1. 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

3. 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

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

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

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

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

8. 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

9. 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.

10. 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