ADULT SPINAL DEFORMITY – FRAILTY INDEX

Factors Included in the Adult Spinal Deformity Frailty Index

  • Documented by physician
    • >3 Medical problems
    • Anemiay
    • Body mass index <18.5 or >30 kg/m2
    • Cancer
    • Cardiac disease
    • Currently on disability
    • Depression
    • Diabetes
    • Hypertension
    • Kidney diseasey
    • Liver disease
    • Lung disease
    • Osteoporosis
    • Peripheral vascular disease
    • Previous blood clot (deep vein thrombosis/pulmonary embolism/ stroke)
    • Nervous system disordersy
    • Smoking status
  • Patient-reported (questionnaire, question no.)
    • Bladder incontinence
    • Bowel incontinence
    • Deteriorating health this year
    • Difficulty climbing 1 flight of stairs
    • Difficulty driving a car
    • Difficulty getting dressed
    • Difficulty getting in/out of bed
    • Difficulty sleeping >6 h
    • Difficulty walking 100 yards
    • Difficulty with light activity
    • Feeling downhearted/depressed most of the time
    • Feeling tired most of the time
    • Feeling worn out most of the time
    • General health: fair/poor
    • Inability to bathe without assistance
    • Inability to cheer up often
    • Inability to do normal work/schoolwork/housework
    • Inability to lift heavy objects
    • Inability to travel >1 h
    • Inability to walk without assistive device
    • Loss of balance
    • Not in excellent health
    • Personal care dependency
    • Restricted activity level
    • Restricted social life
    • Weakness