Candidates for kidney transplantation are increasingly older and medically frail, with frailty associated with higher waitlist mortality, perioperative complications, and poorer post-transplant outcomes. The use of medical frailty screening tools in the pre-transplant evaluation setting will be highlighted, with a focus on elderly patients. Since 2022, the pediatric heart transplant program at St. Louis Children’s Hospital has experienced a 23% increase in median time from listing to transplant, elevating risk during prolonged inpatient waits. A standardized inpatient prehabilitation approach will be examined, including implementation of a frailty score and a daily prehabilitation checklist to support patient conditioning prior to transplant.
Explain the Fried Frailty index and other common frailty assessment tools
Apply frailty tools in risk stratifying kidney transplant candidates
Describe the components of a modified frailty score for pediatric patients.
Develop action items that can be established to increase multidisciplinary team’s awareness of prehabilitation.
Speaker
A Marion Ybarra
MD, MS
Assistant Professor, Department of Pediatrics, Division of Cardiology Academic Track: Expert Clinician
Washington University School of Medicine
Speaker
Silas Norman
MD, MPH
Transplant Nephrologist and Clinical Professor of Medicine, Associate Transplant Program Director, Co-Medical Director of Kidney and Pancreas Transplantation, Medical Director of the Transplant Center Ambulatory Care Unit
University of Michigan Health
Moderator, Transplant Advancement Series Faculty
Lindsey Shinn
MSN, RN
Abdominal Transplant Program Manager
St. Louis Children's Hospital
Members of the donation and transplantation community serving diverse populations to include administrators, coordinators, physicians, nurses, surgeons, managers, quality improvement specialists, social workers, and other donation and transplantation center professionals and their colleagues.
