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In this single\u2010center study of 825 KTRs, we determined the association between the individual components of a modified Fried frailty score and delayed graft function (DGF), early hospital readmission (EHR), cardiovascular (CV) events, acute rejection (AR), death censored graft failure (DCGF), and death. Sum frailty \u22653 was significantly associated with EHR (aOR\u00a0=\u00a03.62; 95% CI: 1.21\u201310.80). Among individual components, only grip strength was significantly associated with EHR (aOR\u00a0=\u00a01.54; 95% CI: 1.03\u20132.31). The addition of grip strength to a model with the other four components resulted in Net Reclassification Improvement (NRI) of 20.51% (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.01). Similarly, only grip strength was significantly associated with CV events (aOR\u00a0=\u00a01.79; 95% CI: 1.12\u20132.86). The addition of grip strength to a model with the other four components resulted in NRI of 27.37% (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.006). No other frailty components were associated with the outcomes of interest. Based on our findings, handgrip strength may be an important tool while assessing frailty, mainly predicting early readmission and cardiovascular events post\u2010transplant.<\/jats:p>","DOI":"10.1111\/ctr.14827","type":"journal-article","created":{"date-parts":[[2022,9,27]],"date-time":"2022-09-27T16:38:18Z","timestamp":1664296698000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Analysis of individual components of frailty: Pre\u2010transplant grip strength is the strongest predictor of post kidney transplant outcomes"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1667-7465","authenticated-orcid":false,"given":"Sandesh","family":"Parajuli","sequence":"first","affiliation":[{"name":"Division of Nephrology Department of Medicine University of Wisconsin School of Medicine and Public Health  Madison Wisconsin 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