130 / 210
S122
Poster presentations / European Geriatric Medicine 6S1 (2015) S32
–
S156
Conclusion:
A higher level of sedentary time was associated with
lower kidney function in community-dwelling older adults.
P-339
The use of fall prevention strategies in home care: a survey
in Flanders (Belgium)
G. Leysens
1
, C. Baecke
1
, S. Vandamme
1
, E. Vlaeyen
1
, C. Senden
1
,
D. Vanaken
1
, E. Dejaeger
2
, D. Cambier
3
, E. Gielen
4
, S. Goemaere
5
,
O. Vandeput
6
, K. Milisen
7
1
KU Leuven, Leuven, Belgium;
2
UZ Leuven, Leuven, Belgium;
3
Ugent,
Gent, Belgium;
4
Belgium;
5
Ghent University, Ghent, Belgium;
6
Domus
Medica, Antwerp, Belgium;
7
Department of Public Health and Primary
Care, KU Leuven and University Hospitals Leuven, Leuven, Belgium
Objectives:
Falls in community-dwelling older persons occur
frequently. The consequences emphasize the need to screen
for an increased fall risk and a targeted multifactorial and
multidisciplinary approach. This study describes the extent to
which fall prevention strategies (FPS) are applied by primary
healthcare workers (PHW) in Flanders. Insight in barriers is
provided.
Method:
An online survey was collected by the Center of Expertise
for Falls & fracture Prevention Flanders.
Results:
A total of 1483 respondents (55% nurses; 24% general
practitioners; 17% physiotherapists; 4% occupational therapists) are
included. Most PHW are confronted with falls at least once a
month (93%) and believe they can make a positive contribution
to FPS (96%). At least once a year, PHW inquire about falls (62%)
and screen for gait and balance problems (84%). A multifactorial
assessment is performed in case of an increased fall risk (76%) or
a recent fall (95%), and is discussed at a multidisciplinary meeting
(51%). Most frequently PHW give advice on safe environment and
behaviour (93%), walking aid (91%), personal alarm systems (89%)
and footwear (85%). Unmotivated older persons (75%) who ignore
their fall risk (85%), insufficient time (60%), financial compensation
(54%), staff (50%), communication (31%) and knowledge (23%) are
barriers to implementing FPS.
Conclusions:
Although PHW are aware of the importance of
FPS, these results reveal a necessity of increased focus on
communication, obtaining and supporting sufficient knowledge,
more structured multidisciplinary interaction and cooperation, and
the need of a clear fall prevention policy. Raising awareness of older
persons also remains crucial.
P-340
Effects of preventive home visits on older people’s use and
costs of health care services: A systematic review
H. Liimatta
1
, P. Lampela
2
, P. Laitinen-Parkkonen
3
1
City of Hyvink¨a¨a health central, Riihim¨aki, Finland;
2
City of Hyvinkaa
health central, Hyvink¨a¨a, Finland;
3
City of Hyvink¨a¨a, Hyvink¨a¨a,
Finland
Background and Aim:
The data about the effects of the preventive
home visits on older people’s use and costs of health care and
social services is still controversial. The aim of this study is to
systematically review the evidence from randomized controlled
trials (RCT) of effects of preventive home visit programs on the use
and costs of health care and social services.
Methods:
A search for literature was made in PubMed, Ovid
Medline, Cochrane Database, DARE and Cinahl. We also searched
related articles and manually searched reference lists of the
previous systematic reviews for potentially relevant papers.
Results:
The search identified 697 results, and of these 13 papers
met the inclusion criteria. The study settings and target groups
were highly variable. Six studies compared the hospital and nursing
home admissions and use of services without costs analysis. Of
these, two showed lower hospital or nursing home admissions in
the intervention group and the other four studies did not show
significant differences in the uses of the services.
Of the studies included 7 considered also the overall use and costs
of health care and social services. These studies were not able to
show a significant difference in costs between intervention and
control groups.
Conclusions:
Regardless of a high number of studies investigating
efficacy of preventive home visits on older people, there is only
a few studies exploring their effects on use and costs of health
care and social services. More studies are needed to clarify the
cost-effectiveness of the preventive home visits.
P-341
One hundred years of life
P. Lopes
1
, J. Mateus
2
, P. Mendes
3
, D. Ferreira
3
, J. Fonseca
3
,
A. Nogueira
3
, H. Clemente
3
, J. Porto
3
, I. Fonseca
4
, M. Ver´ıssimo
3
1
Centro Hospitalar e Universit´ario de Coimbra, Tent´ugal, Portugal;
2
Associacao para o Estudo e Investigacao em Geriatria, Coimbra,
Portugal;
3
Centro Hospitalar e Universit´ario de Coimbra, Coimbra,
Portugal;
4
CHUC, Coimbra, Portugal
Introduction:
The elderly-elderly are the most rapidly growing
segment of society. The centenarians are a subgroup that begin to
have an impact on hospital.
Objective:
To understand the illness severity triage of the
centenarians (Manchester system), the most frequent diagnosis
in our emergency department, in which medical specialties were
admitted.
Methods:
We conducted a retrospective case series analysis of
all patients 100 years of age and above admitted in our hospital
between 2009–2014.
Results:
202 patients with a mean age of 102.8 years were admitted
in emergency department, in a total of 307 times, during the
6-year study period. 150 patients were 100 years old (48.9%).
The maximum age was 110 (2 patients). 85.3% were female.
61.6% lived in their homes. 28.7% came from nursing homes.
13.2% of the patients didn’t have any kind of medical diagnosis.
In triage, 50.5% were orange (very urgent), 40.1% yellow (urgent).
The Emergency exit diagnoses were: 28.0% respiratory infections,
20.1% trauma (fractures, open wounds, intracranial injury).
53.7% of the patients were discharged from the emergency to
their homes, 43.0% were admitted (44.7% in Internal Medicine
ward, 25.8% in Orthopedic ward). Comorbidities: 25.9% heart
failure, 62.1% hypertension, 15.9% atrial fibrillation. The mortality
was 10.8%.
Conclusions:
The centenarians are group with its own
characteristics. They have few comorbidities (2.31 diagnoses).
Usually they have a healthy life without relevant personal history.
In this study, we noticed a pattern, patients who experience trauma
fracture, they were readmitted in a second hospitalization with an
infection in 83.7% of cases.
P-342
Google Search data for health promotion behaviours and
state-by-state cardiovascular risk
K. Madden
University of British Columbia, Vancouver, Canada
Objectives:
Both unhealthy eating and lack of activity have been
associated with a higher cardiovascular risk. Personal motivation
tends to follow a seasonal pattern, ususally in the form of New
Year’s resolutions. Using Google Trends search data for the US,
we examined how state-by-state interest in both weight loss and
increasing physical activity predicted rates of cardiovascular death,
obesity, diabetes and stroke.
Methods:
Internet search query data was obtained from Google
Trends (2005 to 2014), after a standardized keyword search. Heart
death, obesity prevalence, diabetes prevalence and stroke death