European Geriatric Medicine - Supplement 1 - Volume 6

S74

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

–

S156

only between the VES-13 vulnerable and frail categories. Conversely,

all the GA items differed across the three categories of physical

performance status.

Conclusions:

In our sample of elderly oncological patients, simple

tests of physical performance were associated to GA items more

accurately than VES-13 and Fried’s phenotype.

P-158

Geriatric syndromes and frailty status in ‘Empty-Nesters’

Chinese elderly with hypertension

S.S. Shen

, X.J. Chen

, T. He

, J.J. Chu

, X.K. Zeng

, Z.X. Liu

, L.Y. Xu

X.S. Wu

, J. Lv

, X.F. Hong

Zhejiang Hospital, Hangzhou, CHINA;

Zhejiang Hospital, Hangzhou

Objectives:

The aim of this study was to investigate geriatric

syndromes and frailty status between empty-nest group (EN group)

and non-empty-nest group (non-EN group) in Chinese hypertensive

elders.

Methods:

In a cross-sectional study, a total of 270 hypertensive

patients aged 65 years and older were recruited. Participants were

divided into EN group (n = 168) and non-EN group (n = 102). CGA

included activities of daily living (ADL), cognitive functioning,

depression symptoms, nutritional status, fall risk, comorbidity

and polypharmacy. Frailty status was defined using Fried criteria

(weight loss, exhaustion, slowness, low activity level and weakness),

which range from 0 to 5, and divide into frail (3–5), pre-frail (1–2)

and non-frail (0).

Results:

Neither hypertension related clinical characteristics nor

every component in CGA were found significant difference between

the two groups (p

0.05). The percentage of frail and pre-frail in the

EN group was higher than non-EN group (79.2% vs. 65.7%, p = 0.014).

After adjustment for age and sex, partial correlation showed

frail criteria scores were associated with the number of geriatric

syndromes, (r = 0.505, p

0.001), Morse fall scale score (r = 0.382,

0.001), the score of 15-item geriatric depression scale (r = 0.350,

0.001), ADL score (r = −0.416, p

0.001), the score of Tinetti

performance oriented mobility assessment (r = −0.406, p

0.001),

the score of mini-mental state examination (r = −0.300, p

0.001)

and short form mini nutritional assessment score (r = −0.360,

0.001) in the EN group.

Conclusions:

Frailty status was more common, and correlated with

geriatric syndromes in empty-nest hypertensive elders. Therefore,

frailty screen and CGA could be considered as useful tools to guide

treatment decision in clinical practice.

P-159

Comparison of hand dexterity in geriatric and non-geriatric

patients with Parkinson’s disease

F. Soke

, A. Genc

, B.D. Colakoglu

, P. Keskinoglu

Dokuz Eylul University, Izmir, Turkey

Objectives:

Prevalence of Parkinson’s disease (PD) increases

with aging, and prevalence is 1.5–2% in people 65 and

older. PD is a hypokinetic movement disorder characterized by

bradykinesia, rigidity, resting tremor and postural abnormalities.

Motor symptoms of PD commonly affect upper extremity function.

The aim of this study is to compare hand dexterity between geriatric

and non-geriatric patients with PD.

Methods:

A total of 50 patients with PD 33 (66.6%) geriatric

(≥65) and 17 (33.3%) non-geriatric patients. Including criteria were

idiopathic PD, Hoehn & Yahr stage I-IV, on medication state, not

having orthopedic and neurological disease limiting dexterity. Hand

dexterity evaluated with the Nine Hole Peg Test (9HPT) twice

for both hands and average of two measurements was recorded.

Severity of PD evaluated with Unified Parkinson’s Disease Rating

Scale-Motor Subscale III (UPDRS III).

Results:

Average time to complete the 9HPT was 24.65

9.40

second (sc) and 26.49

12.24 sc in non-geriatric, 26.93

7.46

sc and 29.12

7.12 sc in geriatric (respectively, dominant and

non-dominant hand). Non-geriatric patients performed the test

significantly faster than geriatric patients both dominant and non-

dominant hand (Mann–Whitney U test, p

0.001). In both groups,

there was a significant positive correlation between UPDRS III and 9

HPT time for both hands. (Spearman Correlation test, for dominant

side; r = 0.699, r = 0.757 p

0.001, non-dominant side; r = 0.593,

r = 0.556 p

0.001, geriatric and non-geriatric group, respectively).

Conclusions:

Aging has a degenerative effect on dexterity and

inverse relationship between age and dexterity in PD irrespective

of sex. In addition, increasing disability level is associated with loss

of dexterity in PD.

P-160

Musculoskeletal problems among the caregivers of the geriatric

patients with stroke

F. Soke

, E. Goz

, T. Kahrman

, A. Genc

, V. Ozturk

Dokuz Eylul University, Izmir, Turkey

Introduction:

After having a stroke, patients often perceive

restrictions in performing activities of daily living and often receive

assistance from an informal caregiver. It is well recognized that the

caregivers experience psychological problems such as burden and

restrictions in life satisfaction after their partner’s stroke. However,

their musculoskeletal risks have not known well. The aim was

to determine the prevalence of musculoskeletal problems of the

caregivers of the geriatric patients with stroke.

Methods:

Thirty-two geriatric patients with stroke and their

informal caregivers participated in the study. In addition to the

demographic characteristics of the caregivers, the musculoskeletal

problems were evaluated by the Nordic Musculoskeletal

Questionnaire. The patients’ functional levels were evaluated by

the Functional Independence Measure.

Results:

The mean age of the patients and caregivers were

74.4

10.1 and 55.7

14.9 years, respectively. Most of the

patients had high functional independence level (71.9%). One-year

prevalence of the musculoskeletal problems ranged from 12.5%

(elbows and feet) to 53.1% (low back). One-month prevalence

ranged from 12.5% (hands, upper back, and hips) to 34.4% (knee).

Most of the caregivers experienced musculoskeletal problems after

their partner’s stroke (prevalence of musculoskeletal problems after

stroke ranged from 12.5% to 93.8%).

Conclusions:

The caregivers experience high number of

musculoskeletal problems although their partners had high

functional independence. Additionally, their musculoskeletal

problems occurred after their partner’s stroke. In the geriatric

rehabilitation settings, the caregivers should also been evaluated

in terms of the musculoskeletal problems and they should

participate in physiotherapy programs such as ergonomics

awareness education.

P-161

Geriatric conditions that predict mortality and hospitalization

in dependent older people living in long term care facilities

T. Hirose

, J. Hasegawa

, S. Izawa

, H. Enoki

, Y. Suzuki

M. Kuzuya

Nagoya University Graduate School of Medicine, Nagoya, Japan;

Aichi Gakuin University, Nisshin, Japan;

Aichi Shukutoku University,

Nagakute, Japan

Objectives:

To clarify geriatric conditions that predict mortality

and hospitalization of dependent older people living long term

care facilities, we conducted a 2-year prospective cohort study.

Methods:

Participants were institutionalized older people aged at

least 65 years old (n = 657, average age: 85.2, male: n = 122; 18.6%).

Data included the participants’ demographic characteristics, Barthel

Index(BI), chronic diseases that construct Charlson comorbidity

index (CI) and the prevalence of eight geriatric conditions (visual