#5657 FRAILTY AND VASCULAR ACCESS IN HEMODIALYSIS PATIENTS

Abstract Background and Aims Frailty is a geriatric syndrome characterized by increased vulnerability to stressors. The elderly become vulnerable susceptible adverse outcomes for their health functional restrictions. Previous guidelines suggested fistula creation as first choice vascular access. Current suggest more tailored approach the patient's needs. Despite high prevalence of frailty in hemodialysis patients, there paucity work investigating relationship between access failure. aim study was estimation with different scores access, current failures. Method 67 patients participated (observational cross-sectional study). assessed 6 scores,Clinical Scale (CFS), Phenotype (FP), Edmonton (EFS), Groningen Index GFI), Short Physical Performance Battery (SPPB), Prisma-7 ankle-brachial index (ABI) hand grip were also estimated. failures mean duration accesses recorded. Finally, levels hemoglobin, serum albumin, C reactive protein, cholesterol measured all adequacy (URR, sp Kt/V) calculated from urea before after session. Results presents statistically significant relation frail robust that start central venus catheter AVF-AVG respectively. (SPPB- tunneled CVC 85, 7%, non 46,2% ρ=0,032, Prisma-7- 100%, 76,9% ρ=0,018, FI -frail 65,7% ρ=0,011, Εdmonton FS -AVF-AVG not 64,7%, 20,6% ρ=0,042) (Table 1-4). ABI presented 68,18% normal have 60,87% abnormal (p=0,022). In addition, number per patient, premature (3 months creation) don't present frailty. Conclusion score could be used tool patients. Further studies, larger are required define reliable easy use tool, which best suited dialysis selection.