Hemmelgarn, BrendaTurin, Tanvir ChowdhuryWick, James2015-11-122015-11-122015Wick, J. (2015). Development of a Clinical Risk Prediction Tool for Early Mortality After Dialysis Initiation Among Older Adults (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca. doi:10.11575/PRISM/25653http://hdl.handle.net/11023/2636Background: Early mortality after dialysis initiation is common among older adults. Information on an individual’s risk of death may influence the decision to initiate dialysis. Objective: To develop a clinical risk prediction tool for mortality within six and twelve months of dialysis initiation, for older adults. Methods: Eligible individuals were adults age ≥65 who initiated chronic dialysis between May 1, 2003 and March 31, 2012. Measures of demographics, laboratory values, health-usage and comorbidity were potential predictors of early mortality. We used logistic regression to predict mortality, and created a point score system. Results: The six- and twelve-month tools included age, glomerular filtration rate, atrial fibrillation, lymphoma, chronic heart failure, prior hospitalization and metastatic cancer. Cirrhosis and late referral to nephrologist were also in the twelve-month score. Model discrimination was 0.72 for each outcome. Conclusion: These tools may aide decision making for older adults considering dialysis.engUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.EpidemiologyRisk Prediction ToolDialysisOlder AdultsEarly Mortalitymaster thesis10.11575/PRISM/25653