Having the conversation: Individualizing RSV vaccination in older patients

Article Figures & Data

TABLE 1

Assessing frailty severity: The Clinical Frailty Scale

Frailty severity rating	Description	Dementia severity
1. Very fit	Robust, active, energetic, and motivated; exercise regularly; “fittest for their age”
2. Well	No active disease symptoms; less fit than category 1;often exercise or are very active occasionally (eg, seasonally)
3. Managing well	Medical problems are well controlled; not regularly active beyond routine walking
4. Vulnerable	Not dependent on others for daily help, but symptoms often limit activities (eg, “slowed up,” tired during the day)
5. Mildly frail	Need help in high-order instrumental activities of daily living (finances, transportation, heavy housework, medications) with progressive impairment in shopping, meal preparation, and housework.	Mild dementia
6. Moderately frail	Need help with all outside activities, keeping house and may have problems with stairs Basic activity of daily living impairment—may need help with bathing, dressing (cuing, standing by)	Moderate dementia
7. Severely frail	Completely dependent for personal care (physical or cognitive impairments); stable and not at high risk of dying within about 6 months	Severe dementia
8. Very severely frail	Completely dependent, approaching the end of life; difficulty recovering from a minor illness	Severe advanced dementia
9. Terminally ill	Approaching the end of life; life expectancy < 6 months who are not otherwise evidently frail	Severe end-stage dementia