178 / 210
S170
Symposia / European Geriatric Medicine 6S1 (2015) S157
–
S176
England, Finland, France, Germany, Italy, The Netherlands) and
1 non EU country (Israel). Mean age of 4156 residents entering
the study was 83.4
±
9.4 years, 73% were female. ADL disability and
cognitive impairment was observed in 81.3% and 68.0% of residents,
respectively. Clinical complexity of residents was confirmed by
a high prevalence of behavioral symptoms (27.5% of residents),
falls (18.6%), pressure ulcers (10.4%), pain (36.0%) and urinary
incontinence (73.5%). Overall, 197 of the 198 the items tested met or
exceeded standard cut-offs for acceptable test-retest and inter-rater
reliability after translation into the target languages. The SHELTER
study, by the implementation of the InterRAI LTCF led to the
creation of a database that was used to assess characteristics, risk
factors and outcomes of NH residents in Europe. Such a dataset can
be used to govern the provision of long-term care across different
health systems in Europe, to answer relevant research and policy
questions and to compare characteristics of NH residents across
countries, languages and cultures.
3. Presenter: Prof. JE Morley
(Director of Divisions of Geriatrics
and Endocrinology, Saint Louis University School of Medicine, St.
Louis, USA;
morley@slu.edu). Title: The IAGG – initiative to increase
quality of care and research in nursing homes around the world.
Despite the increase of the number of institutionalized older people,
clinical research in nursing homes is still scarce. The improvement
of the quality of care in nursing homes, however, depends on future
evidence from scientific studies performed in these settings, their
feasibility in real life conditions and the successful dissemination
of these new clinical evidences. In the presentation the IAGG-GARN
initiative in this field will be reviewed. The current state of research
in long term care will be presented and the needs, highlighted by
an IAGG consensus group and based on evidence based gaps in the
literature, will be addressed. Attention will be paid to the need for
more randomized trials and the need to test new drugs on nursing
home residents before they come on the market. The same counts
for the use of meaningful activities in nursing homes. The use of
MDS 3.0 as a research tool will be discussed. Finally, the definition
of a nursing home and the types of nursing home seen around the
world will be explored.
4. Presenter: Prof Desmond O’Neill
(Prof of Medical Gerontology,
Trinity College Dublin, Ireland;
doneill@tcd.ie). Title: The interface
of geriatric medical services with nursing homes in Europe
In most countries in Europe, medical care is provided by visiting
general practitioners.
This presentation will review aspects of the interface between
hospital and geriatric medical services, explore the efficiency of in-
reach/out-reach programmes in the existing literature and consider
the training and infrastructural needs in terms of training and
structure of geriatric medicine in Europe.
5. Presenter: Yves Rolland
, MD, PhD (Professor of Geriatrics,
Department of Geriatric Medicine, INSERM 1027 / Gerontopˆole
of Toulouse, France;
rolland.y@chu-toulouse.fr). Title: Improving
the quality of care in nursing homes: results from the IQUARE
controlled trial
Authors: Yves Rolland, PhD, Celine Mathieu, MS, Christine Piau,
MD, Fran ¸coise Cayla, MD, Catherine Bouget, MD, Bruno Vellas, PhD,
Philipe de Souto Barreto, PhD.
Background and Objectives:
To examine the effects of a global
intervention of professional support and education to the nursing
home (NH) staff on (1) quality indicators, and (2) residents’
functional decline and emergency department visits.
Design:
Two arms, non-randomized multi-centric individually
tailored controlled trial, with 18-month follow-up. Setting. NHs
in France.
Participants:
175 volunteer NHs and 6,275 residents randomly
selected within each NH. Interventions. NHs were allocated to
either a quality audit and feedback intervention (control group;
n = 90 NHs, 3,258 residents) or to the quality audit and feedback
intervention plus collaborative work meetings between the hospital
geriatrician and NH staff (experimental group; n = 85 NHs, 3,017
residents).
Measurements:
At the nursing home level: Prevalence of assessment
for the kidney function, cognition, risk of pressure ulcers, behavioral
disturbances, depression, pain, weight, and prevalence of transition
to the emergency department. At the resident level: Ability to
perform basic activities of daily living.
Results:
At baseline, NH quality indicators were generally low (with
large standard deviations) and annual rate of transition to the
emergency department was high (about 20%) and similar in both
groups. The intervention had a significant positive effect on the
prevalence of assessment of pressure ulcer risk, depression, pain,
and the prevalence emergency department visits. The intervention
had no significant effect on functional decline.
Conclusion:
Operational and human relationship between hospital
geriatricians and NH leadership staff based on the audit and
collaborative discussion about quality indicators improved some
aspects of the quality of care in NHs.
Trial registration: NCT01703689
S-14
How to get published?
J.-P. Michel
EUGMS, Geneve, Switzerland
My recent role as editor in chief of the EUGMS journal, European
Geriatric Medicine, gave me the opportunity of better identifying
the tricks to get published. The structure of any research papers is
well known, mainly composed by 3 major parts:
– the title attracts the readers’ attention. The authors list includes
no ghost participants in the work. The abstract advertises the
paper and strongly influences whether or not your work is
considered. The key words make it easy for indexing and
searching
– The main text is not unlimited. The introduction has to address
the problem. The methods have to say how you address it. The
results have to be clear and understandable.
– To last the conclusion justifies the importance of your work and
indicates its practical implications. Before ending don’t forget
the acknowledgements and the ethics committee approval. Your
references have to be in accordance with the authors’ guide of
the journal you selected to send your paper.
Writing your scientific paper is easier, more logical and more
effective if you start by preparing figures and tables, then methods,
results and discussion, before establishing the conclusion and
finishing with introduction and title and abstract.
Before launching your manuscript, be sure that it is ready, verify
its format and considering your results, be sure you targeted the
appropriate journal and followed carefully the authors’ guide.
S-16
Joint symposium EUGMS SIG Falls Prevention and
Fracture/ProFouND/EIP on AHA/EUNAAPA
H. Blain
Centre Hospitalier R´egional Universitaire de Motpellier, Montpellier,
France
Chairs:
Hubert Blain, Chris Todd and Ellen Freiberger
Overview:
Lecture 1: What is The Best Strategy to Prevent Hip Fracture?
The EUGMS Viewpoint (Hubert Blain, Tahir Masud, Chris Todd,
Patricia Dargent-Mollina, on behalf EUGMS)
Lecture 2: A ProFouND Update: The European Network to Prevent
Falls (Chris Todd)
Lecture 3: Using Technology to Predict, Detect, Assess and Prevent
Falls (Jochen Klenk)