European Geriatric Medicine - Supplement 1 - Volume 6

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

–

S156

S75

impairment, hearing impairment, falls, bladder control problems,

cognitive impairment, impaired mobility, swallowing disturbance,

and loss of appetite). Accumulation of geriatric conditions is defined

as the number of these geriatric conditions. The participants were

stratified into tertiles according to the accumulation. The Cox

proportional hazard model and the Kaplan–Meier method were

used to assess relationship between the prevalence of conditions at

baseline and mortality and hospitalization during a 2-year period.

Results:

During a 2-year observation, 201 participants died

and 282 were hospitalized. Multivariate models adjusted for

potential confounders showed that hazard ratio for mortality

and hospitalization in participants with middle and highest

tertiles of the accumulation (reference: lowest tertile) was 1.53

(95% CI: 1.07–2.19) and 2.21(CI 1.48–3.32), 1.55 (CI: 1.18–2.03) and

1.44(CI 1.02–2.20), respectively. Univariate analysis revealed that

geriatric conditions related to mortality were visual impairment1.41

(95% CI: 1.07–1.88), cognitive impairment 1.35(CI 1.01–1.82) and

those related to hospitalization were bladder control problem

1.42(CI 1.04–1.94), mobility impairment 1.60(CI 1.14–2.27), appetite

loss1.54(CI 1.20–1.98) respectively.

Conclusions:

Geriatric conditions related to mortality and

hospitalization were different in dependent older people living

in long term care facilities.

P-162

Association between geriatric assessment tools and

self-percieved health-related quality of life measured by

Nottingham Healh Profile

C. Udina Argilaga

, E. De Jaime

, R. Miralles

, M.L. Rodriguez

S. Burcet

, O. V ´azquez Ibar

Parc de Salut Mar

–

Centre Forum, Barcelona, Spain

Objectives:

Nottingham Health Profile (NPH) is a validated self-

administered questionnaire to evaluate subjective health status

in six dimensions: Energy (E), Emotional Reactions (ER), Physical

Mobility (PM), Social Isolation (SI), Pain (P) and Sleep (S). The

aim of the study was to assess association between comprehensive

geriatric assessment (CGA) scores and dimensions of NHP.

Methods:

Descriptive study of patients admitted to geriatric day

hospital from 2007 to 2011. Those with MMSE

10 points, aphasia or

non-cooperation were excluded. Age, sex and BMI were registered

and following assessment tools were performed: Barthel index,

Lawton index, MMSE, Yesavage Geriatric Depression Scale (GDS),

Charlson comorbidity index, Norton scale, Timed get-up-and-go

(TUG), balance and gate Tinetti scale and NHP.

Results:

331 pacients were included (59.8% women). Significant

correlation was found between PM and Barthel (r = −0.59

0.0001), Norton (r = −0.53 p

0.0001), TUG (r = 0.67 p

0.0001)

and Tinetti (r = −0.63 p

0.0001). GDS showed association with

dimensions Energy (r = 0.47 p

0.0001), ER (r = 0.49 p

0.0001) and

SI (r = 0.51 p

0.0001).

Women reached higher mean scores in Energy (Men: 27.56

30.29;

Women: 40.57

36.30; p = 0.0027); ER (Men: 29.24

25.08; Women:

39.4

27.45; p = 0.0008) and Pain (Men: 25.47

24.68; Women:

38.49

32.83; p = 0.0009). No association was found between NHP

and age. The rest of significant associations showed poor correlation

0.4).

Conclusions:

A significant correlation between subjective

perception of PM and physical function tools of CGA and between

self-perceived emotional status and Yesavage GDS has been found.

Quality of life assessment tools might be helpful to detect mobility

impairment and emotional problems in elderly.

P-163

Retrospective study on the intra-hospital work of the geriatric

mobile team in the regional University Hospital of Nancy

(CHRU) Brabois. Analysis of its activity in a 6 month period and

follow-up of recommendations at the end of hospitalization

G. Watfa

, M. Callier

, B. Hanesse

, M.-A. Manciaux

, F. Doridant

M. Mangeot

, C. Perret-Guillaume

, A. Benetos

Community Health Center, King Saud Medical City, Riyadh, Saudi

Arabia;

CHU de Nancy, Vandoeuvre-l`es-Nancy Cedex, France;

CHU

de Nancy, Nancy, France;

France

Objectives and Methods:

The objective of this study is to analyze

the activity of the geriatric mobile team (EMG) of the Nancy

Brabois CHRU during six months (emergency services excluded) and

adherence to recommendations at the end of the hospitalization.

Results and Conclusions:

Among the 105 files included in this

retrospective study, the most frequent reasons to resort to EMG are

troubles due to superior functions (delirium or cognitive impair-

ment) (64%) and loss of autonomy (39%). Nutritional disorders and

pain are less frequent reasons to resort to EMG (respectively 10%

and 5%) whereas they are strongly assessed by the EMG (respec-

tively 50% and 26%). The main recommendations concern the care of

the nutritional and cognitive disorders and the fight against iatroge-

nesis. The recommendations suggested by EMG are followed at 58%.

Three factors are associated with the failure to follow the recom-

mendations. The first factor is the time between the service request

and the EMG intervention. The two other factors are the identifica-

tion of pain and the suggestion that the patient returned home.

P-164

Weight and height prediction of Latvian senior hospitalized

patients

D. Zepa

, A. Slokenberga

, A. Balode

, A. Villerusa

, A. Stolarova

Gerontology Centre, Riga East University Hospital, Riga, Latvia;

Riga

Stradins university, Riga, Latvia

Background:

Weight and height are important measurements for

many medical and nutritional procedures, such as administration

of drugs, calculation of GRF etc. They are difficult to measure in

bedridden patients.

Objective:

To formulate specific equations estimating body weight

and height for the Latvian seniours based on simple anthropometric

measurements.

Patients and Methods:

226 seniors (≥65 y), addmitted to

the hospital were evaluated. Knee height (KH), middle

arm circumference (MAC) and calf circumference (CC), waist

circumference, body weight, age (A), stature data were collected

by anthropology laboratory nurses using portable anthropometer

GPM (precision

0.1 cm), scale SOEHNLE and a measuring tape.

To predict stature and weight multivariate linear regression was

performed. The data was analyzed by SPSS-22.

Results:

There were more females (172, 74.1%) than males (54).

The median stature was 158.9 cm (154.4–172.9), body weight

73.0 kg (63.0–85.2), age 79 y (74–84), the BMI 29.31

5.34 kg/m

The stature was predicted by equation 81.26 + 1.99

KH − 0.175

(A) −

4.969

(S), adjusted R2 = 0.812, F(3,223) = 321, p

0.001. The body

weight was estimated by equation 1.805

MAC + 0.823

CC +

1.194

KH − 2.508

(S) + 0.489

WC − 109.954, adjusted R2 = 0.906,

F(5,221) = 424, p

0.001. Sex (S): male = 1, female = 2. The estimated

BMI was 29.41

5.24 kg/m

, the Pearson correlation coefficient

between the estimated and actual BMI was r = 0.97.

Conclusions:

The application of weight and height predicting equa-

tions, which use a measuring tape and anthropometer as the only

tools, are simple and safe alternative for the estimation of weight

and height. Further studies are needed to evaluate the applicability

of the equations established in a larger Latvian population.

Disclosure:

No financial support from commercial parties was

received.