61 / 210
Poster presentations / European Geriatric Medicine 6S1 (2015) S32
–
S156
S53
place are the most sensitive questions in the AMT10. Date of birth,
recognition of two persons, age and place are the most specific.
It may be worthwhile to create other versions of the AMT4.
Question
Sensitivity (%) Specificity (%)
Recall of a previously given address 92
45
Year
85
72
Date of 2nd WW
69
81
Count back 20 to 1
48
90
Place
33
96
Time
27
94
Age
27
98
Monarch
20
98
DoB
12
100
Recognition of 2 persons
6
100
P-078
Low rates of primary care re-assessment of cognition in
older patients identified as at-risk of dementia during hospital
admission
S. Pendlebury
1
, A. Phelps
2
, C. Mills
3
1
Stroke Prevention Research Unit, Nuffield Department of Clinical
Neurosciences, Oxford, Oxford, United Kingdom;
2
John Radcliffe
Hospital OUH Trust, Oxford;
3
Oxford University Hospitals NHS Trust,
Oxford, United Kingdom
Objectives:
Routine dementia screening for older people
(
>
75 years) hospitalised as an emergency is mandatory in England
with onward referral for specialist assessment in those identified as
at-risk. In the Oxford University Hospitals NHS Trust, patients have
the Abbreviated Mental Test (AMT/10) and general practitioners
(GPs) are informed on discharge if AMT≤8/10. We undertook an
audit to determine actions taken in primary care.
Methods:
Questionnaires were sent to GPs on consecutive patients
aged
>
75 years admitted to the acute medicine service at least 6
months earlier who had AMT≤8/10. GPs were asked whether they
had coded the low AMT score, seen the patient since discharge,
done a cognitive assessment, and made a referral to a memory
clinic or diagnosis of a cognitive disorder.
Results:
77/198 questionnaires (39%) were returned. Six patients
were deceased and 4 had transferred to another practice. In 53/67
(78%) available surviving patients, the abnormal score was recorded
in the primary care notes. 12/67 (18%) had a re-assessment of
cognition (GP-Cog, MMSE, 6-item-CIT, informal assessment) after
which 6 (9%) were referred to a specialist clinic, 3 (4%) of whom
had dementia. Reasons for lack of reassessment included patient
unwell/clinically inappropriate (n = 9), patient already diagnosed
with dementia (n = 6), no concerns expressed by patient (n = 5),
referral/reassessment declined by patient/family (n = 1), with no
reason given in the majority.
Conclusions:
The primary care record was updated for the
majority of patients, but few had a cognitive re-assessment in the
community, probably resulting in under-diagnosis of dementia.
P-079
Comprehensive cognitive assessment in centenarians from
the Sardinian longevity blue zone
M.R. Piras
1
, I. Magnano
1
, M. Poulain
2
, A. Errigo
1
, D. Concu
1
,
G. Pes
1
1
University of Sassari, Sassari, Italy;
2
Estonian Institute for Population
Studies, Tallinn, Estonia
Objectives:
We assessed the neuropsychological (NP) profiles of
centenarians living in the village of Villagrande Strisaili, in the
long-lived area of Sardinia Island (Italy) which holds the world
record for male longevity.
Methods:
Cognitive testing was performed by using DSM-5
criteria. Home interviews lasted 2–4 hours per person and were
entirely video recorded to allow a close analysis of respondents’
performance. Informed consent was obtained from all subjects and
their caregivers.
Results:
The 6 centenarians tested so far (2 women, 4 men) showed
fluent bilingualism (Italian and Sardinian) without language
impairment (integrity of pragmatics,
phonetics/phonology,
semantics). None of the subjects displayed buccofacial or ideomotor
apraxia, visual or tactile agnosia. A slightly reduced short- and long-
term memory was found in 3 subjects, whereas autobiographical
memory was unaffected in all individuals. Visuo-motor abilities
were performed rather slowly by all subjects.
Conclusions:
Our preliminary results underline the importance
of a multidimensional evaluation to assess cognitive functions in
individuals who have reached the extreme limit of human life.
Overall, the performance obtained with this NP approach allows to
better evaluate cognitive status when compared with the traditional
MMSE test only. Unbiased assessment, likely, requires more testing
sessions in 2–3 days to prevent early occurrence of fatigue resulting
in the underestimation of the subject’s cognitive performance.
P-080
Cognitive and functional status in older people with chronic
bronchopulmonary disorders
G.-I. Prada
1
, G.A. Stercu
2
, R.M. Nacu
1
, I.G. Fita
1
, I.A. Ignat
1
,
D.M. Andruta
1
, A.G. Prada
2
, I.D. Alexa
3
, A.M. Herghelegiu
1
1
National Institute of Gerontology and Geriatrics, Bucharest, Romania;
2
Bucharest, Romania;
3
Iasi, Romania
Objective:
Aim of the study was to identify cognitive and functional
disorders that accompany chronic bronchopulmonary conditions in
elderly.
Material and Methods:
It is an descriptive and observational
study based on functional and cognitive evaluation. A total of
251 older patients with chronic bronchopulmonary disorders have
been included and a sample of age-matched 260 patients without
bronchopulmonary diseases were controls. Mini Mental Status
Examination, Clock-Drawing Test and Geriatric Depression Scale
evaluated cognitive function. Barthel ADL scale and Lawton IADL
scale were used for functional status.
Results:
IADL scores were lower for men with chronic
bronchopulmonary conditions as compared to women and control
group (p
<
0.01). Functional impairment was higher in older
group: 75 years and over (p
<
0.05), both on IADL and ADL
scale. Cognitive impairment was more severe in women with
chronic bronchopulmonary disorders, but also in women without
chronic respiratory conditions. This is consistent with a higher
prevalence of dementia in women, but this was even higher if
chronic bronchopulmonary disorders were present. Nevertheless,
masculine gender with chronic bronchopulmonary disorders has a
more severe degree of cognitive impairment (p
<
0.01), even though
its general prevalence is lower. Cognitive dysfunction is more
prevalent after 75 years if a chronic bronchopulmonary condition
is present.
Conclusions:
Chronic bronchopulmonary disorders have a
significant impact on cognitive and functional status in older
people. The negative effect is more intense in older age groups.
Cognitive function is more severely affected in women, while
functional status is more frequently affected in men, although the
degree of impairment is higher in women