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S72
Poster presentations / European Geriatric Medicine 6S1 (2015) S32
–
S156
P-150
Geriatric deficits among the elderly Polish deportees to the
Soviet Union who suffer from posttraumatic stress disorder
K. Piotrowicz
1
, A. Parnicka
2
, J. Walczewska
2
, M. Mielimaka
3
,
K. Basista
2
, A. Skalska
4
, K. Rutkowski
5
, T. Grodzicki
4
1
Department of Internal Medicine and Gerontology, Krak´ow, Poland;
2
Department of Internal Medicine and Gerontology, Jagiellonian
University Medical College, Krak´ow, Poland;
3
Jagiellonian University
Medical College, Krakow, Poland;
4
Poland;
5
Jagiellonian University
Medical College, Krak´ow, Poland
Objective:
To assess the prevalence of geriatric deficits in the elderly
Polish deportees to the Soviet Union who suffer from posttraumatic
stress disorder (PTSD).
Methods:
Group comprised of the elderly outpatients 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. Depression was rated with the Hamilton Rating Scale,
frailty syndrome with the Fried’s criteria. Medical interview with
the assessment of falls, dizziness, pain, vision and hearing problems
was conducted.
Results:
69 respondents (55.1% men); mean age:70.4
±
6.7 years
(min–max: 60–88 years). All the patients were diagnosed with
PTSD – 49.3% presented moderate, 31.9% severe and 18.8% mild
symptoms. Depression was suspected in 72.7%; pain was reported
in 87%, falls and dizziness in 52.2% and 26.1%, respectively; 20.6% of
the patients were frail and 61.8% pre-frail. Vision impairment was
diagnosed in 78.3%, hearing deficits in 15.9%. 31.9% of the patients
had 4 out of 7 examined deficits, 27.5% had 3 problems, and with
the same frequency, 2 and 5 deficits – 14.5% of the patients. There
was no patient who was free of any geriatric problems.
Conclusions:
All examined patients presented some geriatric
deficits, with pain, depression, and vision impairments being the
most common problems. As the most frequent geriatric complaints
were potentially curable, our results suggest that there is a need for
a routine comprehensive geriatric assessment. Additionally, there
was a high rate of those with pre-frail status who might benefit
from geriatric interventions.
P-151
Features of neuropathic pain in the elderly patients with
muskuloskeletal diseases
V. Povoroznyuk
1
, U. Pryimych
1
1
D.F. Chebotarev Institute of Gerontology NAMS Ukraine, Kyiv, Ukraine
Neuropathic pain (NP) caused by the musculoskeletal diseases has
recently been the focus of numerous studies. The role of aging on
the development of neuropathic pain is still unknown.
The aim of this study was to reveal the presence of neuropathic pain
component in elderly patients suffering from the musculoskeletal
diseases and compare frequency of NP between elderly and younger
patients.
Material and Methods:
We examined 73 patients aged 45–85 years
(average age 68.1
±
1.2 years). Patients were divided into 3 groups:
A, patients with osteoporosis (n = 30), B, patients with low back
pain (n = 23), C, patients with osteoarthritis of knee joints (n = 22).
To assess the NP component, we used the painDETECT, LANSS, DN4
questionnaires. To assess intensity of pain, visual analogue scale
was used. According to their age into the groups of 45–59, 60–74,
and 75–89 year-olds. For statistical analysis of results ANOVA,
correlation and regression analysis were applied.
Results:
Regression analysis shows correlation between the
questionnaires: LANSS and painDETECT (r = 0.76, p = 0.000001), DN4
and painDETECT (r = 0.8, p = 0.000001). The intensity of chronic pain
did not change significantly with aging. In the group of elderly
patients over 75 years with osteoporosis and low back pain the NP
component significantly decreased by the DN4 scale (p
<
0.05).In
patients with OA over 75 years, there was a tendency to elevation
of pain intensity and increasing of NP features.
Conclusion:
Thus, in patients with musculoskeletal diseases the
pain syndrome may include NP features. Frequency of NP under
muskuloskeletal diseases varies with aging and depend on the
nosology.
P-152
Gender features of vertebral pain syndrome depending on
bone mineral density
V. Povoroznyuk
1
, T. Orlyk
1
1
D.F. Chebotarev Institute of Gerontology NAMS Ukraine, Kyiv, Ukraine
The aim is to study the frequency of vertebral pain syndrome
in men and women of older age groups depending on the bone
mineral density (BMD).
Materials and Methods:
We have examined 1934 people aged
50–89 years, among them 1697 women and 237 men. The
frequency of back pain syndrome was studied depending on the
BMD (osteoporosis, osteopenia, and norm). BMD at all sites was
measured by DXA using a Prodigy densitometer (GE).
Results:
The frequency of pain syndrome among older age
groups is significantly higher in women compared with men
(88.3%(1499/1697) vs 84.8%(201/237), accordingly, p = 0.01). In
women of 50–89 years, with osteoporosis and no fractures in
their anamnesis, pain syndrome in the thoracic and lumbar spine
is significantly higher in comparison with women who have
osteopenia (p = 0.01) and normal BMD (p = 0.02) and compared
to men with a similar BMD state (osteoporosis; (91.8%(337/367)
vs 76.2%(16/21), accordingly, p = 0.01)). The frequency of pain
syndrome in the thoracic and the lumbar spine in women is
associated with BMD. The presence of osteoporosis increases the
risk of pain syndrome in the thoracic spine (RR = 1.27, 95% CI:
1.12–1.44, p = 0.0001). In older women, the presence of low-energy
fractures significantly impacts the increasing frequency of pain in
the thoracic region regardless of the BMD state.
Conclusion:
The frequency of pain among older age groups is
significantly higher in women compared with men. In women of
older age groups, the presence of low-energy fractures significantly
increases the frequency of pain in the thoracic region, regardless of
the state of BMD.
P-153
X-ray absorptiometry indexes for women in postmenopausal
period with osteoporotical fractures
V. Povoroznyuk
1
, T. Mashtaler
1
, R. Mashtaler
1
1
D.F. Chebotarev Institute of Gerontology NAMS Ukraine, Kyiv, Ukraine
Aim:
To estimate structural and functional condition of bone in
women in postmenopausal period with osteoporotic fractures,
compare the results to referent data for Ukrainian population and
to compare the results of X-ray absorptiometry to the fracture risk
rate, assessed by FRAX for women in postmenopausal period with
osteoporotical fractures.
Methods:
39 women in postmenopausal period aged 50–89 years
with forearm (18) and proximal hip (21) fractures, who were on
treatment the Traumatology Department #1 of Lviv City Clinical
Hospital of Ambulance. They were divided into 4 categories by age
(50–59 [13]; 60–69 [12]; 70–79 [9]; 80–89 [5]).
Nordin Index was measured with the “Osteolog” workstation,
developed in the Institute of Gerontology AMS Ukraine under
the direction of professor Povoroznyuk V.V. Fracture risks were
estimated using FRAX.
Results:
We found lower cortical indexes for women in
postmenopausal period with osteoporotic fractures for 50–59
(Common IN = 0.41), 60–69 (Common IN = 0.40), 70–79 (Common
IN = 0.36), 80–89 (Common IN = 0.33) age groups in comparison to
referent data for Ukrainian population. Also we found lower cortical