69 / 210
Poster presentations / European Geriatric Medicine 6S1 (2015) S32
–
S156
S61
Patients with a longer duration of UC were more likely to develop
CAUTI (p
<
0.001). There were no statistically significant differences
between patients who had CAUTI and those who didn’t, concerning
sex, age or UC indication.
Conclusions:
Most patients had inappropriate UC. Duration of
catheterization is the most important risk factor for developing
CAUTI. Avoidance of unnecessary catheterization and catheter
removal when it’s no longer indicated, should be effective strategies
to reduce infectious complications of urethral catheters.
P-107
Insomnia, falls and sarcopenia in older adults: preliminary
results from the FALL-Aging-SLEEP Study
A. Monti
1
, E. Zafindravelo
1
, A. Breining
1
, V.H. Nguyen
1
, E. Pautas
1
,
K. Kinugawa-Bourron
2
1
GH Piti´e-Salpˆetri`ere-Charles-Foix, Ivry-Sur-Seine, France;
2
Charles
Foix Hospital, Ivry sur Seine, France
Objectives:
Sleep disturbances increase the risk of falls among older
people. We aimed to examine the association between insomnia
and sarcopenia among older patients with and without falls.
Methods:
Hospitalized geriatric patients aged ≥75 were proposed
to participate to the FALL-A-SLEEP Study since March 2015.
Patients with severe cognitive impairment, short life expectancy or
bedridden were excluded. Subjective sleep questionnaires (reported
sleep duration, sleeping habits, insomnia severity index (ISI) and
drug use e.g benzodiazepine/hypnotics), handgrip strength and
short physical performance battery (SPPB) were performed in a
stabilized medical condition.
Results:
Complete evaluation was available for 18 patients (mean
age 85.2, 13 women). Five patients never fell. Between fallers
and non-fallers, reported sleep duration (7.8 hrs vs 7.3 hrs,
p = 0.43), insomnia complaint [46% vs 40%, odds ratio (OR) = 1.27,
95% confidence interval (CI) 0.10–20.14) such as the mean ISI
(6.8/28 vs 5.2/28, p = 0.48) or drug use (38% vs 20%, OR = 2.38,
95% CI 0.16–147.21) were not statistically different. Mean handgrip
strength was higher among fallers (19.7 kg vs 13.5 kg) but non-
fallers were only women. Mean SPPB was lower among fallers
(4.8/12 vs 8.3/12, p = 0.17). Reported sleep duration was not different
between patients with SPPB ≤8 and SPPB ≥9 (7.9 hrs vs 6.7 hrs,
p = 0.35) as for the ISI (6/28 vs 4.7/28, p = 1.0).
Conclusions:
These preliminary data showed that elderly fallers
patients seem to suffer more from insomnia, and to be
more sarcopenic. More data are needed and inclusion is still
ongoing in the FALL-A-SLEEP Study, including Dual Energy X-ray
absorptiometry body composition.
P-108
Sleep apnea, falls and sarcopenia in older adults: preliminary
results from the Fall-Aging-Sleep Study
A. Monti
1
, E. Zafindravelo
1
, A. Breining
1
, N. Vihuong
1
, E. Pautas
1
,
K. Kinugawa-Bourron
2
1
GH Piti´e-Salpˆetri`ere-Charles-Foix, Ivry-Sur-Seine, France;
2
Charles
Foix Hospital, Ivry sur Seine, France
Objectives:
Sleep disturbances increase the risk of falls among older
people. We aimed to examine the association between sleep apnea
(SA) and sarcopenia among older patients with and without falls
history.
Methods:
Acute care setting patients aged ≥75 were proposed
to participate to the Fall-A-Sleep Study since March 2015.
Patients with severe cognitive impairment, short life expectancy
or bedridden were excluded. Subjective sleep questionnaires (e.g
Epworth Sleepiness Scale (ESS)), nocturnal polygraphy (SA defined
by apnea hypopnea index AHI
>
15/hr), handgrip strength and short
physical performance battery (SPPB) were performed in a stabilized
medical situation.
Results:
Complete evaluation was available for 16 patients (mean
age 85, 12 women, mean body mass index 21.7 kg/m
2
). 4 patients
never fell. ESS was higher among fallers (8/24 vs 5/24). Fallers had
more SA than non-fallers (75% vs 33%; with 83% of obstructive
SA, odds ratio (OR) = 4.95, 95% confidence interval (CI) = 0.17–
409.9). Mean AHI was 32.6/h among fallers. Nocturnal hypoxemia
was higher among fallers (5.5% of sleep time with arterial oxygen
saturation
<
90% vs 0.5%). Mean handgrip strength was higher
among fallers but non-fallers were only women (19.7 kg vs 13.5 kg).
Mean SPPB score was lower among fallers (4.8/12 vs 8.3/12) who
had more sarcopenia (91% vs 33%) according to the SPPB score.
Conclusions:
These preliminary data showed that elderly fallers
patients seem to present more sleep apnea, and to be more
sarcopenic. More data are needed and inclusion is still ongoing in
the Fall-A-Sleep Study, including Dual Energy X-ray absorptiometry
body composition.
P-109
Fall diagnoses in a geriatric clinic
J.P. Nielsen
1
, N. Espensen
2
1
OUH, Svendborg Sygehus, Svendborg, Denmark;
2
OUH Svendborg
Sygehus, Svendborg, Denmark
Objectives:
To evaluate reasons for falls by diagnose in patient
referred to a falls clinic and to compare to similar findings in the
literature.
Methods:
Patients referred according to ICD-10 (International
Classification of Diseases version 2010) diagnosis code R296 during
2014 were analysed with the purpose of evaluating the combined
set of diagnoses found during the examination of the patients.
The evaluation is done for the calendar year 2014 and contains the
main diagnosis code as well as the secondary diagnosis codes.
Data sampling is done from the local patient data registration
system.
Results:
In total 321 patients were referred. As explanatory primary
diagnoses were falls and osteoporosis. Additional 689 secondary
diagnoses were calculated and related to the R, M, I and F diagnostic
groups. The findings are compared to literature search results.
Conclusions:
The primary diagnosis seems to offer little
explanation to the reasons related to the falls.
Of the known risk factors related to fall incidents; sarkopenia,
use of rollator, cane or similar, reduced balance and coordination
capabilities, reduced eye sight, former falls, depression, fear of
falling and signs of dementia (ref.), seems to be reflected in a
clustering of the secondary set of diagnosis code groupings, e.g. I,
E, F and M.
(ref.
sundhedsstyrelsen.dk/publ/publ2006/cff/forebyg_fald/faldptt_klin.pdf).
Disclosure statement:
No financial support has been provided from
any commercial party.
P-110
Investigating normal pressure hydrocephalus in a medicine
for the older person day hospital: two case reports
C. Osuafor
1
, P. Matlhare
2
, T. Daly
2
, J. Duggan
1
, L. Kyne
2
1
Medicine for the Older Person, Mater Misericordiae University
Hospital, Dublin, Ireland;
2
Mater Misericordiae University Hospital,
Dublin, Ireland
Introduction:
Normal pressure hydrocephalus (NPH) is a
potentially reversible cause of gait abnormality and cognitive
impairment. The cerebrospinal fluid (CSF) tap test (TT) is a
prognostic test to assess candidacy for shunt placement. This
procedure is proven to have a high positive predictive value when
correlated with successful shunt surgery and is recommended
in many neurosurgical centres as a key tool it the diagnosis of
idiopathic NPH. Older patients frequently present with mobility
problems, urinary incontinence and cognitive deficits. The aetiology