128 / 210
S120
Poster presentations / European Geriatric Medicine 6S1 (2015) S32
–
S156
All of these volunteers were assessed for body compositions and
muscle strength and for gait performances at usual (simple and
dual task) and fast walking speeds. Brain MRIs were realised
including T1-weighted and T2-weighted data using respectively
multi-parametric, FLAIR and diffusion sequences. After a two-years
follow up, a similar assessment will be plan to detect cognitive or
functional decline.
Results:
According to these evaluations, 131 healthy old people are
already included and assessed at baseline.
Conclusion:
Authors introduce the original protocol of this first
two-year prospective study including robust old people with a
comprehensive assessment to promote successful aging.
P-332
Physical and mental determinants of falls in healthy old
people: baseline data of the GABI study
S. Gillain
1
, V. Wojtasik
2
, C. Schwartz
2
, M. Boutaayamou
2
,
M. Demonceau
2
, X. Schmitz
2
, F. Depierreux
2
, N. Dardenne
2
,
O. Bruy `ere
2
, G. Garraux
2
, J. Petermans
2
1
Geriatric department, CHU de Li`ege, Belgium, Li`ege, Belgium;
2
University of Li`ege, Li`ege, Belgium
Objectives:
To highlight the physical or mental determinants of
falls in healthy old people to promote successful aging.
Methods:
In cohort of 131 healthy old people, history of fall,
fear of falling, co-morbidities, drugs, anthropometric measures,
nutritional status, body composition, grip strength and functional
and cognitive status were assessed. Among them, 112 volunteers
are robust according the Edmonton scale. No cognitive disorders
are already known. Mean values were compared by ANOVA using
SAS 9.3. Results were considered statistically significant for a p-
value
<
0.05. All parameters with a p
<
0.25 were then combined
into a logistic regression with stepwise procedure.
Results:
Into this healthy old people cohort (mean age 71.3 years,
mean CIRS-g is 9.8/45, mean mini nutritional status is 12.8, mean
body mass index is 25.8, mean physical activity on Jackson scale
is 2.8/7, mean Katz scale is 6.3/24, mean geriatric depression
scale is 0.8/4 and mean walking speed is
>
1m/s), 51 volunteers
feel fear of falling and 30 volunteers have already fallen the
year before. In univariate analysis a difference was observed
concerning muscle mass (p = 0.0094), muscle strength (p = 0.0029),
comfortable walking speed (p = 0.021) and fast walking speed
(p = 0.0051) between fallers and non-fallers. However, multivariate
analysis showed that variables significantly associated with falls
were the fear of falling (p = 0.0015 and OR = 6.09), the use of
anti-depressive drugs (p = 0.011 and OR = 6.91) and the temporal
orientation (p = 0.041 and OR = 0.29).
Conclusion:
Fall prevention in healthy old people should consider
more sensitive parameters than only physical frailty components.
P-333
Prevention of thromboembolism in elderly hospitalized:
Follow-up evaluation recommendations
M. Gourdon
1
, B. Fantin
2
, A. Raynaud-Simon
1
, V. Zarrouk
2
1
Hˆopital Bichat, Paris, France;
2
Hˆopital Beaujon, Clichy, France
Introduction:
Given the increase in the number of patients
hospitalized for acute illness and the risk of venous
thromboembolism (VTE), the use of prophylaxis has become a
public health issue.
Materials and Methods:
Observational study, non-interventional,
prospective, single-center aimed to assess the practices of two
services of the same hospital, and to evaluate their adherence to
the French Agency for Sanitary Safety of Health Products (AFSSAPS)
2009 for the prevention of thromboembolic disease in the elderly
over 75 years old.
Results:
222 patients were included: 125 from internal medicine
and 97 from acute geriatrics. Among these patients, the median age
was 84 years and the sex ratio 0.42. Fifty-four percent of patients
did not require preventive anticoagulation as recommended by the
AFSSAPS. Seventy percent of the patients included in the study
were anticoagulated, 89% with Low Molecular Weight Heparin
(LMWH). Twenty-two percent of patients received anticoagulation
while it was not recommended. Adverse events were recorded: 4
thrombosis (1.8% of the population) and 8 accidents anticoagulants
(5.1% of the anticoagulated population). At three months, 76
patients were followed through their physician: 2 died and there
was no venous thromboembolism (VTE) diagnosed.
Conclusions:
In the elderly, whatever service management,
preventive anticoagulation is prescribed by excess. Despite this
mismatch, thromboembolic accidents are less frequent than
reported in the literature and bleeding events have occurred in
excess. Recommendations could be better monitored to limit the
number of hemorrhagic stroke.
P-334
The epidemiology of distal radius fractures in Castile and Leon
(Spain)
I. Sierra-Martinez
1
, L. Sierra-Martinez
2
, R. Martinez-Fuerte
2
,
N. Sanz-Gonz ´alez
3
1
Traumatology Department, Hospital of Medina de Campo (Valladolid),
Spain, Valladolid, Spain;
2
Valladolid Este Primary Assistance Gerency,
Valladolid, Valladolid, Spain;
3
JCyL Primary Assistance Gerency,
Valladolid, Valladolid, Spain
Aims:
Study of epidemiology of Distal Radius Fracture (DRF) to
promote preventive activities from Primary Care physician and.
Specialist in Orthopaedic Surgery and Traumatology
Method:
The authors conducted a cross-sectional descriptive study
applied to a selection of patients (n = 50) from among all patients
in the urban health center in Castile and Leon (Spain) who had
recorded in his medical history that had submitted DRF. We study,
age, sex and cause of DRF. The data is collected on an Excel
spreadsheet and analyzed using SPSS 15.0 for Windows
Results:
– The incidence was 4 women/1 man.
– 40% of women with fractures had a history of osteoporosis.
– 87.4% were over 50 years. they had a cause declines in home,
in 90% of cases related to falls from sidewalks, domestic stairs,
slipping in the shower, tripping over rugs. The 10% fall in the
street, getting off bus, slip tiles and other obstacles.
– 12.6% were patients under 50 years of age, with the fall due in
conducting sports, cycling and drop a case from scooter.
Conclusions:
Significant association between osteoporosis and
fractures are detected in women. High cause of Distal Radius
Fracture from falls at home, probably related to poor lighting and
defects in visual acuity, presence of obstacles such as carpets. We
propose to act on these problems through a program of health
education aimed at groups and the development of preventive
activities in Primary Care consultation and Specialist in Orthopaedic
Surgery and Traumatology
P-335
Fractures in postmenopausal osteoporosis
I. Sierra-Martinez
1
, L. Sierra-Martinez
2
, R. Martinez-Fuerte
2
,
N. Sanz-Gonz ´alez
3
1
Traumatology Department, Hospital of Medina de Campo (Valladolid),
Spain, Valladolid, Spain;
2
Valladolid Este Primary Assistance Gerency,
Valladolid, Valladolid, Spain;
3
JCyL Primary Assistance Gerency,
Valladolid, Valladolid, Spain
Aims:
Using records from the Record of Medical Informatics (MRI)
to determine the prevalence of fractures in postmenopausal who
have osteoporosis (OP) to promote Preventive Services Primary
Health Care and Orthopedic Surgery and Traumatology Specialist