Theou, O.Tan, E.Bell, J.Emery, T.Robson, L.Morley, J.Rockwood, K.Visvanathan, R.2018-11-272018-11-272016Journal of The American Geriatrics Society, 2016; 64(11):e207-e2120002-86141532-5415http://hdl.handle.net/2440/116364OBJECTIVES: To compare the FRAIL-NH scale with the Frailty Index in assessing frailty in residential aged care facilities. DESIGN: Cross-sectional. SETTING: Six Australian residential aged care facilities. PARTICIPANTS: Individuals aged 65 and older (N = 383, mean aged 87.5 ± 6.2, 77.5% female). MEASUREMENTS: Frailty was assessed using the 66-item Frailty Index and the FRAIL-NH scale. Other measures examined were dementia diagnosis, level of care, resident satisfaction with care, nurse-reported resident quality of life, neuropsychiatric symptoms, and professional caregiver burden. RESULTS: The FRAIL-NH scale was significantly associated with the Frailty Index (correlation coefficient = 0.81, P < .001). Based on the Frailty Index, 60.8% of participants were categorized as frail and 24.4% as most frail. Based on the FRAIL-NH, 37.5% of participants were classified as frail and 35.9% as most frail. Women were assessed as being frailer than men using both tools (P = .006 for FI; P = .03 for FRAIL-NH). Frailty Index levels were higher in participants aged 95 and older (0.39 ± 0.13) than in those aged younger than 85 (0.33 ± 0.13; P = .008) and in participants born outside Australia (0.38 ± 0.13) than in those born in Australia (0.34 ± 0.13; P = .01). Both frailty tools were associated with most characteristics that would indicate higher care needs, with the Frailty Index having stronger associations with all of these measures. CONCLUSION: The FRAIL-NH scale is a simple and practical method to screen for frailty in residential aged care facilities.en© 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics SocietyFrail elderly; Frailty Index; FRAIL scale; nursing home; long-term care; aged care facilitiesJournal article003005715910.1111/jgs.144900003883356000152-s2.0-84995699288275685Theou, O. [0000-0001-6460-782X]Morley, J. [0000-0001-6444-2965]Visvanathan, R. [0000-0002-1303-9479]