#5397 FRAILTY ASSESSMENT TOOLS, SURVIVAL TIME AND TIME TO INITIATE DIALYSIS IN OLDER PATIENTS WITH ADVANCED CHRONIC KIDNEY DISEASE

Abstract Background and Aims Chronic Kidney Disease (CKD) patients with frailty have been shown to a shorter survival time compared non-frail individuals. Additionally, has linked earlier initiation of dialysis among CKD patients. Despite the availability over 50 assessment tools in literature, few applied studies older adults CKD. There is need for comprehensive analysis different identify most accurate that could predict start The present study compares four commonly used from categories (self-reporting tools, clinical judgment complex instruments) regarding their association dialysis. Method Two hundred forty biochemical evidence Stages 4–5 were included this prospective cohort study. inclusion criteria 65 years old or more two consecutive measurements estimated glomerular filtration rate (eGFR) <60 mL/min/1.73 m2 separated by than three months, while exclusion dependence, history kidney transplantation, recent acute injury, initial visit provider, amputation, cerebrovascular accident. Prisma-7 FRAIL Scale, Clinical Frailty Scale (CFS), Phenotype (FP). Patients followed-up 36 months death events initiation. Results population (240 patients) comprised 46% male mean age 73.8 ± 6.6 years. Approximately 25% considered frail using scale, 69% Prisma-7, almost 40% CFS FP. Except “frail” patients, as determined FRAIL, CFS, FP scores (Fig. 1), had significantly times, 24.9 (Log-rank p <0.001), 27.3 = 0.041), 26.6 0.004) respectively. No significant differences observed when comparing any (Table 1). Conclusion findings suggest derived are better predictors elderly CKD, further research required determine appropriate tool population.