistance, ambulation, illnesses, loss of weight) or the Clinical Frailty Scale, identifies patients at higher risk of complications, delirium and loss of independence. It takes about two minutes, helps shared decisions, and flags who needs prehabilitation, medication review and closer postoperative support.
- Use the FRAIL scale or Clinical Frailty Scale before elective procedures in older adults.
- Record the score in the referral and the notes.
- Use it in shared decision-making, not as a bar to treatment.
- Trigger medication review and delirium prevention for frail patients.
Why it matters
Frailty predicts outcomes after procedures better than age alone.
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