Annals of Clinical Nutrition and Metabolism : eISSN 2799-8363 / pISSN 2799-7898

Table. 1.

Table. 1.

Tools to assess frailty

Tool Equipment needed Components Details
ADL None Ability to conduct basic tasks Patient or caregiver assesses difficulty or dependence with six activities that are essential to daily function (e.g., basic hygiene, eating, ambulation).
KPS None Ability to carry out normal ADL Patient, caregiver, or clinician assesses functional limitations ranging from 100 (normal, no complaints, no evidence of disease) to 50 (requires considerable assistance and frequent medical care) to 10 (moribund, fatal processes progressing rapidly).
Hand grip strength Hand dynamometer Physical frailty The patient is asked to grip a dynamometer using the dominant hand with their best effort. The test is repeated three times and the values are averaged.
6-minute walk test Stopwatch, tape measure Submaximal aerobic capacity and endurance Test evaluates distance walked on a flat surface at usual walking speed within 6 minutes.
Liver Frailty Index Stopwatch, hand dynamometer, chair Physical frailty Cirrhosis-specific tool consisting of grip strength, chair stands, and balance testing. Changes in Liver Frailty Index are associated with outcomes.

Adapted from an article by Lai et al. (Hepatology 2021;74:1611-44) [5] with original copyright holder’s permission.

ADL = Activities of Daily Living; KPS = Karnofsky Performance Status.

Ann Clin Nutr Metab 2022;14:2-9
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