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adjusted CCI was 8 AE 2,5 vs 10 AE 3 in the integrated care group. Total mortality in a whole cohort was 31,8%. All but one subject in the integrated care group fulfilled the criteria for a frailty syndrome. Conclusions: The prevalence of RRT in the Galanta district is higher than the average of Slovakia with a lower age at its start. Subjects participated in the integrated care have higher age, higher CCI, more severe comorbidities, most of them suffered from dementia and reduced mobility and are fully dependent on a 24-hour care. The advantage of our concept is a direct daily contact with a nephrologist, general practitioner and specialized staff, which enables a rapid detection of changes in health status. The daily program is better adapted to the client's needs using both physical and rehabilitation treatment as well as various behavorial programs and group exercises. Considerable is a time saving in transport of the client and cost reduction of approx. 1500 Euro / person / year for the insurance company.

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