Frailty score

Should say I had a face to face appointment with my GP on the 29th that's why I had the blood test. But no where on my doctors notes which are on my medical record did it mention a frailty index score .

The photo of the frainlty scale is hard to read. Here is a link so you can enlarge the script: bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-021-02222-w/figures/1

Thank you all for explaining the meaning to me. But at no time did she say she was assessing me apart from taking my blood . Otherwise I would have asked questions why and for what purpose and would have refused to be assessed by her as she has no idea about my disability.

My neurologist has never had a patient with my condition so he has had to learn about it . And thanks to the rare disease society put in touch with a Facebook group who have the same condition as me but not everyone has the the same gene mutation I have . It's world wide and their are 1,084 of us. One of the group asked me if my neurologist would see her so gave her his details and he did . So he has 2 of us but her gene mutation is different to mine. Everything I learnt about my disability I pass on to my neurologist. He's registrar made a video of me in November doing tasks to use as a teaching aid for colleagues and medical students.

I do have a small hole in the side of my heart which I was born with and diagnosed with PAF over 2020/2021 when I had a MRI on my heart and it's safer to leave alone as I don't get chest pains .

My recent stay in hospital is because they thought I had a heart attack but after an angiography it was decided I had a TIA and being referred to a stroke neurologist. But the nurse didn't know that as it wasn't on my records because the practice hadn't received the letter from my cardiologist. My appointment was for 8.50 but had the blood test done at 8.40 and the post hadn't arrived. I had my copy of my cardiologist letter come today . So they would have had these today as well.

ayse

Are these tables based on older women? Just asking as many generalisations are made about women’s health based on data from men.

I've listed the conditions/symptoms above.

Are these tables based on older women? Just asking as many generalisations are made about women’s health based on data from men.

growstuff

Marydoll

Oh dear Growstuff, according to that, I am in deep trouble. I have seven of those conditions!

No, that's not too bad. Calculate 7/36, which gives you a score of 0.194, which means you're mildly frail. I have six of the conditions, which means my score is 0.166, which means I'm mildly frail too.

Thank you! I am quite happy with that!

Thanks for explaining it. I did miss one, so 8/36 is 0.22?

The idea of a 'frailty score' interests me a great deal as I want to adopt or foster a dog, and responsible dog rescues will not release a dog unless it can be properly cared for. I know certain dogs would be safe and happy with me however I do wonder what the rescue would think of me when they see me looking 'frail' as I my mirror tells me I do.

I can therefor sympathise with the OP, as to label a person ''Frail' puts them at a social disadvantage.

Marydoll

Oh dear Growstuff, according to that, I am in deep trouble. I have seven of those conditions!

No, that's not too bad. Calculate 7/36, which gives you a score of 0.194, which means you're mildly frail. I have six of the conditions, which means my score is 0.166, which means I'm mildly frail too.

Oh dear Growstuff, according to that, I am in deep trouble. I have seven of those conditions!

Being "frail" (or whatever) just flags you up to the GP. If you read the guidance, it means they should have you in for a face-to-face check and provide any treatment thought necessary. The score is just a guide.

I suspect the e Frailty Index has been used. This is calculated automatically from all the codes your GP has about you. 36 conditions and symptoms are considered. A score of 0.361 means that you have just over a third of the conditions.
This diagram shows what the conditions/symptoms are.

Surely, health professionals should be looking at the whole picture, not conditions in isolation?
I am disabled, due to RA, but that condition has impacted on my heart health and I have had a number of episodes, which meant hospital admissions.
Being disabled means that I am vulnerable. I am not happy with that, but not much I can do to change things.

Marydoll

I was intrigued by this and looked up the definition.

The five frailty criteria are weight loss, exhaustion, low physical activity, slowness and weakness. The sum score of these five criteria classifies people into one of three frailty stages (or groups): not frail (score 0), pre-frail (score 1–2) and frail (score 3–5)

Have I misunderstood this. If you scored 0.361, Whiff, surely you are between not frail and pre-frail?
I do not see myself as frail, but as someone, who is disabled and slow moving, I do meet some of the criteria.

Whiff, based on Marydoll's comments I really don't think you have anything to worry about.

In fact, I find it rather reassuring that these scoring protocols are in place to enable and alert other clinical professionals as and when necessary.

It certainly looks like you are very low in the scale.

Of course, it would be helpful if the Frailty Score bands, as outlined above by Marydoll, were also made explicit on the NHS App, so that we know what the numbers actually mean.

I would rather health professionals were aware of any difficulties, than complain about a frailty factor. I have absolutely no objection to that being on my notes.
However, I would like to see what it is!

Here is the Rockwood scale used by the NHS. From what I have seen from your other posts about HPX and you saying you have had a recent heart incident, I would say between 3 and 4 sounds about right.

I also read it as within the ‘not frail’ band Whiff. Your score of 0.361 is below 1

Maybe because of your health issues it has given a moderate frailty score, it is not a bad thing, it just alerts other agencies, hospitals etc that you may have problems with certain things.

Everyone over 65 that visits a GP has one.

I was intrigued by this and looked up the definition.

The five frailty criteria are weight loss, exhaustion, low physical activity, slowness and weakness. The sum score of these five criteria classifies people into one of three frailty stages (or groups): not frail (score 0), pre-frail (score 1–2) and frail (score 3–5)

Have I misunderstood this. If you scored 0.361, Whiff, surely you are between not frail and pre-frail?
I do not see myself as frail, but as someone, who is disabled and slow moving, I do meet some of the criteria.