en Health Health Original Article Original Article <span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="color:#0000ff;"><strong><em>Background</em></strong><em>:</em> </span>Frailty is accompanied by serious health complications in the elderly, especially during hospitalization. Visual scales have been designed for quick and easy evaluation of frailty in different cultures and settings. Therefore, this study aimed to define the accuracy of the Pictorial Fit Frail Scale (PFFS) for frailty screening in the hospitalized elderly in Iran.<br> <span style="color:#0000ff;"><strong><em>Methods</em></strong><em>:</em></span> This cross-sectional study was conducted on 304 hospitalized participants, aged 65-85 years old admitted at Ziaeian Hospital (Tehran) were enrolled through the inclusion criteria from August to December 2019. All participants were evaluated based on the Minimum Data Set-Home Care, the Pictorial Fit Frail Scale, and the Quality-of-Life instrument, through face-to-face interviews by a trained nurse at the admission time. Spearman&rsquo;s correlation coefficient, and ROC analysis were performed using SPSS at p<0.05.<br> <span style="color:#0000ff;"><strong><em>Results</em></strong><em>:</em></span> The highest correlation was obtained by Frailty Index (FI) and PFFS (0.770). FI had a negative correlation with QoL (-0.48). The optimal cut-points for PFFS according to FI &le; 0.08 (robust vs. pre-frail) was obtained 0.10 with sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy 100.00% and the best cut-point for PFFS based on FI &ge; 0.25 (pre-frail vs. frail) was obtained 0.29 with sensitivity and specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy 100.00%.<br> <span style="color:#0000ff;"><strong><em>Conclusion</em></strong><em>:</em></span> It seems the Pictorial Fit-Frail Scale (PFFS) is a reliable scale with a high level of accuracy, and excellent sensitivity and specificity to measure the frailty level in hospitalized elderlies.</span></span> Frailty, Pictorial Fit Frail Scale, MDS-specific frailty index, Hospital, Cut point, ROC 307 314 http://caspjim.com/browse.php?a_code=A-10-1939-1&slc_lang=en&sid=1 Maryam Chehrehgosha chehrehgosha2008@gmail.com 100319475328460029375 100319475328460029375 No Department of Gerontology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Mahtab Alizadeh-Khoei alizadeh.mahtab2020@gmail.com 100319475328460029376 100319475328460029376 No Department of Clinical Gerontology & Geriatric, Medical School, Tehran University of Medical Sciences, Tehran, Iran Nasser Behnampour behnampour.n@yahoo.com 100319475328460029377 100319475328460029377 No Department of Biostatistics and Epidemiology, Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran Farshad Sharifi shariifii@yahoo.com 100319475328460029378 100319475328460029378 No Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran Reza Fadayevatan 1092.reza@gmail.com 100319475328460029379 100319475328460029379 Yes Iranian Research Center of Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Reyhaneh Aminalroaya mary.kalantary@gmail.com 100319475328460029380 100319475328460029380 No Department of Geriatric, Ziaiyan Hospital, Medical School, Tehran University of Medical Sciences, Tehran, Iran