European Geriatric Medicine - Supplement 1 - Volume 6 - September 2015

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S10 Oral presentations / European Geriatric Medicine 6S1 (2015) S5–S31
Methods: One-hundred-forty-nine subjects with PD consecutively
admitted to a geriatric day hospital were enrolled. Participants
underwent comprehensive evaluation and 24-hour ambulatory
blood pressure monitoring. The percent (%) reduction in nocturnal
blood pressure (dipping) was calculated and compared across
terziles (TZ1, TZ2, TZ3) of PD duration, of Unified Parkinson’s
Disease Rating Scale (UPDRS) scores, of Hoehn & Yahr scores,
of Levodopa Equivalent Daily Doses (LEDD) and between motor
phenotypes (tremor vs. akinetic-rigid dominant).
Results: Among participants (mean age 73±8 years; 31% women),
71 (48%) presented with reverse nocturnal dipping. According to
analysis of covariance (ANCOVA) only higher terziles of PD duration
were associated significantly with lower adjusted means of systolic
(TZ1 5.1%, TZ2 −0.6%, TZ3 −3.5%; p = 0.004) and diastolic dipping
(TZ1 7.9%, TZ2 2.6%, TZ3 −1.2%; p = 0.003). A non-significant trend
was found within terziles of Hoehn & Yahr (p = 0.585 for systolic
and p = 0.548 for diastolic dipping) and none differences across
terziles of UPDRS, LEDD and motor phenotype.
Conclusions: The present study suggests that cardiovascular
dysautonomia, evaluated through the reduction of nocturnal
dipping, is associated to longer PD duration and, more weakly,
with higher disease severity (evaluated by Hoehn & Yahr scale).
Further longitudinal studies should assess the pathophysiology of
these findings.
O-018
Oral health in older patients admitted in a medical ward
M.J. Serpa1 , C. Braco Forte2 , S. Duque3, S. Velho1, M. Sequeira 4,
J. Barrona4, S. Barreira1 , ´A. Chipepo1, J. Francisco J ´unior1, F. Pestana
Ara ´ujo1 , J. Pimenta da Gra ¸ca1
1Hospital Beatriz ˆAngelo, Lisboa, Portugal; 2Portugal; 3Hospital
Beatriz ˆAngelo / Faculdade de Medicina de Lisboa, Lisboa, Portugal;
4Faculdade de Medicina de Lisboa, Lisboa, Portugal
Objectives: Oral health is usually neglected in general medical care
of older people, although its impact on nutrition, chronic diseases,
comfort, self-esteem and quality of life. Our aim was to evaluate
oral health of patients ≥75 years admitted in an acute medical ward
of a general hospital.
Methods: Cross-sectional study during 1 day. Comprehensive
geriatric assessment, dental examination and oral health
questionnaire.
Results: 100 patients were included, average age 83.7 years, 63%
males, 25% nursing home residents, average Cumulative Illness
Rating Scale Geriatrics 11.2, average Barthel score before admission
62.6.
Patients presented an average number of teeth (ATn) of 6.7±8.4
(0.33) and 36% used oral prosthesis. Prevalence of total edentulism,
caries and periodontal disease were 46%, 24% and 21%, respectively.
14% had neither teeth nor used prosthesis. Concerning oral hygiene
habits: frequency of toothbrushing: 28% once/day, 36% twice/day,
18% once/month or never; 48% used toothpaste and 32% dental
elixir; 15% were caregiver-dependent. 70% hadn’t consulted the
dentist for over five years. The ATn was higher in patients
independent on oral hygiene (8.16 vs caregiver-dependent 2.87,
p < 0.005), who brushed teeth daily (8.2 vs 3.5, p 0.06), used
toothbrush (9.2 vs 4.6, p 0.02) and toothpaste (9.5 vs 6.1, p 0.01).
The prevalence of caries was higher in patients who didn’t use
toothbrush, toothpaste and elixir (ns).
Conclusions: Teeth lost is prevalent in older people, which might
be due to poor hygiene habits. Autonomy in oral hygiene and daily
toothbrushing using toothpaste may prevent teeth lost and caries.
O-019
Multimorbidity among the elderly Polish deportees to the
Soviet Union who suffer from posttraumatic stress disorder
K. Piotrowicz1, A. Parnicka2 , M. Mielimaka3 , J. Walczewska2,
K. Basista2 , A. Skalska4, K. Rutkowski5 , T. Grodzicki4
1Department of Internal Medicine and Gerontology, Krak´ow, Poland;
2Department of Internal Medicine and Gerontology, Jagiellonian
University Medical College, Krak´ow, Poland; 3Jagiellonian University
Medical College, Krakow, Poland; 4Poland; 5 Jagiellonian University
Medical College, Krak´ow, Poland
Objective: To assess multimorbidity and identify the most common
chronic diseases in the elderly Polish deportees to the Soviet Union
who suffer from posttraumatic stress disorder (PTSD).
Methods: Group consisted of the older adults who had been
deported during World War II or born in exile in the Soviet Union,
and have been diagnosed with PTSD according to the DSM-IV
criteria.
Multimorbidity was defined as co-existence of two or more chronic
conditions, and diagnosed based on the results of history taking,
physical examination, and medical records, if available. We included
diseases such as: coronary heart disease, hypertension, heart
failure, valvular heart disease, arrhythmia, stroke, diabetes mellitus,
dyslipidemia, neoplastic tumor (as a group), chronic pulmonary
disease (asthma and/or chronic obstructive pulmonary diseases),
osteoporosis, osteoarthritis, gastrointestinal diseases (as a group),
thyroid diseases (as a group), and chronic kidney disease.
Results: 69 respondents (55.1% men); mean age:70.4 ±6.7
years (min–max: 60–88 years). 91.3% were diagnosed with
multimorbidity. The patients suffered from 3 and 5, and 4 and 6
diseases most often, respectively: 15.9% and 13.0% of the
respondents. Median number of chronic diseases was 5 (Q1; Q3:
3; 7); median number of drugs was 6 (Q1; Q3: 4; 8), with the
maximum 23 medications. Women reported more diseases than
men [6 (4; 8) vs 4 (3; 6), p < 0.01]. In patients with multimorbidity,
most common chronic diseases were: osteoarthricular (95.2%),
cardiovascular (95.2%) and metabolic (57.1%) illnesses.
Conclusions: Multimorbidity was reported in most of the examined
senior patients with PTSD. Cardiovascular and osteoarthricular
illnesses were demonstrated in almost all of the PTSD-multimorbid
respondents.
O-020
Hypotension in nursing home residents on antihypertensive
treatment: How significant is it?
B. Ilhan1, G.B. Ozturk2 , A. Tufan3 , S. Muratli4, H. Ozkaya5 , F. Tufan6 ,
H. Dogan7, C. Kılıc6, E. Karı ¸sık8 , N. ¸Celen9, M.A. Karan 3
1Istanbul School of Medicine, Istanbul, Turkey; 2Turkey; 3 Istanbul
University, Istanbul, Turkey; 4Istanbul University Medical School,
Istanbul, Turkey; 5 Istanbul Metropolitan Municipality Kayı ¸sda˘gı
Darulaceze Nursing Home.kayı ¸sda˘gı/Ata ¸sehir, 902165288400, Turkey;
6Istanbul University, Lier Istanbul, Turkey; 7 ˙Istanbul City Hall, Lier
Istanbul, Turkey; 8 Istanbul Kayı ¸sda˘gı Nursing Home, Istanbul, Turkey;
9Istanbul Kayı ¸sdagı Nursing Home, Istanbul, Turkey
Objective: Prevalence of hypertension (HT) and use of
antihypertensive medications increase by aging. Antihypertensive
medication is a potential risk factor for hypotension for
morbidity/mortality in elders. We aimed to assess prevalence of
hypotension in nursing-home-residents receiving antihypertensive-
medications.
Methods: Residents >60-years-of-age receiving antihypertensive-
medications were included. Cooperation difficulty and bedridden-
status were exclusion-criteria. Blood pressures (BPs) were measured
supine and 3–5 min after standing to assess orthostatic
hypotension (OHT). Also BPs recorded at nursing-home were
studied retrospectively. At 60–80 years-of-age, systolic and diastolic
hypotension were defined as SBPs ≤110mmHg, DBPs ≤70mmHg