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Poster presentations / European Geriatric Medicine 6S1 (2015) S32
–
S156
S87
renal disease (p
<
0.024); mortality (p
<
0.01); IB
<
65 (p
<
0.005);
CI ≥ 5 (p
<
0.001) (male/female p
<
0.027); trazodone (p
<
0.006),
risperidone (p
<
0.000) and omeprazole (p
<
0.002) intake.
Conclusions:
More than a third of our patients present hypophyseal
dysfunction, regardless the existence of other endocrine alterations,
such as hypothyroidism. The continuous intake of risperidone,
trazodone, omeprazole has significant association with the rise
of prolactin. The rise of prolactin in our patients displays an
association with predictive mortality indexes (CI), and short-term
loss of functionality and mortality. There is an association between
high prolactin levels and anaemia, which is a well-known frailty
marker.
P-208
Identification of frailty in community-dwelling older persons
with the G´erontopˆole Frailty Screening Tool: prevalence and
feasibility in primary care
G. Gavazzi
1
, S. Mazi `ere
2
, A. Duflot
1
, Y. Gaboreau
3
, S. Drevet
1
1
University of Grenoble Alpes, Grenoble, France;
2
GHM, Grenoble,
France;
3
Primary care department, Grenoble, France
Background:
The G ´erontopˆole Frailty Screening Tool (GFST) is a
tool developed for general practitioners (GP) to screen potential
frail individuals and designed to be used for individuals aged 65
and more without physical disability.
Objectives:
To determine the prevalence of potential frailty in
community-dwelling persons aged 65 and more with the GFST
in a French area.
Methods:
GP filled in the GFST for every 65-year-old and more
patient who came for a consultation. The patient was identified
as frail if he/she was considered frail by the GP after the initial
questionnaire with frailty criteria. The inclusion register took in
the total number of patients aged 65 and more that consulted the
GP during the study period.
Results:
Sixteen GP included 522 patients; the exact prevalence
was measured out of 379 patients visiting one of 11 physicians
who filled in the inclusion register;. The mean age was 76.1
±
7.3
years, there were 51% of women, and 91 were detected as frail:
24.5% [95% CI 20.2–29.2%]. 33.3% of 75-year-old and more patients
(n = 204) were identified as frail, [95% CI 27.0–40.3%]. The inclusion
rate was 67% to 93%, depending of GP, with a median of 83%. Results
for each frail criterion will be presented.
Conclusion:
The GFST seems to be an easy frailty-screening tool for
primary care: the prevalence of patients identified as frail is close
to the reported prevalence in literature. More studies are needed
to evaluate the interest of a systematic screening.
P-209
Scales Elderly Patient Global Assessment applied to elderly
patients with hip fracture
A.M. G ´omez Mosquera
1
, R.B. Melero Gonz ´alez
1
, T. Parajes V ´azquez
1
,
M. Rodr´ıguez L ´opez
1
1
Sergas, Vigo, Spain
Objectives:
To analyze the potential relationship between the risk
of hip fracture and the results of the scales Elderly Patient Global
Assessment in geriatric patients.
Methods:
Retrospective and descriptive study of a random series of
120 patients over 75 years attending in the emergency department
of the University Hospital of Vigo in the year 2013 with a diagnosis
of hip fracture. The data collected from medical records of the
patients regarding their functional, mental and social situation
value at the time of hip fracture were analyzed.
Results:
Of the 120 patients analyzed in the study, 92 were women
(76.6%) and 28 males (23.3%) with a mean age of 84.53 years.
Considering the Elderly Patient Global Assessment in the functional
area, according to the scale of disability of the Red Cross in terms
of ambulation, we classified our patients in 6 degrees: 30.83%
of patients were classified as grade 0 (normal walking); 27.5% as
grade 1 (walks with some difficulty); 17.5% as grade 2 (walks using
cane or similar); 10.83% as grade 3 (walks helped by a person
at least); 6.67% as grade 4 (walks helped by two people with
extreme difficulty); and 6.67% as grade 5 (immobilization in bed
or chair). Regarding the mental area, at 75% is no evidence any
cognitive impairment. Only 10% of them were institutionalized at
the time of the fracture.
Conclusions:
In this series of 120 elderly patients a direct
relationship between hip fracture by low-impact crash, and
functional, mental and social situation is evident: the highest
percentage of fractures occurs in patients who had no trouble
walking or in need of a single support, without any cognitive
impairment and who lived at home.
P-210
Profile of elderly patients with hip fracture and previous
history of low impact fracture
R.B. Melero Gonz ´alez
1
, T. Parajes V ´azquez
1
, A.M. G ´omez Mosquera
1
,
M. Rodr´ıguez L ´opez
1
1
Sergas, Vigo, Spain
Objectives:
1. To determine the incidence of previous history of low impact
fracture in patients admitted to hospital with hip fracture, as
well to identify risk factors associated with osteoporosis.
2. To analyze the degree of implementation of anti-resorptive
treatments in patients with a history of osteoporotic fracture.
Methods:
Retrospective and descriptive study of a random series of
120 patients over 75 years attending in the emergency department
of the University Hospital of Vigo in the year 2013 with a diagnosis
of hip fracture. Data were collected regarding previous history of
low impact fracture, risk factors for osteoporosis, vitamin D levels
before fracture and used anti-resorptive treatment.
Results:
Of the 120 elderly analyzed in the study, 92 were women
(76.6%) and 28 males (23.3%) with a mean age of 84.53 years.
Seventy-five percent of those had no cognitive impairment and
were independent for ADL. Twenty-nine patients (24% out of
120) had suffered a previous fracture of low impact: 28.95%
had hip fracture, 13.16% vertebral fracture, 10.52% Colles fracture
and 47.37% of patients had other types of fracture. Chronic renal
failure, diabetes mellitus, COPD and corticosteroids were the most
prevalent risk factors.
Only 11.66% out of 120 patients had previous vitamin D levels and
only 13.8% out of 29 patients with previous fractures, had measured
vitamin D levels (50% had a severe deficit).
Only 4.17% out of all patients had a bone density test done and of
the 29 patients refractured only 1 patient (3.5%) had measure bone
mineral density.
Regarding the implementation of anti-resorptive therapy in the 29
objective of the study, only 34.5% (10 patients) patients had received
treatment before hip fracture. Of these, 4 were being treated at the
time of the fracture and 6 were treated.
Conclusions:
Although the most important risk factors in the
onset of fracture include age, personal or family history of
fracture and BMD determination, in the series of patients analyzed,
low implementation of management protocols in patients with
established osteoporosis leading to the appearance of second low
impact fracture is noted.
It is necessary to educate the medical staff caring for these patients
of the need to implement management protocols of the elderly
with low impact fracture in order to reduce the risk of subsequent
fractures.