A quick and easy guide to the use of the score Canadian Study of Health and Ageing Frailty Score (CSHA, Rockwood Score) A quick and easy guide to the use of the score FOR USE IN THE ELF STUDY

FOR ELF STUDY CSHA frailty score used for patients ≥65 years old requiring major general surgical procedures Performed pre-operatively Ideally performed during initial clerking Centres around information already collected on admission: Mobility Independence Activities of daily living Background co-morbidities

Independent No underlying medical co-morbidities Regularly exercise Fit and active

Independent No underlying medical co-morbidities Do not regularly exercise More sedentary lifestyle compared to Category 1

Independent Underlying co-morbidities Symptoms from co-morbidities do not impair daily function Example: COPD patient with shortness of breath controlled using inhalers

Independent Underlying co-morbidities Medical conditions cause symptoms which limit function Example: Angina attacks which limit mobility and exercise tolerance

Requires assistance (from professionals or family members) with tasks such as cooking, cleaning, shopping, driving, etc. Does not require assistance with personal care Can not mobilise freely Example: someone still living at home but with regular input from social services i.e. Meals on Wheels, regular cleaner

Requires assistance (from professionals or family members) with tasks such as cooking, cleaning, shopping, driving, etc. Also requires assistance (can be professional or family members) for personal care (bathing, dressing, eating, toileting etc.) Could not mobilise without a stick or zimmer frame Example: someone requiring TDS or QDS social service input or living in residential level care.

High level of dependence for all cares Example: someone living in nursing level care or someone who is barely mobile At the far end of the spectrum this could represent someone who is terminally ill or receiving end of life care