Edmonton Frail Scale (EFS)
Multidomain frailty screen (Rolfson 2006). 9 domains, total 0–17. Validated across community and acute settings.
Score interpretation
→ Reinforce healthy ageing: exercise (resistance + balance), nutrition, social engagement, medication review annually.
→ Comprehensive geriatric assessment; address modifiable factors (vitamin D, protein intake, polypharmacy, low mood, sensory impairment).
→ Specialist CGA; advance care planning conversation; falls prevention; community geriatric / virtual frailty MDT.
→ CGA with care-plan; consider deprescribing; care package; treatment escalation discussions.
→ Comprehensive end-of-life / ReSPECT planning; symptom-focused care; consider hospice referral if life-limiting illness; review hospitalisation appropriateness.
Interpretation bands for the EFS. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Falls Assessment in Older Adults · NICE CG161 2013
- Delirium Outside ICU · NICE CG103
- Comprehensive Geriatric Assessment (CGA) · BGS / NICE
- Delirium Assessment and Management · NICE CG103 2010
- Frailty Recognition and Management · BGS Frailty Framework / NHS NHSE
- Polypharmacy and Medicines Optimisation · STOPP/START v2 2014 / NICE NG5
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.