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longer used the service or did not want to take part. One user had
malnutrition (2.56%), 12 were at risk (30.7) and 66.67% of users had
an adequate nutritional state.
Conclusions:
1. These users of the service form a group with a high risk of
malnutrition which requires a closer follow-up.
2. Although the number of cases in the follow-up is low, the data
support a greater development of the home-meals service as a
resource to improve the nutritional state of its users.
P-360
Long-term effect on access to bedside-supervision of a trained
nutritionist in geriatric wards
M.E.J. Jensen
1
, M. Gregersen
2
, E.M. Damsgaard
2
1
Department of Geriatrics, Aarhus University Hospital, Aarhus,
Denmark;
2
Department of Geriatrics, Aarhus University Hospital,
Aarhus C, Denmark
Objective:
The aims were to examine nutritional status in patients
admitted to geriatric wards in the year of 2013 compared to 2011,
and long-term effect of having access to bedside-supervision by a
trained nutritionist for a limited period of time.
Methods:
In all patients admitted to two geriatric wards during
a period of 11 weeks in 2013, we collected data from electronic
patient records on age, sex, length of stay, weight at admittance,
weight on discharge, risk of malnutrition, dietary intake during
stay, nutritional intervention, and plans for nutritional follow-up.
These data were compared to similar data collected for all patients
admitted to the same two wards in a similar time-span in 2011
in which the staff had access to bedside-supervision by a trained
nutritionist.
Results:
Preliminary result shows that, compared to patients
admitted in 2011 (n = 238), patients admitted in 2013 (n = 85) were
more likely to receive less than 50% of their estimated energy need
(24% vs. 41%, p = 0.047) and had lower intake of protein (24.6 g/day
vs. 36.2 g/day, p
<
0.001). Both groups were just as likely to be in
risk of malnutrition (81% vs. 87%, p = 0.86), and none of them lost
weight during their hospital stay. Length of stay modified the effect
on weight.
Conclusion:
The positive effect of having access to a trained
nutritionist seems to diminish with time. Ensuring that geriatric
patients receive sufficient nutrition during hospital stay remains
a challenge. Further research into the effect of length of stay and
nutritional status is needed.
P-361
Geriatric profile of diabetes in the elderly
M. Lamloum
1
, M. Boudokhane
1
, T. Ben Salem
1
, M. Ben Nasr
1
,
F. Said
1
, A. Hamzaoui
1
, I. Ben Ghorbel
1
, M. Khanfir
1
, M.H. Houman
1
1
La Rabta Hospital, Tunis, Tunisia
Introduction:
Diabetes is a common disease in the elderly. It
potentially has a negative effect on the quality of life because
of its chronicity and its mutivisceral complications. Our purpose is
to study gerontological characteristics in a population of diabetic
patients older than 65 years.
Patients and Methods:
Retrospective study about diabetic patients
older than 65 years who were hospitalised in our department of
internal medecine between 2000 and 2011.
Results:
There were 75 patients: 42 women and 33 men. The
middle age was 70 years. 74% of them were polypathological and/or
polymedicated. 90% had at least 3 fragility characters. The middle
diabetes evolution period was about 10 years and 3 months. Loss
of autonomy was present in 33.3%. Dementia was noticed in 2.7%
of cases accociting a recently diagnosed diabetes. There was no
correlation between the occurrence of dementia and macro- and
microangiopathy. A depressive syndrome was noted in 13.3%. Uro-
vesical pathology was seen in 16.6% (urinary incontinence in
women and prostatic adenoma in men). Cerebral stroke occurred
in 20%, orthostatic hypotension in 5%, blindness in 5%, amputation
in 5%, disabling neuropathy in 5%, fall with hip fracture in 1 case,
arthrosis in 1 case. Dehydration was seen in 13.3% in association to
fever or metabolic disorders. Denutrition was present in 12%.
Conclusion:
Diabetes is a chronic disease which deeply influences
life quality of the elderly, especially when they are polypathological
and polymedicated.
P-362
Management of diabetic patients and dyslipidemia in primary
care to prevent cardiovascular disease (CVD)
L. Sierra-Martinez
1
, R. Martinez-Fuerte
1
, N. Sanz-Gonz ´alez
2
1
Valladolid Este Primary Assistance Gerency, Valladolid, Valladolid,
Spain;
2
JCyL Primary Assistance Gerency, Valladolid, Valladolid, Spain
Objective:
Assess the lipid parameters of laboratory presented
the patients with type 2 Diabetes Mellitus (T2DM) controlled in
primary health care-.with the purpose of providing comprehensive
and continuous care that improves your cardiovascular risk.
Methodology:
The authors conducted a cross sectional study
applied to selected patients (n = 104, 52 males(M) and 52
women(W)) chosen by non-probability sampling in a row, among
Type 2 Diabetic patients attending our clinic included in the Service
Care for diabetic patients Portfolio Services Primary Sacyl and
evaluates the parameters of lipid profile:Total-cholesterol(TC),HDL-
cholesterol(HDL-C),LDL-cholesterol(LDL-C) and triglycerides(TGs).
The data is collected in an Excel spreadsheet and are analyzed
using the SPSS9.0 for Windows.
Results:
1. 1-T2DM age: 90–95 (1M, 0W), 85–90 (1M, 2W), 80–85 (7M, 5W),
75–80 (7M, 7W), 70–75 (4M, 11W), 65–70 (10M, 10W), 60–65
(16M, 9W), 55–60 (2M, 3W), 50–55 (4M, 5W).
2. TC ≤185mg/dl: 46T2DM (44%, 25M, 21W). TC ≥230mg/dl:
17T2DM (16%, 4M, 3W).
3. HDL-C ≥40mg/dl: 75T2DM (72%, 30M, 45W). HDL-C ≤35mg/dl:
15T2DM (14%, 13M, 2W).
4. LDL-C ≤70mg/dl: 8 T2DM (8%, 4M, 4W). LDL-C ≥70 and
≤100mg/dl: 26T2DM (25%, 16M, 10W). LDL-C ≥130mg/dl:
36T2DM (34%, 14M, 22 W).
5. TGs ≤150mg/dl: 69T2DM (66%, 34M, 35W). TGs ≥200mg/dl:
9T2DM (6.6%, 7M, 2W).
Conclusions:
It is concluded that only 46% of patients with type
2 diabetes have TC ≤185mg/dl, with HDL-C ≤35mg/dl in 15% and
LDL-C ≥130mg/dl in 34% of the cases, only 8% have LDL-C ≤70mg/dl
which recommendation is the goal of treatment in T2DM patients
(very high cardiovascular risk) as the guide for the management
of dyslipidemia ESC/EAS 2011 (European Society of Cardiology/
European Atherosclerosis Society). Therefore it must implement an
improvement plan with enhanced care interventions from the AP
to obtain query control objectives in the lipid profile of patients
with type 2 diabetes controlled on Primary Health Care to improve
their cardiovascular risk.
P-363
The relationship between oral health and frailty
C.-S. Lin
National Yang-Ming University, Taichung, Taiwan
Objective:
To evaluate the relationship between oral health and
Frailty among older residents living in long-term care settings.
Methods:
Design: A prospective cohort study. Setting: one veteran
home in Taiwan. Participants: A total of 314 residents in veteran
home
Main outcome measures: Dentist assessed denture function, Frailty
status (Fried’s criteria), The Mini Nutritional Assessment-short
form (MNA-SF), ADL (Barthel index), MMSE (Mini-Mental State
Examination).