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could be a contributing factor for this lack of information. There is an
overall preference for provision of care by informal caregivers when
patients need help, nevertheless almost all patients receive profes-
sional help. Generally it seems important to explain more about
geriatric rehabilitation before admission and include caregivers in
planning healthcare.
P-443
Relationship between gait parameters, functional tasks
parameters during the test timed up and go extended with clinical
variables (quality of life) in frail and non-frail elderly population
A. Galán-Mercant
1,2
, M. González-Sánchez
1,2
, T. Tomás
3
, A. Cuesta-
Vargas
2
.
1
University of Jaén,
2
IBIMA Institute, University of Malaga, Spain;
3
Escola Superior Tecnología de Saude de Lisboa, Portugal
Introduction:
The physical fitness level expressed through gait and
other functional tasks parameters are variables to consider in the
perception of quality of life in healthy elderly and frail elderly.
Objectives:
The aims of the present study was to analize the
relationship between gait parameters, functional taks parameters
during the test Timed Up and Go Extended with clinical variables
(Quality of Life) in both groups.
Methods:
A cross-sectional study in 30 subjects over 65 years, 14 frail
and 16 non-frail. Participants were classified with frail syndrome by
the Fried criteria. They were measured variables related with
anthropometrics, Frail Syndrome and total and partials score
(seconds) in the Timed Up and Go Extended Test. The partials in the
Timed Up and Go Exteded were: sit to stand, gait go, turn, gait come
and stand to sit. Clinical variables measured were Euro-QoL 5D
questionnaire.
Results:
Significant correlation in the non-frail group were between
the perception in the quality of life with two partial time scores and
total time score in Timed Up and Go test Extended (p > 0.05).
Significant correlation in the frail group were between the perception
of quality of lifewith the total time score and five partial time scores in
the segmental analysis (p > 0.05).
Conclusions:
From the linear correlations, we could conclude that
there is a statistically significant relationship between variables
derived from the Timed Up and Go test Extended (total and partial
scores) and perception of quality of life in a frail and non-frail older
population.
P-444
Orthogeriatrics Unit: an opportunity to medication reconciliation
in the elderly with hip fracture
R.P. López
1
, M.M. Luis
2
, C.P. Hernández
1,3
, A.G. Ramírez
3
, J.M.
J. Enríquez
1
, J.F.B. Blanco
1
.
1
Orthogeriatric Unit, Universitary Hospital of
Salamanca,
2
Internal Medicine Department, Centro Hospitalar Gaia/
Espinho, Porto, Portugal;
3
Geriatric Unit, Universitary Hospital of
Salamanca, Salamanca, Spain
Introduction:
The elderly with hip fracture register a common
prescription habit of 8 medicines, with possible adverse reactions
–
inadequate polypharmacy.
Objective:
Therapeutic adjustements (TA) in patients with hip fracture
admitted in an Orthogeriatric Unit were performed. Its registration
and follow up were pursued.
Material and methods:
Epidemiologic, observational, descriptive
study performed during 30th April 2015
–
8th June 2015. Population:
elderly patients with admission diagnosis in an Orthogeriatrics Unit
of hip fracture in this period of time. Pharmacological treatment
information sources: MedoraR, JimenaR, FarmatoolsR, anamnesis.
Bibliographic sources: STOPP-START criteria. Database and its analysis:
File MakerR.
Results:
189 TA were registered in 58 patients (42 women, 16 men).
Mean age 86 (+/
−
8) year-old. 3,7 TAwere registered per patient and 6,2
per workday. The most frequent TA implied were: 46 medicines were
switched because of absence in hospital pharmacological guide
(mainly ARA II and statins). Posology adjustment to admission
’
s
clinical situation was performed in 16 of 20 TA: antihypertensives in 9
AT and oral antidiabetics in 7. More adequate medicines in the frail
patient were the option in 10 of the 12 TA, 8 of which being
psychotropic agents.
Conclusion:
The elderly admission in an Orthogeriatric Unit due to hip
fracture may be a golden opportunity to review and adjust pharma-
cological treatment in inadequate polypharmacy. Antihypertensive
drugs, statins, oral antidiabetics and psychotropic agents were the
most often adjusted medicines.
P-445
Impact of body composition and its changes on all-cause mortality
in subjects older than 65 years
C.E. Graf
1
, V.L. Karsegard
2
, A. Spoerri
3
, A-M. Makhlouf
2
, S. Ho
2
, F.
R. Herrmann
4
, L. Genton
2
.
1
Medical Rehabilitation Division,
2
Clinical
Nutrition,
4
Division of Geriatrics, Geneva University Hospitals and
University of Geneva, Geneva,
3
Institute of Social and Preventive Medicine,
University of Bern, Bern, Switzerland
Objectives:
A low or high body mass index (BMI) has been associated
with increased mortality risk in older subjects without taking into
account body composition like fat mass index (FMI) or fat-free mass
index (FFMI). This study aims to determine the influence of body
composition and its changes, on mortality in older subjects.
Methods:
We included all adults over 65 years old who were living in
Switzerland and had a body-composition measurement by bioelec-
trical impedance analysis at the Geneva University Hospitals between
1990 and 2011. The impact of body composition and its changes were
evaluated by Cox regression models while adjusting for sex, age and
co-morbidities. Mortality data were retrieved from the hospital
database, the Geneva death register, and the Swiss National Cohort
until December 2012.
Results:
Of 3,181 subjects included, 766 women and 1,007 men died at
a mean age of 82.8 and 78.5 y, respectively. Sex-specific Cox regression
models showed that body composition did not predict mortality in
women. In men, risk of mortality was lower with FFMI in quartile 4
(HR: 0.72; 95% CI: 0.54, 0.96). Regarding the changes of body
composition, 791 persons had at least two measurements. Among
these people and after adjustment for sex, age and co-morbidities, a
loss of FFMI, but not of FMI or BMI, increased the risk of mortality (HR
2.02, 95%CI 1.28
–
3.19).
Conclusion:
Low FFMI but not FMI is a predictor of mortality in older
men but not in older women. Furthermore, FFMI loss is related to
increased mortality in older persons.
P-446
The effect of falling history on balance among hypertensive
geriatric individuals
F. Hajebrahimi
1
, Z.C. Algun
1
.
1
Istanbul Medipol University, Istanbul,
Turkey
Objectives:
The higher incidence of hypertension and impaired
balance are common among elderly people. This study is designed
to find out the relationship between falling history and the balance
behavior of the elderly people among hypertensive and normotensive
groups.
Methods:
61 geriatric individuals were included in our study. All the
patients were 65 years old and older. Demographic and clinical
information of the participants were recorded. Gait was measured by
Timed Up and Go Test (TUG) and balance performance was measured
by Nintendo Wii.
Results:
While only 23.3% of the participants in the normotensive
group had a history of falling, 41.9% of the participants in the
hypertensive group had a history of falling.
Participants with a history of falling presented the same balance
performance in both hypertensive and normotensive groups.
Therefore by having a history of falling, balance performance
seemed to be independent to hypertension. Statistical analysis also
showed that the participants without a history of falling showed
Poster presentations / European Geriatric Medicine 7S1 (2016) S29
–
S259
S147