140 / 290
excellent agreement with SEGA (Kappa = 0.9465) and moderate
with Fried (Kappa = 0.5026). For the concurrence of Doctor vs. Intern
Frailty, the agreement between the protagonists is excellent
(Kappa = 0.9456) before using frailty scores. For the concurrence of
Doctor vs. Intern aging, there is a good agreement between the
protagonists for pathological aging (Kappa = 0.6316) and successful
aging (Kappa = 0.6275) and moderate for physiological aging
(Kappa = 0.4906). Current data leans towards the great relevance of
prevention of frailty by the general practitioner.
P-393
Evaluation of nutritional status in an acute geriatric unit:
prospective study and analysis of frailty using two scales FRIED/
SEGA
A.A. Zulfiqar
1
, L. Babé
1
, S. Hachey
2
, M. Dramé
3
.
1
Department of Internal
Medicine and Geriatrics, University Hospital of Reims, Reims, France;
2
Molecular Biology and Biochemistry, University of California, Irvine,
United States;
3
Research and Innovation center, University Hospital of
Reims, Reims, France
Introduction:
The aim of our study is to evaluate the nutritional status
in an acute geriatric unit.
Method:
Inclusion of patients hospitalized in the acute geriatric unit,
during a period of 6 months. Nutritional status was evaluated with
anthropometric measurements, MNA, and biological measurements
(albumin). Frailty was evaluated using two scales: FRIED and SEGA.
Results:
359 patients were included. 34.64% had a BMI of <20 kg/m
2
,
32.24% had a brachial circumference of <21 cm, 59.22% had a calf
circumference of less than <31 cm, and 53.37% had hypoalbuminemia.
16.67% were malnourished and 42.95% were at risk of being
malnourished (MNA). According to FRIED, 1.95% of the population
was pre-frail, and 98.05% frail. According to SEGA, 10.86% were non-
frail, 15.88% were at risk of frailty, and 73.26% were frail. No correlation
found between frailty and MNA, whether using FRIED (p = 0.95) or
SEGA (p = 0.074), nor between BMI and frailty (FRIED p = 0.34; SEGA
p = 0.4), nor between brachial circumference and frailty (FRIED
p = 0.38, SEGA p = 0.1), nor between calf circumference and frailty
(FRIED p = 0.22; SEGA p = 0.06), nor between hypoalbuminemia and
frailty according to FRIED (p = 0.16). The only significant result was for
hypoalbuminemia and frailty according to SEGA (p = 0.023).
Conclusion:
Our study does not show evidence of a significant link
between malnutrition according to the MNA and anthropometric
measures, and frailty. We find a link between hypoalbuminemia and
frailty according to SEGA.
Area: Geriatric education
P-394
Geriatrics and paediatrics teaching in Portuguese Medical Schools
M. Amaral
1
, L. Massena
2
, F. Matias
3
, N. Cardoso
4
.
1
Unidade de Saúde
Familiar (USF) Covelo, Porto,
2
USF Nova Via, Vila Nova de Gaia,
3
USF Novo
Sentido,
4
Universidade do Porto, Porto, Portugal
Introduction:
Motivated by the contracting nature of the Portuguese
age pyramide, and thereby the ever increasing Geriatric population
associated with a decreasing Paediatric population, our goal is to
assess the adequacy of Geriatrics versus Paediatrics teaching (GT and
PT, respectively) in Portuguese Medical Schools (PMSs) offeringMaster
degrees in Medicine.
Methods:
Comparison of European Credit Transfer and Accumulation
System Credits (ECTSs) of PMSs
’
curricula, accessed online in April
2016. Only 7 PMSs were considered, since the remaining are not ECTS
conformant.
Results:
Geriatric-related courses (mandatory or optional) account for
10.5 to 80 ECTSs (2.9
–
22.2%): only 5 PMSs offer Geriatric-specific
courses (5.1 ECTSs, on average). In contrast, Paediatric-related courses
account for 33 to 103.5 ECTSs (9.2
–
28.8%). There are specific Paediatric
courses in 6 PMSs, representing an average of 18.8 ECTSs.
Key conclusions:
Even though, epidemiologically, Geriatric and
Paediatric populations are comparable in size, the PMSs devote a
significantly larger share of the ECTSs with PT than with GT. Also, we
observed a larger availability of Paediatric-specific courses when
compared with Geriatric-specific courses. Since the ratio between
Geriatric and Paediatric populations is expected to increase, we
suggest a re-evaluation of the teaching necessities taking into account
the actual needs. Strengthened by the fact that Portugal is soon facing
a scenario of Paediatrician unemployment, this re-evaluation may
not only improve the population
’
s quality of life but also the quality/
efficiency of service.
Keywords:
geriatrics; gerontology; elder; ageing; children; paediat-
rics; adolescent; youth; juvenile.
P-395
Geriatrics teaching in Portuguese Medical Schools
F. Matias
1
, M. Amaral
2
, L. Massena
3
, N. Cardoso
4
.
1
Unidade de Saúde
Familiar (USF) Novo Sentido, Porto,
2
USF Covelo, Porto, Portugal,
3
USF
Nova Via, Vila Nova de Gaia,
4
Universidade do Porto, Porto, Portugal
Introduction:
Motivated by the fact that, in 2014, the Geriatric
population (over 64 years old) accounted for 20.1% of the Portuguese
population, our goal is to determine the prevalence of Geriatrics
’
Teaching (GT) in Portuguese Medical Schools (PMSs) offeringMaster of
Science degrees in Medicine.
Methods:
Comparison of European Credit Transfer and Accumulation
System Credits (ECTSs) of PMSs
’
curricula, accessed online in April
2016. Only 7 PMSs were considered, since the remaining are not ECTS
conformant. Keywords: geriatrics, gerontology, elder, ageing.
Results:
Most of the ECTSs concerning Geriatrics are integrated in
courses such as Internal or Family Medicine: only 5 PMSs offer courses
specifically oriented to the Geriatric Population. The ECTSs concerning
mandatory Geriatrics-related courses range from 10.5 to 65 (2.9
–
18.1%) of the total 360 ECTSs. Regarding the optional courses, the offer
varies from 0 to 15 ECTSs (0
–
4.2%). Finally, Geriatrics-specific courses
’
ECTSs range from 1.5 to 8 ECTSs (0.4
–
2.2%).
Key conclusions:
Considering the contracting nature of the
Portuguese age pyramid, and thereby the ever increasing Geriatric
population, we can conclude that the panorama of GT in Portugal is
sub-optimal. This can be further observed in higher levels of education
by the non-recognition of Geriatrics as amedical speciality. We suggest
that efforts should be made to improve GT to better prepare future
physicians for the population
’
s needs. The suitability not only arguably
improves the population
’
s quality of life but also the quality/efficiency
of service.
P-396
Discussion of falls at outpatient visits in the elderly: a learning
opportunity
C. Chen, P.Y. Takahashi, A. Chandra.
Mayo Clinic, Rochester MN, USA
Introduction:
Falls are common in the elderly and are associated with
adverse outcomes. Traditional care models and teaching may not
incorporate screening for falls. We conducted this study to evaluate
documentation and assessment of falls at outpatient visits among
elderly patients who had previously reported falls with injury.
Methods:
This was a retrospective analysis of office visits over a 3 year
period by patients over 65 years in an academic internal medicine
outpatient practice. Data were obtained from electronic medical
records (EMR) of a computer generated random sample of 216 (50%)
patients who had self-reported falls with injury in the past year.
We studied differences in the documentation and evaluation of falls
based on visit type; acute (30minutes) or preventive (45minutes), and
provider type; experienced or trainees.
Results:
165 (76%) of the visits were for acute care and 51(24%) were
for preventive evaluation. History of falls was acknowledged in 33%
Poster presentations / European Geriatric Medicine 7S1 (2016) S29
–
S259
S134