European Geriatric Medicine - Supplement 1 - Volume 6

S60

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

–

S156

Results:

90 patients with temporal arteritis were retrospectively

enrolled. There were 60 men and 30 women with an averge age at

the onset disease of 76 years.

Unilateral biopsies of temporal artery were performed in all

patients; bilateral biopsies were performed in 5 patients. 75

patients was classified as temporal arteritis, they had transmural

cellular in 40 cases. Fragmentation of internal elastic lamina was

seen in 45 cases. Giant cells were seen in 35 cases, fibrinoid

necosis in 12 cases and thrombolization in 12 cases. The mean

values of Westergen erythrocyte sedimentation rate (ESR) were

found at 95mm/hour, the mean values of C-reactive protein were

found at100mg/l and The mean values of concentration of alpha

2 globulins, at 14gr/l. anemia was found in 35% of patients. Eleved

serum levels of liver enzymes, gamma glutamyl transferase and

alkaline phosphatase were found in 26%, 45% and 20% respectively.

P-104

The prevention of fragility fractures in patients with type 2

diabetes mellitus

L. Sierra-Martinez

, I. Sierra-Martinez

, R. Martinez-Fuerte

N. Sanz-Gonz ´alez

Valladolid Este Primary Assistance Gerency, Valladolid, Valladolid,

Spain;

Traumatology Department, Hospital of Medina de Campo

(Valladolid), Spain, Valladolid, Spain;

JCyL Primary Assistance

Gerency, Valladolid, Valladolid, Spain

Aims:

Evaluate Lifestyle in patients with type 2 diabetes mellitus,

controlled primary health care for prevent fragility fractures.

Methodology:

The authors conducted a cross sectional study

applied to selected patients [n = 104, 52 men (M) and

52 women (W)] chosen by non-probability sampling in a row,

among type 2 diabetic patients attending our clinic included in the

Service Care for diabetic patients Portfolio Services Primary Sacyl. Is

evaluated: Calcium diet and physical exercise, as protective factors

for osteoporosis and fragility fractures. Data are collected on a Excel

spreadsheet and analyzed using SPSS 9.0 for Windows.

Results:

1. T2DM age: 90–

95 (1M, 0W), 85–

90 (1M, 2W), 80–

(7M, 5W), 75–

80 (7M, 7W), 70–

75 (4M, 11W), 65–

(10M, 10W), 60–

65 (16M, 9W), 55–

60 (2M, 3W), 50–

(4M, 5W).

2. Consumption of daily milk and dairy products:

– 76% T2DM: 1–2 times a day.

– 14.1% T2DM:

3 times a day.

– 9.9% T2DM: Never

3. Daily physical activity: Sitting (29.80%), standing (32.69%),

walking (32.69%), 21 men, 29 women).

4. Practice sport: yes (11.53%), no (88.47%).

Conclusions:

It is concluded that diabetic patients studied, 76% of

patients consume only one or two servings of dairy and 88.47% do

not practice sports and about 30% sitting most of the day.

From these results a

clinical improvement plan

for prevention of

fragility fractures, program Health Education states:

1. Starting a regular exercise program,

2. A balanced diet rich in calcium

3. Making home safe from the point of view of lighting,

unobstructed floor, stairs with handrails, toilets, smoke detector

4. Use cane or walker if you need

5. Review newspaper view

6. That your doctor check pharmacological treatments.

And secondly conducting multidisciplinary preventive activities

from our Primary and Specialty Care.

P-105

Clinical and functional features in pluripathological patients

in primary health care

R. Lopez-Liria

, D. Catalan-Matamoros

, A. Lopez-Villegas

F.A. Vega Ramirez

University of Almer´ıa, Almer´ıa, Spain;

Health Communication Unit.

University Carlos III of Madrid, Madrid, Spain;

Division of Medicine,

Nordland Hospital, Bodø, Norway;

University of Almer´ıa, Almeria,

Spain

Objectives:

This study was carried out with the aim of establishing

future strategies for better treating of pluripathological patients

(PP) by determining the prevalence, clinical and functional features

in Primary Health Care setting.

Methods:

Cross-sectional study. 865 patients with chronic diseases

in home care programmes in Almer´ıa (Spain). Data were collected

on the state of the patients’ health (primary disabling process,

initial and final functional assessment and Barthel Index); details of

physiotherapy treatment, and number of sessions. The rehabilitative

methods were multidimensional, and individually designed and

implemented. The goal of the home visit program was to support

and motivate individual coping and well-being through physical

exercises and psychological and social activation.

Results:

A total of 865 patients were included, the mean age was

78 years and 65% were female. Inmobilization effects were the

most prevalent cause (29%); stroke (E category, 13.7%) and chronic

obstructive pulmonary disease (2.6%). The two main variables that

determine that one is a multiple disease patient are age and disease

causing the admission at rehabilitation program. A major goal of

rehabilitation programs designed for elderly persons is to assist

them to manage in activities of daily living without assistance (for

kinesiotherapy and carer education).The mean number of sessions

was 13.

Conclusions:

The supportive home visit program was feasible and

improved the functional ability and delay the need for institutional

care among them. A brief, practicable interdisciplinary educational

programme for primary care professionals postponed functional

decline in pluripathological patients.

Project funded by Consejer´ıa de Salud y Bienestar Social para la

financiaci ´on, Desarrollo e Innovaci ´on Biom´edica y en Ciencias de la

Salud en Andaluc´ıa 2012.

P-106

Impact of urethral catheterization on geriatric inpatients at

a tertiary center

J. Mateus

, P. Lopes

, F. Costa

, A.R. Nogueira

, J. Fonseca

H. Clemente

, D. Ferreira

, J. Porto

, M. Ver´ıssimo

, A. Carvalho

Centro Hospitalar e Universit´ario de Coimbra, Coimbra, Portugal;

Centro Hospitalar e Universit´ario de Coimbra, Tent´ugal, Portugal

Objectives:

Urinary Tract Infection (UTI) remains one of the

most common healthcare-associated infections. Although urethral

catheterization (UC) is a routine medical procedure, it carries

important risks, such as UTI, especially in the elderly. The most

important factor for preventing catheter-associated UTI (CAUTI) is

limiting their use to appropriate indications.

The purpose of this study was to evaluate the impact of iatrogenic

UC on UTI rate in hospitalized geriatric patients at a tertiary center.

Methods:

Retrospective review of all geriatric patients (65 years or

older) admitted to an Internal Medicine ward at our center from

January to March 2015. Data were analyzed using SPSS v.21.0.

Results:

We analyzed 201 clinical records (87.6% were male; mean

age 81.9 years). Pneumonia was the most common cause of hospital

admission. UC was performed in 95 patients (47.3%): 18 had chronic

UC (19%) and 77 had UC during hospital stay (81%). Among these

77 patients, median UC duration was 7 days, most patients had

no absolute indication for its use (56.8%) and the most common

reason for inappropriate UC was monitoring urine output (55.8%).