154 / 290
different performances in TUG and Nintendo Wii parameters between
two groups. There was a significant statistical difference in TUG, Wii
single leg balance seconds, Wii single leg balance performance
percentage and Wii Fit Age between hypertensive and normotensive
groups (p < 0.05).
Conclusion:
Not having a history of falling does not guarantee the
good balance among hypertensive geriatrics. For the elderly people
without a history of falling but presence of hypertension, attention to
balance performance and physical activities is suggested.
P-447
Lipid peroxidation in elderly patients with rheumatoid arthritis
(RA)
I. Knani
1
, S. Hammami
1
, S. Zrour
2
, H. Bouzidi
3
, N. Bergaoui
2
,
M. Hammami
1
, M. Kerkeni
1
.
1
CHU F Bourguiba Department of internal
Medicine, Faculty of Medicine, Research Laboratory LR 12ES05,
2
Department of Rheumathology CHU F Bourguiba
’
s Hospital, Monastir,
3
Mahdia
’
s Hospital, Mahdia, Tunisia
Objectives:
Inflammatory rheumatic disorders such as rheumatoid
arthritis, diabetes and cardiovascular diseases are characterized by
an important oxidative stress. The oxidative stress is a marker of
inflammation and mutagenesis that contribute to the cardio-vascular
diseases. Lipid peroxidation is a marker of oxidative damages in lipids
and it is implicated in the development of atherosclerosis. We aim to
evaluate the prevalence of oxidative stress in elderly with RA based on
lipid peroxidation : dosage of malondialdheyde MDA and conjugated
diene CD (in plasma and erythrocyte).
Methods:
Our study included 80 patients (53,19 ± 10,9 years) with RA
with a period of evolution of the disease 11,39 ± 8,16 years. They were
recruited from the Rheumatology and Internal Medicine department
of F. Bourguiba Hospital in Monastir (Tunisia). We divided these
patients into two groups depending on the age: G 1 (age <60, n = 55),
and G 2 (age
≥
60, n = 25).
Results:
The levels of MDA and CD were achieved in the Research
Laboratory (LR12ES05 Faculty of Medicine in Monastir (Tunisia).
Results:
The level of MDA in plasma is higher in G 2 than in G 1
(0,97 ± 0,25 vs 0,84 ± 0,21; p = 0,43) while the level of MDA in
erythrocytes is not significant between the two G. The levels of CD
in plasma and erythrocytes are higher in G 2 respectively (162,98 ±
38,39 vs 135,28 ± 46,59; p = 0,008; 262,66 ± 55,52 vs 209,40 ± 73,05;
p = 0,001). Conclusion: The levels of MDA and CD in plasma and
erythrocytes are higher in elderly.
Conclusion:
We can conclude that there is a significant association
between the oxidative stress and aging of patient with RA.
P-448
The role of the ortho-geriatrician in the management of the
patient with fracture
S. Hammami
1,2
, A. Meziani
2
, I. Almas
2
, C.H. Dumont
2
, V. Latteur
2
.
1
CHU
F Bourguiba Department of Internal Medicine, Faculty of Medicine,
Monastir, Tunisia,
2
Grand Hôpital de Charleroi Belgique
Objectives:
The management of fragility, fractures requires a collab-
orative multi-disciplinary approach to care optimal patient outcomes.
The Orthogeriatric Unit has been shown to be one of the most
beneficial units. It is important to evaluate themodel of care admission
to orthogeriatric units improves clinical outcomes for patients with
hip fracture. patient with hip fracture, due to their characteristics,
require a specific care. The aim of this study were to compare the
patient profile at orthogeriatric unit and classic geriatric unit
Methods:
This is a partially concurrent prospective study, taking place
in a large urban academic hospital GHdC in Belgium. The participants
were 87 consecutive elderly people, admitted directly to a geriatric-
based orthogeriatric ward (ORTG). 107 patients were admitted to the
geriatric unit (GG).
Results:
The two groups were similar, yet ORTG patients were
somewhat older (85.2 vs 83.8 years, p < 0.07), were cognitively
better preserved (MMSE: 20.6 vs 17.4, p < 0.01), have a lower ADL
score (12.2 vs 14.2, p < 0.02) and Vit D level (17.9 vs 21.2 ng/mL
p < 0.001). Patients of the ORTG have more confusion compared to GG
(55% vs 32%, p < 0.001). The MNA score, Tinetti and The length of
hospital stay were similar for the two groups.
Conclusion:
This study contributes to the increasing body of evidence
for best practice in the management of elderly patients after fracture in
the orthogeriatric unit to benefit from multidisciplinary expertise.
Admission to orthogeriatric units improves clinical outcomes for older
patients with a geriatric profile.
P-449
30 day and 180 day readmission following geriatric in-patient
rehabilitation
L.D. Hughes, L. Cochrane, M.D. Witham.
University of Dundee
Introduction:
Recently hospitalized patients are recovering from
acute illness, alongside experiencing a period of generalized risk of
adverse health events. This study used routinely collected data, to
characterize patients readmitted to hospital after rehabilitation at a
geriatric rehabilitation unit within 30-days and 180-days of discharge.
Methods:
Admissions for in-patient rehabilitation over a 10-year
period were identi
fi
ed at one site. Data were available regarding
demographics, comorbid disease, admission and discharge Barthel
scores, length of hospital stay (LOS), and number of medications on
discharge. Multivariate analyses were performed to examine differ-
ences between readmission groups and those not readmitted.
Results:
A total of 3,984 patients were included in the analysis. After
adjustment for age, gender and comorbidities, for patients readmitted
within 30-days, age (0.979 [0.960
–
0.998] p = 0.029), LOS (0.996
[0.992
–
0.999] p = 0.018) and congestive cardiac failure (CCF) (1.621
[1.065
–
2.468] p = 0.024) were statistically significant. For patients
readmitted within 180-days, age (0.987 [0.979
–
0.996] p = 0.003),
gender (0.809 [0.715
–
0.916] p = 0.001), LOS (0.996 [0.995
–
0.998]
p = <0.001), previous myocardial infarction (MI) (1.265 [1.077
–
1.485
p = 0.004), CCF (1.551 [1.278
–
1.884] p = <0.001), diagnosis of cancer
(1.251 [1.053
–
1.487] p = 0.011), chronic obstructive pulmonary disease
(COPD) (1.246 [1.062
–
1.468] p = 0.007) and medication count on
discharge (1.027 [1.008
–
1.047] p = 0.005) were statistically significant.
Conclusion:
CCF, younger age and shorter LOS were associated with
readmissionwithin 30-days. Younger age, males, shorter LOS, previous
MI, CCF, diagnosis of cancer, COPD and medication count on discharge
were associated with readmission within 180-days. Interventions
focused upon coordinating discharges for patients with the highest
risk of readmission will be the focus of future research.
P-450
Geriatric assessment data on elderly men and women living in the
society the relation with gender
E. Kandemir
3
, T. Sivrikaya
3
, G. Bahat
1
, C. Kilic
1
, S. Avci
2
, M.A. Karan
1
.
1
Division of Geriatric, Department of Internal Medicine, Faculty of
Istanbul Medicine, Istanbul University,
2
Division of Geriatric, Department
of Internal Medicine, Faculty of Cerrahpasa Medicine, Istanbul University,
3
Faculty of Istanbul Medicine, Istanbul University, Istanbul, Turkey
Aim:
This paper aims at investigating geriatric assessment data and its
association with gender in the elderly men and women assessed
within the scope of geriatric study in Fatih District/Istanbul Province.
Tools and methods:
The study recruited elderly cases between the
age of 60 and 101, who live in society. The questionnaire covered KATZ/
Daily-Life-Activity-Scale (DLA) and LAWTON-BRODY-Instrumental-
Daily-Life-Activity-Scale (IDLA) for the functional capacity mea-
surement, Q5D-life-quality survey for life-quality-measurement, a
mini-cog test for cognitive status, GDS-SF for depression, a FRAIL
survey for vulnerability, a Romberg test and a postural instability test
for balance and walking.
Findings:
The study recruited 204 elderly cases (94 men, 110 women).
Mean age: The mean age was 75,4 ± 7.3 years. Demographics,
functionality, geriatric syndrome data of the study population and
mutual distributions among genders are presented. Out of our study
Poster presentations / European Geriatric Medicine 7S1 (2016) S29
–
S259
S148