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Poster presentations / European Geriatric Medicine 6S1 (2015) S32
–
S156
S121
Design:
Most osteoporotic fractures (OF) occur in postmenopause,
consuming significant resources, health, social and economic in the
process of diagnosis and treatment. The authors conducted a cross
sectional study of menopausal women diagnosed with OP and OF,
registered in MRI.
Method:
From the list of patients with MRI, we selected 687
patients postmenopausal who have a diagnosis Osteoporosis (OP),
we studied the prevalence of OP and the prevalence of OF. We
analyzed the causes of breakage. Data are collected on a Excel
spreadsheet and analyzed using SPSS 22 for Windows.
Results:
– Patients with OP in our health center corresponds to 20% of the
population over 50 years.
– Of the 687 women with MRI in the diagnosis of OP:
Prevalence OF = 31.99%. 1-OF hip: 5.09%. 2-OF spine: 6.6%,
3-OF twang-foot: 3.8%, 4-OF humerus: 5.8%, 5-OF wrist: 10.7%.
– Falls at home was the cause in 82% of cases. For defects of vision,
collision with obstacles and falls from ladders.
Conclusions:
20% of women postmenopausal over 50 years of our
health center has registered its MRI, the clinical process OP, and
32% have OF, which justifying the implementation of a Health
Improvement Plan, including Education Program for Health aimed
at groups and the development of preventive activities in primary
care consultation.
P-336
Characteristics of inpatient at geriatric department in Japan
K. Ina
1
, T. Hayashi
1
, M. Kuzuya
2
1
Department of Geriatrics, Nagoya University Graduate School of
Medicine, Nagoya, Japan;
2
Japan
Objectives:
The average life expectancy exceeds 80 years in Japan.
The number of the hospitalized elderly has been increasing. We
investigated the characteristics of inpatient of geriatric department
at Nagoya University Hospital in Japan.
Methods:
We analyzed the inpatient registry of the department of
geriatrics at Nagoya University Hospital in Japan between 2012 and
2014. We investigated patient profiles including their demographic
characteristics, the cause of hospitalization, comorbidities, the
numbers of drugs, the numbers of hospitalization days and care
services.
Results:
We investigated 294 elderly Japanese patients (155
women; age 84.5
±
7.5 years).
The average numbers of
hospitalization days were 22.6
±
19.2 days. Subjects who returned
to their homes were 16.9
±
12.4 days and changed the hospital were
34.4
±
23.9 days. Approximately 40% of patients could not return
to the home. The numbers of drugs were significantly reduced
from 7.0
±
4.0 to 5.4
±
3.3 during hospitalization. The main cause
of hospitalization was respiratory diseases like pneumonia, second
was neurologic diseases like stroke. These two diseases occupied
about 50%.
Conclusions:
Once the elderly people are hospitalized, they often
cannot return to the home and transfer to a different hospital in
Japan. In these cases, the numbers of hospitalization days will be
extended to double compared to patients who return to the home.
Because long-term care hospitals are usually crowded condition, we
need to take the possibility of changing hospital and the necessities
of care services into consideration as early as possible. We also need
to approach for identifying inappropriate polypharmacy during
hospitalization.
P-337
The association between falls and history of any fracture and
fragility fracture in community dwelling older adults screened
for osteoporosis
F. Kearney
1
, T. Masud
2
, R. Taylor
1
1
Nottingham University Hospitals NHS Trust, Nottingham, United
Kingdom;
2
United Kingdom
Objectives:
Osteoporosis screening tools do not always include
falls risk as a determinant of fracture risk. A history of falls has
been shown to predict fractures independently of other risk factors
and may enable more accurate fracture prediction. We aimed to
investigate the relative strength of association between any fall
and recurrent falls and history of any fracture after age 50 yrs and
fragility fractures (hip, wrist or vertebral) after age 50 yrs.
Methods:
Cross-sectional analysis of self-reported data from a
community dwelling cohort of older adults registered at four urban
GP practices. Participants were invited to complete a screening
questionnaire assessing osteoporosis risk.
Results:
1498 questionnaires were completed. The mean age was
73.1 yrs(SD 8.3) and 84.6% were female. 333(22.2%) fell in the
preceding 12 months, of whom 129 fell more than once. 297 (19.8%)
had sustained any fracture after 50 yrs, and 145 (9.7%) had sustained
a fragility fracture after 50 yrs. Fallers were almost 3 times more
likely to have sustained any fracture after 50 yrs compared to non-
fallers [OR 2.85 95% CI (2.16–3.75), p
<
0.0001, for all fallers: OR
2.98, 95% CI (2.04–4.36), p
<
0.0001 for recurrent fallers]. Fallers
were more than twice as likely to have had a fragility fracture
after 50 yrs compared to non-fallers [OR 2.44, 95% CI (1.70–3.50),
p
<
0.0001 for all fallers; OR 2.50, 95% CI (1.55–4.02), p = 0.0002 for
recurrent fallers].
Conclusion:
Falls are an important risk factor for fracture. Failing
to include falls history in assessment tools may underestimate
fracture risk. Single falls may be as relevant as recurrent falls for
this purpose.
P-338
The association between sedentary time and kidney function
in community-dwelling elderly Japanese people
S.C. Lee
1
, H. Shimada
2
, H. Makizako
2
, S.Y. Lee
2
, T. Doi
2
,
Kazuhiro Harada
2
, S.R. Bae
2
, Kenji Harada
2
, K. Tsutsumimoto
2
,
R. Hotta
2
, S. Nakakubo
2
, H.T. Park
2
, T. Suzuki
2
1
NCGG, Nagoya, Japan;
2
Japan
Objectives:
This study aimed to determine was association between
sedentary time and kidney functional decline in community-
dwelling elderly persons in Japan.
Methods:
A total of 10,361 older adults who were enrolled in the
National Center for Geriatrics and Gerontology – Study of Geriatric
Syndromes (NCGG-SGS). The estimated glomerular filtration rate
(eGFR, mL/min/1.73m
2
) was determined according to the creatinine
level, and kidney function decreasing was defined as eGFR less
than 60mL/min/1.73m
2
. Total sitting time was determined by the
International Physical Activity Questionnaire (IPAQ) to record the
total amount of time, in hours, they usually spent sitting per
day, and values were divided into quartiles of 0 to
<
4 hours,
4 to
<
6 hours, 6 to
<
8 hours, and ≥8 hours of sitting time
per day. Multivariate logistic regression was used to examine
the relationships between sedentary time and kidney function
decreasing.
Results:
After multivariate adjustment, participants with highest
sedentary time were more likely to have significant kidney function
decreasing than the lowest quartile (OR:1.30, CI: 1.12–1.50). Further,
the analyses combining sedentary time and with heart disease
tendency towards a increased risk of kidney function decreasing
(OR:1.28, CI: 1.08–1.51). A similar trend was found person with
hyperlipidemia(OR, 1.43; 95% CI, 1.12–1.82).