Risk Analysis Index

  • Administration time: 3 minutes
  • Relies on self-report only
  • Predicts operative mortality

1. Sex

2. Age

3. Cancer

Does the patient have cancer (excluding non-melanoma skin cancer)?

4. Comorbidities and symptoms

Have you had the following in the past 3 months (Check all that apply)?

5. Living status

Do you reside in a setting other than independent living?

6. Activities of daily living:

Check the need for assistance in performing the following activities.

  • Mobility/locomotion
  • Eating
  • Toilet use
  • Personal hygiene

7. Cognition

Have your cognitive skills or status deteriorated over the past 3 months?

Key references

  • Hall DE, Arya S, Schmid KK, Blaser C, Carlson MA, Bailey TL, Purviance G, Bockman T, Lynch TG, Johanning J. Development and Initial Validation of the Risk Analysis Index for Measuring Frailty in Surgical Populations. JAMA Surg. 2017 Feb 1;152(2):175-182. doi: 10.1001/jamasurg.2016.4202. PMID: 27893030; PMCID: PMC7140150.
  • Hall DE, Arya S, Schmid KK, Carlson MA, Lavedan P, Bailey TL, Purviance G, Bockman T, Lynch TG, Johanning JM. Association of a Frailty Screening Initiative With Postoperative Survival at 30, 180, and 365 Days. JAMA Surg. 2017 Mar 1;152(3):233-240. doi: 10.1001/jamasurg.2016.4219. PMID: 27902826; PMCID: PMC7180387

Alternative tools to Risk Analysis Index

Clinical Frailty Scale

Frailty Phenotype