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Printed on 4/21/2026
For informational purposes only. This is not medical advice.
The ISAR (Identification of Seniors At Risk) score is a brief screening tool used especially in emergency and acute-care settings to identify older adults at increased risk of adverse outcomes such as functional decline, repeated ED visits, hospitalization, and death. It includes six yes/no items related to recent hospitalization, sensory and memory difficulties, medication burden, and dependency. Scores of 2 or more are commonly considered a positive screen requiring closer assessment.
Formula: ISAR total = sum of 6 yes/no items (0 or 1 each), range 0-6; >=2 indicates positive risk screen.
Higher ISAR scores indicate higher short-term vulnerability and support early geriatric-informed care planning.
Use in adults aged 65+ at ED/acute-care presentation for quick risk stratification and referral prioritization.
ISAR emphasizes sensitivity and may generate false positives; follow-up assessment is required before major care decisions.
For related assessments, see VES-13, PRISMA-7 and Clinical Frailty Scale.
Disclaimer: This tool is for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about your health.
Screen vulnerability in adults aged 65+ with VES-13; scores >=3 indicate elevated risk of functional decline.
GeriatricsScreen frailty with the 7-item PRISMA-7 questionnaire (score 0-7; >=3 suggests frailty risk).
GeriatricsAssess frailty using the Rockwood Clinical Frailty Scale (CFS 1–9): Very Fit to Terminally Ill. Used for ICU triage, surgical risk stratification, and goals-of-care discussions in elderly patients.
GeriatricsAssess independence in higher-level daily tasks using the Lawton IADL scale (score 0-8).