European Geriatric Medicine - Supplement 1 - Volume 6

Poster presentations / European Geriatric Medicine 6S1 (2015) S32

–

S156

S131

P-370

nutritionDay in nursing homes

–

Prevalence rate and

characteristics of residents with dysphagia

M. Streicher

, M. Themessl-Huber

, M. Mouhieddine

, S. Kosak

R.E. Roller

, K. Schindler

, C.C. Sieber

, M. Hiesmayr

, D. Volkert

Friedrich-Alexander University Erlangen-N¨urnberg, Nuremberg,

Germany;

Medical University of Vienna, Vienna, Austria;

NutritionDay office, Vienna, Austria;

Medical University of Graz,

Graz, Austria

Objective:

Dysphagia is a serious health problem in nursing home

(NH) residents with an increased risk of malnutrition. The aims

of this analysis were to determine prevalence of dysphagia and

characteristics of affected residents.

Methods:

Adult NH residents participating in the nutritionDay

project (2007–2013) with complete data on dysphagia, 17 resident

characteristics and 3 nutritional status variables were included

(n = 23,790). Univariate logistic regression analyses were performed

for all variables to predict dysphagia, and significant variables

0.10) included in a multivariate analysis (backwards, with

Bonferroni correction).

Results:

Dysphagia was reported in 13.3% and was significantly

associated with all variables except “musculoskeletal disorders”.

In the multivariate analysis, 12 variables remained in the model

(Nagelkerke’s R

= 0.465, p

0.002, aROC = 0.894). Odds ratios (OR

[95% CI]) of dysphagia were higher in “immobile” (6.13 [5.32–

7.07]) and “partially mobile” (2.06 [1.78–2.37]) than in “mobile”

residents. “Severe” (2.13 [1.82–2.48]) and “slight/moderate cognitive

impairment” (1.40 [1.20–1.64]) were associated with a higher

risk of dysphagia compared to “normal cognition”. Odds ratios

of dysphagia were also increased in residents with “chewing

problems” (9.09 [8.22–10.06]), “neurologic diseases” (1.47 [1.30–

1.66]), “digestive diseases” (1.41 [1.21–1.64]), “contractures” (1.38

[1.25–1.54]) and “exsiccosis” (1.37 [1.17–1.60]). “Weight loss in

the last year” (1.25 [1.13–1.38]), “malnutrition” (1.42 [1.22–1.65])

or “risk of malnutrition” (1.32 [1.17–1.49]) according to NH staff

evaluation also increased the odds of dysphagia.

Conclusion:

In NH residents, participating in the nutritionDay,

physical and cognitive impairment, chewing problems, and poor

nutritional status are significantly associated with dysphagia.

*Medical Nutrition International Industry supported the realization

of this analysis.

P-371

Enteral nutrition, health status and perceived quality of life

in advanced dementia: observational study

A. Ticinesi

, A. Nouvenne

, N. Cerundolo

, B. Prati

, I. Morelli

L. Guida

, F. Lauretani

, M. Maggio

, T. Meschi

Department of Clinical and Experimental Medicine, University of

Parma, Parma, Italy;

Geriatrics Unit, Parma University Hospital,

Parma, Italy;

Italy

Objectives:

To evaluate the impact of enteral nutrition on 18-month

survival, rehospitalization rate and quality of life perceived by

caregivers in a cohort of elderly patients with advanced dementia

discharged from hospital.

Methods:

With a prospective observational study design, 196

multimorbid (≥3 chronic comorbidities) elderly (≥65 years) with

advanced dementia (FAST≥5, CDR≥2) discharged alive from hospital

were consecutively enrolled (68 M, mean age 82

8 years). Tube

feeding through PEG (percutaneous endoscopic gastrostomy) was

carried out in all patients with dysphagia and life expectancy

greater than 30 days (59 subjects). Others (137 patients) were fed

orally. After a mean follow-up of 17

6 months, survival, hospital

readmissions and perceived quality of life were assessed through a

telephonic interview with caregivers through a modified version of

DEMQOL questionnaire.

Results:

Mortality rate was 67% in PEG group (median survival

7.5 months) and 37% in the oral group (median survival 28

months, p

0.0001 with Kaplan–Meier method). However, after

correction for age, sex and dementia staging (FAST and CDR),

the survival rate was similar in both groups (median survival

15vs15 months, p = 0.35). Hospital readmission rate (29%vs29%) and

perceived quality of life (good 55%vs55%, acceptable 25%vs25%, poor

20%vs20%) were not statistically different between PEG and oral

group.

Conclusions:

Tube feeding does not seem to affect prognosis

and perceived quality of life in elderly multimorbid patients with

advanced dementia. Tube feeding is generally carried out in patients

with a more severe disease and perhaps too late in clinical course.

P-372

Assessment of vitamin D levels in geriatric patients in the

university hospital

P. Tosun Tasar

, S. Sahin

, F. Keklik

, A. Uysal

, M. Gulsah Ulusoy

S. Duman

, F. Akcicek

Ege University Faculty of Medicine, Department of Internal Medicine,

Division of Geriatric Medicine, Izmir, Turkey;

Ege University Medical

Faculty, Department of Geriatric Medicine, IZMIR;

Ege University

Faculty of Medicine, Department of Internal Medicine, Izmir, Turkey;

Ege University Faculty of Medicine, Department of Biostatistics, Izmir,

Turkey;

Ege University Medical Faculty, Izmir, Turkey

In the present study, it was aimed to determine the vitamin D levels

of geriatric patients referring to the university hospital.

Material and Method:

The patients 65 years of age or older

referring to our hospital between 01.1.2015 and 01.04.2015 were

screened retrospectively. The level 25OH vitamin D of ≥30 ng/ml

was argued as sufficient. The levels between 20–30 ng/ml defined

as insufficient and ≤20 ng/ml as deficient.

Results:

A total of 545 elderly patients were included in the

study. The mean age of the population was 73.43

6 years,

67.2% of the participants were men. The most frequently seen

conditions were hypertension (25.7%). The mean level of vitamin D

was 54.11

45.24 ng/ml. Vitamin D level was sufficient in 66%,

insufficient in 14.8% and deficient in 18.6% of patients. In the

patients with dementia, vitamin D levels were lower than other

patients having other chronic disease and the difference was

significant statically (p = 0.03).

Conclusions:

It was shown that the presence of dementia, a chronic

disease, was associated with vitamin D deficiency.

P-373

Relationship between oral health and nutritional status in older

patients admitted in a medical ward of a general hospital

S. Velho

, S. Duque

, M.J. Serpa

, C. Braco Forte

, R. Silva

, S. Mo ¸co

C. In ´acio

, V. Teixeira

, R. Barbosa

, D. Sarabando

, I. Carvalho

A. Ferreira

, ´A. Chipepo

, J. Francisco J ´unior

, F. Pestana Ara ´ujo

J. Pimenta da Gra ¸ca

Hospital Beatriz ˆAngelo, Lisboa, Portugal;

Hospital Beatriz ˆAngelo /

Faculdade de Medicina de Lisboa, Lisboa, Portugal;

Portugal

Objectives:

Malnutrition is a frequent condition in elderly. Poor

oral health status (OHS) can contribute to reduced oral intake

and malnutrition. Our aim was to evaluate the relation between

nutritional status and OHS among patients ≥75 years admitted in a

medical ward.

Methods:

Cross-sectional study during 1 day. Clinical and social

characterization, including nutritional status (Mini Nutritional

Assessment, bioimpedance) and dental examination.

Results:

100 patients were included, average age 83.7 years,

63% males, average Cumulative Illness Rating Scale Geriatrics 11.2,

average Barthel score before admission 62.6. Prevalence of

malnutrition and risk of malnutrition were 70% and 28%,

respectively. Average number of teeth (ATn) was 6.7

8.4 (0, 33),

36% used oral prosthesis. Prevalence of total edentulism, caries

and periodontal disease were 46%, 24% and 21%. Malnourished