101 / 290
[2] Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J,
et al.
Frailty in older adults: evidence for a phenotype.
J Gerontol A
Biol Sci Med Sci
. 2001;56(3):M146
–
56.
[3] Rockwood K, Song X, MacKnight C, Bergman H, Hogan DB,
McDowell I,
et al.
A global clinical measure of fitness and frailty
in elderly people.
CMAJ Can Med Assoc J J Assoc Medicale Can
.
2005;173(5):489
–
95.
P-250
Gait speed, balance and functional capacity in a sample of
community-dwelling older adults
A. Galán-Mercant
1
, M.T. Tomás
2
.
1
UJA, Spain;
2
ESTeSL, Portugal
Introduction:
Falls in older people are an important public health
concern since they are responsible for high number of hospitalizations,
health complications, disability and death. Gait speed has been
identified as a predictor of health state in elderly populations and it
is related with falls and functional capacity. The aim of this study was
to identify the risk of falling in a sample of Portuguese older adults
living in the community and to investigate the associations between
gait speed, balance and functionality.
Methods:
This was a cross-sectional study. Assessment included gait
speed (GS) with 4 meter walk test; balancewith the Berg Balance Scale
(BBS); functional capacity with the Composite Physical Function scale
(CPF). Descriptive and correlational statistics were performed to
analyze data.
Results:
46 community-dwelling older adults (32 women; 14 men)
aged 77 ± 9 years participated in our study. Mean value for GS was
1.17 ± 0.37 m/s which is normal for this population. For BBS and CPF
median was 52 and 19, respectively. BBS results revealed a risk of
falling of 43% and functional capacity of our participants was at
moderate levels. The study of correlations between variables also
showed positive associations between GS and BBS (R = 0.631; p = 0.00)
and between GS and CPF (R = 0.605; p = 0.00)
Conclusions:
Positive associations between GS and balance and
between GS and functional capacity highlight the role of GS in the
assessment of fall risk and functional capacity since it is a simple and
easy test to perform.
P-251
Analysis of factors associated with diabetic neuropathy in a group
of elderly patients with pain in primary care Health System/SUS
in Brazil
L.R. Lima
1
, M.M. Stival
1
, M.M. Funez
1
, A.C.G. Silva
1
, L.F.G. Vieira
1
,
M.V.G. Costa
1
, W.S. Silva
1
, S.S. Funghetto
1
, A.O. Silva
2
, T.C.M.S.B. Rehem
1
.
1
University of Brasília;
2
Centro Universitário Uniceube
Introduction:
The complications of type 2 diabetes mellitus (DM2) is
the evolution of peripheral neuropathy (PN) especially in the elderly.
Objective:
To compare clinical, morphological and biochemical factors
of patients with and without PN with DM2.
Methods:
quantitative, randomized case-control trial. The collection
took place between February and March 2016. It was assessed
nutritional status, body composition (electrical bioimpedance-BIA),
biochemical data and evaluation of PN by LANSS scale, assessment of
pain by VAS, MacGill pain descriptors and Quality life (QOL) SF-6D. It
was respected ethical principles.
Results:
Participants were 78 individuals, 85.9% were women, mean
age 64.05 years and mean duration of DM2 9 years. The prevalence of
PN was 17.9%, and correlation between glycemia and age. Clinical and
laboratory parameters showed grade I obesity, waist-hip ratio low
risk, total cholesterol, HDL and LDL desirable. Fat mass 40
–
42%, 14.8
visceral fat, high triglycerides, TGO and TGP within tolerable values.
The ratio of average HbA1c and neuropathy was similar between
groups (M = 7.0). The main McGill descriptors: sore, throbbing, heavy,
thin, heat / burning, exhausting \ comprehensive and nauseated. The
intensity of pain was severe. QOL was to affect domains: functional
capacity, global limitation and Vitality (p
≤
0.05) with worse QOL for
those with PN.
Conclusion:
Patients with T2DM with PN has affected the QOL and
have worse biochemical and chronic pain this profile.
P-252
The risk factors and the level of knowledge for falls in elderly
individuals who live in a nursing home in Turkey
H Gürler
1
, F Özkan Tuncay
1
, T Kars Fertelli
1
.
1
Nursing Department,
Cumhuriyet University, Faculty of Health Sciences, Sivas, Turkey
Objectives:
In theworldwide 30
–
40% of people aged of 65 and over fall
each year and this rate increases to 50% of people living in long-term
care institutions. The systematic and comprehensive determination
of risk factors and knowledge level for falls are important step in
prevention of falls in elderly. The aim of this study was to evaluate the
risk factors and knowledge level about falls of the elderly living in a
nursing home.
Methods:
Fifthy three elderly living in a nursing home was composed
for sample of the study in 2016. The data were collected with Personal
Information Form, Fall Risk Factors Form, Falls Knowledge Form.
Nursing home was visited by researchers and risk factors and
knowledge levels of elderly individuals for falls were evaluated by
face to face interview.
Results:
Approximately half of the elderly individuals fallen before
(45,3%), 33,3% of the elderly individuals were falled in nursing home.
The number of risk factors of elderly people was 10,73 ± 4,35 and
knowledge score was 7,20 ± 1,74. The percentage of the elderly
individuals stated preventability of falls was 67,9%. It was found that
20,8% of elderly stated they didn
’
t know how falls could be prevented.
Conclusion:
Elderly individuals had many risk factors for falls and the
knowledge level for falls was not adequate. They saw the falls as
normal and inevitable result of aging.
P-253
Stratification of older adults in the emergency department:
predictive accuracy of the interRAI emergency department
screener
P. Heeren
1,2,
*, M. Jonckers
2,
*, E. Ooms
2
, E. Devriendt
1,2
, M. Deschodt
1,3
,
M. Sabbe
4,5
, J. Flamaing
2,3
, K. Milisen
1,2
.
1
Department of Public Health
and Primary Care, KU Leuven, Academic Centre for Nursing and
Midwifery,
2
Department of Geriatric Medicine, University Hospitals
Leuven,
3
Department of Clinical and Experimental Medicine, KU Leuven
4
Department of Emergency Medicine, University Hospitals Leuven,
5
Department of Public Health and Primary Care, Emergency Medicine,
KU Leuven, Belgium
*equal contribution.
Objectives:
The interRAI Emergency Department (ED) screener is a
new screening instrument to identify vulnerable older adults at the
ED. The aim of this study was to evaluate this instrument
’
s accuracy in
predicting need for hospitalization (NFH), prolonged hospitalization
(PH) and 3-month mortality.
Methods:
Trained research nurses consecutively included 780
community-dwelling patients aged 70 years and older at the ED of
University Hospitals Leuven. NFH, PH (i.e. more than 28 days) and
3-month mortality were obtained through patient chart review
and telephone calls. Sensitivity, negative predictive value (NPV) and
accuracy were calculated.
Results:
Patients were categorized by the interRAI ED screener into
groups with low (score 1
–
2; 29.1%), intermediate (score 3
–
4; 34.1%) or
high (score 5
–
6; 36.8%) risk. NFH, PH and 3-month mortality were
present in 522 (66.9%), 58 (7.4%) and 72 (9.2%) patients, respectively.
Sensitivity and NPV for the cutoff score of at least 5 were respectively
42.7% and 39.4% for NFH; 65.5% and 95.9% for PH; 56.9% and 93.7%
for 3-month mortality. Sensitivity and NPV for the cutoff score of at
least 3 were respectively 75.3% and 43.2% for NFH; 86.2% and 96.5%
for PH; 87.5% and 96.0% for mortality. Accuracy varied between 53.5%
and 65.5% with cutoff at least 5 and between 34.5% and 63.0% with
cutoff at least 3.
Poster presentations / European Geriatric Medicine 7S1 (2016) S29
–
S259
S95