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care and improved satisfaction among older people towards proactive

primary care, but the GP cannot delegate this role completely.


Frail older people after hospital discharge: follow-up at three and

six months of patients discharged either to postacute care unit

(PCU) or home

O. Vazquez


, E. de Jaime


, C. Roqueta


, R. Miralles


, M.J. Robles



D. Sanchez


, P. Garcia


, M. Garreta


, A. Renom




Geriatrics Department,

Centre Forum, Hospital del Mar, Parc de Salut Mar, Barcelona, Spain


This study aims to compare the results at three and six

months of two cohorts of frail older people who were discharged from

the hospital to either a PCU or home.


Prospective observational study of 75 patients hospitalised

in an acute hospital ward, aged

65, who fulfilled the admission

criteria for PCU: inability to transfer from the chair/bed, inability to

walk alone, altered mental status and absence of severe dementia/

terminal disease. The availabilityof an informal caregiver was required.

Patients could choose between admission to PCU or discharge home.

At discharge, 3 and 6 months we gathered information on: age, sex,

functional status (Barthel and Lawton Index), cognitive status (MMSE),

main disease, Charlson, number of drugs, readmissions, falls and

adverse events (defined as readmission episode and/or

2 falls).


42 patients were admitted to PCU while 35 were discharged

home. No significant differences in the variables studied were found at

discharge. At three months,15 had died and 8 were lost, distributed

equally in both groups (p = 0.785 and p = 0.664, respectively). Patients

admitted to PCU suffered less readmissions (26.3 vs 73.7%, p = 0.005),

were prescribed more drugs (3.8 ± 2.4 vs 5.4 ± 2.4, p = 0.028) and

suffered more often from adverse events (30.4 vs 69.6%, p = 0.004).

At six months, no significant differences were found in mortality,

readmissions and drugs prescribed.

Key conclusions:

In frail older people, admission to PCU after hospital

discharge might have positive effects on polypharmacy, risk of

readmission and falls at three months with respect to discharge home


Screening for frailty in older hospitalized patients: reliability and

feasibility of the Maastricht Frailty Screening Tool for Hospitalized

Patients (MFST-HP)

R.M.J. Warnier, E. van Rossum, W.J. Mulder, J.M.G.A. Schols,

G.I.J.M. Kempen.

Maastrcht University Medical Center, Maastricht


As nurses in hospitals are confronted with increasing numbers of

older patients, their geriatric nursing skills and knowledge must be

integrated into daily clinical practice. Early risk identification via

screening tools may help to improve geriatric care. To reduce the

assessment burden of nurses, the Maastricht Frailty Screening Tool for

Hospitalized Patients (MFST-HP) was developed, a tool that is fully

integrated in the initial nursing assessment. The aim of this study was

to explore aspects of reliability, validity and feasibility of the MFST-HP.

The Intraclass Correlation Coefficients for both intra- and inter-rater

reliability were good (ICC above .93). Older patients and those with

more comorbidity showed higher scores on the MFST-HP compared to

younger patients and those with less comorbidity. Administration

time averaged 2.6 minutes (SD = 0.9) and the response burden among

patients was acceptable. The MFST-HP shows promise as a reliable,

valid and feasible screening tool for frailty among hospitalized older



Usefulness of the revised simplified Short-TermMemory Recall Test

(STMT-R) in acutely ill geriatric patients; Approach to a new short

cognitive screening test

K. Ogawa


, K. Yamamuro


, T. Ishitake


, N. Kobayashi





Memorial Hosp., Kurume Univ.,


Kozansou Azuma St. Clinic


Cognitive dysfunction is a prevalent condition in

acutely ill geriatric patients, but often remains undetected. The

MMSE (Mini-Mental State Examination) is broadly used, however

a quicker clinical identification in acutely ill geriatric patients would

be useful. We herein use a revised version of STMT [1] (a maximum

score 8; cutoff point 4) (STMT-R) to evaluate its usefulness and

compared with ages, gender, underlying diseases and clinical outcome

as comparative factors.


Previously, MMSE and STMT-R scores were compared in 32

outpatients and we found a positive correlation (r = 0.625 p < 0.001).

The inclusion criteria were to measure in STMT-R within one

week after admission, age

50 yo and being non-critical ill. Among

1,190 patients (between October 2014 and September 2015), 885

consented and were enrolled. STMT-R

4 was considered as cognitive



Enrolled subjects had a mean age of 78.9, 52.2% were female

and 10% were with history of dementia. They had uncompleted

cognitive testing with delirium and poor hearing (n = 159), cognitive


4; n = 460) and non-cognitive dysfunction

person (STMT-R > 4; n = 266). Statistically, the significant differences

were recognized to the age, history of dementia, internal medicine

diseases, respiratory illness and hospital death rate by cognitive

dysfunction (p < 0.01).


(1) STMT-R is expected to be a standard cognitive test in

acute ill geriatric patients. (2) It was suggested that the age, history

of dementia , internal medicine diseases and respiratory illness had

an influence on the cognitive functional decline, and the cognitive

dysfunction could affect the clinical outcome.


[1] Kobayashi N

et al.

Development of a simplified Short-Term

Memory recall Test (STMT) and its clinical evaluation.

Aging Clin

Exp Res

2010, 22(2) 157.


Comprehensive geriatric care in elderly referred to a rehabilitation


a randomized trial

D. Zintchouk


, T. Lauritzen


, E.M. Damsgaard




Department of

Geriatrics, Aarhus University Hospital,


Department of Public Health,

Section of General Medical Practice, Aarhus University


Elderly with multiple illnesses represent the fastest

growing sector of society and make increasing demands on all

sectors of the health care system, particularly in community

rehabilitation units due to shorter time of stay in acute care units

and hospitals. The aim of this study was to investigate the effect

of geriatrician-performed comprehensive geriatric assessments

and intervention with follow up (CGC) in elderly referred to a

rehabilitation unit.


The study was a prospective randomized controlled trial.

Settings: two community care rehabilitation units in Aarhus

Municipality, Denmark. Inclusion: elderly aged 65 and older from

home or hospital. Exclusion: elderly who received palliative care

or had been assessed by a geriatrician during the past month.

Intervention: medical history, physical examination, blood tests,

medication adjustment and follow up by a geriatrician. Control:

standard care with the general practitioners (GPs) as back-up. Hospital

contacts (primary outcome), GP contacts, activities of daily living

(ADL), physical and cognitive functions, quality of life, institutional-

ization, medication status, and mortality were assessed at day 30 and

90 after arrival at the rehabilitation unit.


In total, 370 persons were randomized (184 control/186

intervention group). The mean age was 77.9 ± 7.9/78.3 ± 8.3 years.

ADL was improved or maintained in 113 (63%)/128(70%), OR = 1.36,

CI = 0.9

2.1 within 90 days. No difference in mortality was demon-

strated. Analyses on hospital contacts are ongoing.

Key conclusions:

Geriatrician-performed CGC does not seem to affect

the ADL and mortality compared to standard care.

Poster presentations / European Geriatric Medicine 7S1 (2016) S29