Calculator · Frailty

PRISMA-7 (frailty screen)

Seven-item frailty case-finding.

What it is for

Screening older adults for frailty. ≥ 3 "yes" suggests frailty — assess further.

Use the working calculator

The working PRISMA-7 (frailty screen) calculator is on our calculators page. It is free and needs no account. Enter the values and it shows the result with the reading that goes with it.

The calculators are free. The trial opens the protocols and pathways they link to.

What you enter

The calculator asks for 7 items.

  • Are you older than 85 years? (1 point)
  • Male sex? (1 point)
  • Health problems that limit your activities? (1 point)
  • Do you need someone to help you regularly? (1 point)
  • Health problems that make you stay at home? (1 point)
  • If in need, can you count on someone close? (No = 1) (1 point)
  • Do you regularly use a stick, walker or wheelchair? (1 point)

How the result is read

The result is shown as PRISMA-7, out of a maximum of 7.

The calculator reads each total as follows. Where a single answer changes the reading (for example sex, age or one extreme value), the working calculator says so.

TotalBandWhat the calculator says
0 to 2Frailty less likelyRe-screen periodically.
3 to 7Frailty likelyComprehensive geriatric assessment; confirm with Clinical Frailty Scale / gait speed. ≥ 3 — sensitive for frailty.

Sources

These are the sources the calculator cites. Check the current version before relying on a threshold.

Related

For qualified clinicians. A score supports a clinical decision and does not make it: check the inputs, read the cited source, and use the tools in your clinical system for patient care where one is provided.