EACS2023: 374 Implementation of frailty screening in older people living with HIV in Brighton, UK N. St Clair-Sullivan , K. Bristowe , I. Khan , M. Maddocks , S. Bremner , T. Levett , R. Harding , J. Roberts , Z. Adler , D. Yi , J. Vera King's College London, Cicely Saunders Institute of Palliative Care, Policy & Rehabilitation, London, United Kingdom, University Hospitals Sussex NHS Trust, Brighton, United Kingdom, Brighton and Sussex Medical School, Brighton, Brighton, United Kingdom General data Abstract category: Ageing and frailty Abstract body Purpose: Frailty screening of older people living with HIV (PLWH) is recommended by the European AIDS clinical Society. We evaluated the implementation of frailty screening in PLWH in a large urban cohort of patients in Brighton, UK. Method: Codesign participatory workshops with HIV health care professionals, administrative staff and patient interviews informed the design and implementation of the frailty screening pathway in the clinic. All patients over 60 years old attending HIV care were screened for frailty from July 2021 by nurses during their standard of care HIV annual health check using the FRAIL scale. All patients identified as frail were offered a comprehensive geriatric assessment delivered by a combined HIV geriatric clinic. Results: 456/590 (77%) PLWH over 60 years old were screened for frailty. Median age and time since HIV diagnosis (range) for those screened was 66 (60-99) years old and 21 (0-32) respectively. 55 (12%) patients screened were identified as frail, 118 (21%) pre frail and 282 (61%) as robust. 10 (18%) patients identified as frail declined an appointment in the geriatrics clinic due to reasons including lack of time, lack of interest, problems getting to the clinic due to distance or health issues. Compared to non-frail individuals, frail patients have been living with HIV for longer and have greater number of comorbidities and comedications. However frail PLWH were not chronologically older than the pre-frail or robust groups (Table 1). All patients reviewed to date in the geriatric clinic (10) had been confirmed as frail using the frailty phenotype. Conclusions: The implementation of frailty screening in PLWH over 60 years old is feasible in a large cohort of PLWH, as recommended by EACS. More research is needed to determine if frailty screening can improve clinical outcomes of older PLWH and the use of the comprehensive geriatric assessment within HIV services. General conditions 1. I confirm that I previewed this abstract and that all information is correct. I accept that the content of this abstract cannot be modified or corrected after the submission deadline and I am aware that it will be published exactly as submitted.: Yes 2. I confirm that the submission of the abstract constitutes my consent to publication (e.g. conference website, programmes, other promotions, etc.). : Yes 3. I herewith confirm that the contact details saved in this system are those of the corresponding author, who will be notified about the status of the abstract. The corresponding author is responsible for informing the other authors about the status of the abstract.: Yes 4. I agree that all data provided may be used (saved, stored, processed, transmitted and deleted) in compliance with the privacy policy to provide the services described.: Yes 1 1 2 1 3 2 1 2 2 1 3 1 2 3 67
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