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

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S58 Poster presentations / European Geriatric Medicine 6S1 (2015) S32–S156
8% the same and 11% worse. 21% of patients considered their GHS
better than age-matched subjects, 9% the same and 22% worse.
Considering the principal role of dentition 57% mentioned
mastication, 7% aesthetics and 20% weren’t able to mention any
function.
Conclusions: Despite poor OHS, few patients considered their
OHS worse than other age-matched subjects, while the double
considered that GHS was worse. A significant proportion of elderly
failed to recognize any function to denture, possibly explaining
poor OHS.
P-096
Patients with Parkinson’s Disease and Lewy Body Dementia
are at high risk of developing complications during admission
for hip fracture
M. Enemark1 , M. Midttun1 , K. Winge2
1Department of Medicine, and Geriatrics O, Copenhagen University
Hospital, Herlev, Herlev, Denmark; 2Department of Neurology,
Copenhagen University Hospital,Bispebjerg, Copenhagen NV, Denmark
Objective: Patients with Parkinson’s disease (PD) are at risk of
falling and have an increased risk of complications and prolonged
recovery during hospitalization. The aim of this study is to
investigate the rate of complications and recovery related to a
hip fracture.
Methods: All patients with PD and Dementia with Lewy bodies
(DLB) admitted to the department of orthopedics, Copenhagen
University Hospital, Herlev with a hip fracture 18 months
from January 2013 were evaluated. Data regarding duration
of admission, complications, timing of administration of anti-
parkinson medication, and level of mobility at discharge were
obtained from patient files. Data were compared to patients
admitted with a hip fracture and COPD.
Results: 27 patients with PD or DLB, and 46 patients with COPD
were registered. Mean age of PD/DLB 77.7 years, COPD 80.7 years
(p < 0.05). Comorbidity score using Charlson index was for PD/LBD
0.9, and COPD 2.6 (p < 0.05). PD/LBD were admitted for 12.2 days;
COPD for 10.2 days (ns). 31% of PD/DLB were treated for delirium,
13% of COPD (ns). Infections were treated in 55% of PD/LPD, and
in 69% with COPD (ns). 66.7% of PD/DLB were discharged without
being ambulatory, 58% of COPD (ns). <50% of anti-PD medication
were given within ±1 hour of schedule.
Conclusions: Patients with PD/LBD are at high risk of developing
complications during admission for hip fracture, and their course
and recovery after surgery is equivalent to that of patients with
COPD, even though PD/LBD are significantly younger and have a
significant lower degree of comorbidity.
P-097
Factors associated with comorbidity in geriatric inpatients
B. Gamboa Huarte1, I. Ferrando Lacarte 1 , M.M. Gonzalez
Eizaguirre1 , C. Deza Perez1 , C.M. Bibi ´an Getino1
1Hospital Nuestra Se˜nora de Gracia, Zaragoza, Spain
Objectives:
1. To quantify of comorbidity in inpatients in our unit.
2. To evaluate the typology of the associated factors.
3. To analyse the relationship between dependency and
comorbidity in our patients.
Methods: This is a descriptive, prospective, transversal study.
Patients with inpatient care from June to November 2014. Analysed
variables: sociodemographic, medical background (MB), ufunctional
assessment (Barthel index, IB), comorbidity (Charlson Index, IC),
biochemical parameters, and inpatient death. Statistical analysis:
SPSS.
Results: 318 patients. 68.2% female. Admission from emergencies:
84%. Programmed admission: 16%. Mean age 85.89 (89.6% over 80
years old). Charlson Index in admission (median 3): IC 0 13.5%.
IC 1–2 39.6%, IC 3–4 28.3% and IC ≥5 18.6%. SPMSQ: 5.22. BI in
admission: median50; BI in discharge: median 25. BI in admission
<45 (53.1); BI in discharge < 45 53.3%. Mortality: 16%.
We found significant differences between CI and origin (emergency/
programmed) <0.013; MB cardiovascular <0.014; MB pulmonary
<0.000; MB nephro-urological <0.000; former renal disease < 0.000;
MDRD GFR in admission < 0.016; creatinine < 0.012; anaemia <0.028
and mortality <0.020 and previous BI <0.000.
Conclusions: The comorbidity among the elderly inpatients in our
service is high in an elevated proportion of the sample. There
is significant association between high comorbidity and a worse
functional situation. The Charlson Index in our patients predicts an
early mortality. High morbidity is associated with other fragility
predictors such as functional loss and anaemia.
P-098
Long term fracture risk in elderly with a normal or osteopenic
bone mineral density
M. Krulder1, E. Topcuoglu2 , K. Keijsers 3
1Jeroen Bosch Hospital, Vlijmen, Netherlands; 2 University Medical
Center Utrecht, Utrecht, Netherlands; 3Jeroen Bosch Hospital,
’s-Hertogenbosch, Netherlands
Objectives: The aim of this study is to examine the ten year fracture
risk in patients aged 70 years and older with a T value >−2.5 on
the dual-energy x-ray absorptiometry scan.
Methods: A comprehensive literature search in Medline via PubMed
and Embase was conducted using synonyms for domain, i.e. elderly,
determinant, i.e. DXA, and outcome, i.e. fracture risk. Absolute risks
(AR) and 95% confidence intervals (95% CI) were calculated for all
included studies for both the group with osteoporosis and the group
without osteoporosis.
Results: 566 articles were identified. After full-text screening, nine
studies were critically appraised. Five studies were included in the
final results. The absolute risk of fracture for patients with a DXA
T value >−2.5 ranged from 8.7 (95% CI 7.8–9.5) to 19.8 (17.9–21.7)
in three to ten years. For patients with osteoporosis the absolute
risk of fracture ranged from 18.6 (95% CI 16.3–21.0) to 44.0 (95% CI
39.6–48.4).
Conclusions: Although the risk of fracture is higher in patients
with osteoporosis, the risk of fracture in patients with normal or
osteopenic bone mineral density should not be ignored.
P-099
Trends in incidence of Clostridium difficile entrocolitis in
elderly – futile struggle or victory?
L. Kukuckova1 , K. Dostalova2 , V. Sucha3 , S. Moricova2, J. Luha4
1Department of Long Term Ill, University Hospital Bratislava,
Bratislava, Slovakia; 2Faculty of Public Health, Slovak Medical
University, Bratislava, Bratislava, Slovakia; 3Jurgos s.r.o., Outpatient
Department of Gastroenterology, Bratislava, Bratislava, Slovakia;
4Faculty of Medicine, Comenius University, Bratislava, Bratislava,
Slovakia
Age is one of the risk factors for development of Clostridium difficile
enterocolitis (CE). In year 2008 92.86% pacients with positive
antigen and toxin and 86.36% in 2014 were in geriatric age.
We compared the incidence of (CE) at the Department of long term
ill in the years 2008 and 2014. We tested the stool specimens for
CD antigen and toxin in every patient with diarrhea.
From 275 hospitalised patients in 2008 in 28 (10.2%) the
toxin of CD was positive and the diagnosis CE was confirmed.
Bronchopneumonia and urinary tract infections were the most
frequent reasons for antibiotic therapy. Ciprofloxacin was the most
used first line antibiotic in patients with afterwards determined
CE. Combined antibiotic therapy was a risk factor for resistance
to metronidazol. From 258 patients hospitalized in 2014, 58
had diarrhea. In 22 patients (8.5%) were antigen (GDH) and