Research Article

Assessing Frailty in the General Medical Clinic of a Tertiary Hospital in Northern Malaysia: The FRAIL Scale or the Clinical Frailty Scale

Table 4

Components of the FRAIL scale and their association with frailty and prevalence of frailty between patients who scored “1” and “0” for each component of the FRAIL scale.

FRAIL scaleClinical frailty scale (CFS)Prevalence of frailty
Frail, N = 17Not frail, N = 78Frail, N = 21Not frail, N = 74FRAILCFSRatio of prevalence

1. Fatigue
Score = 1, 18(18.9%)7 (41.2%)11 (14.1%)0.0175 (23.8%)13 (17.6%)0.5367 (38.9%)5 (27.8%)0.7150.687
Score = 0, 77(81.1%)10 (58.8%)67 (85.9%)16 (76.2%)61 (82.4%)10 (13.0%)16 (20.8%)1.6000.146

2. Resistance
Score = 1, 32(33.7%)17 (100%)15 (19.2%)<0.00115 (71.4%)17 (23.0%)<0.00117 (53.1%)15 (46.9%)0.8830.774
Score = 0, 63(66.3%)063 (80.8%)6 (28.6%)57 (77.0%)06 (9.5%)N/AaN/Aa

3. Ambulation
Score = 1, 19(20.0%)14 (82.4%)5 (6.4%)<0.00114 (66.7%)5 (6.8%)<0.00114 (73.7)14 (73.7%)1.000>0.999
Score = 0, 76(80.0%)3 (17.6%)73 (93.6%)7 (33.3%)69 (93.2%)3 (3.9%)7 (9.2%)2.3590.344

4. Illness
Score = 1, 19(20.0%)11 (64.7%)8 (10.3%)<0.0017 (33.3%)12 (16.2%)0.12011 (57.9%)7 (36.8%)0.6350.219
Score = 0, 76(80.0%)6 (35.3%)70 (89.7%)14 (66.7%)62 (83.8%)6 (7.9%)14 (18.4%)2.3290.039

5. Loss of weight
Score = 1, 13(13.7%)6 (35.3%)7 (9.0%)0.0116 (28.6%)7 (9.5%)0.0356 (46.2%)6 (46.2%)1.000>0.999
Score = 0, 82(86.3%)11 (64.7%)71 (91.0%)15 (71.4%)67 (90.5%)11 (13.4%)15 (18.3%)1.3660.424

aNot applicable. 1. Fatigue: feel tired all or most of the time; 2. Resistance: difficult to walk 10 steps without rest and unaided; 3. Ambulation: difficult to walk several hundred yards unaided; 4. Illness: more than 4 of the following illnesses: hypertension, diabetes, cancer other than minor skin cancer, chronic lung disease, heart attack, congestive heart failure, angina, asthma, arthritis, stroke, and kidney disease; and 5. Loss of weight: more than 5% loss of weight.