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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).


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.


Lipid peroxidation in elderly patients with rheumatoid arthritis


I. Knani


, S. Hammami


, S. Zrour


, H. Bouzidi


, N. Bergaoui



M. Hammami


, M. Kerkeni




CHU F Bourguiba Department of internal

Medicine, Faculty of Medicine, Research Laboratory LR 12ES05,


Department of Rheumathology CHU F Bourguiba

s Hospital, Monastir,



s Hospital, Mahdia, Tunisia


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).


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).


The levels of MDA and CD were achieved in the Research

Laboratory (LR12ES05 Faculty of Medicine in Monastir (Tunisia).


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.


We can conclude that there is a significant association

between the oxidative stress and aging of patient with RA.


The role of the ortho-geriatrician in the management of the

patient with fracture

S. Hammami


, A. Meziani


, I. Almas


, C.H. Dumont


, V. Latteur





F Bourguiba Department of Internal Medicine, Faculty of Medicine,

Monastir, Tunisia,


Grand Hôpital de Charleroi Belgique


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


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).


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.


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.


30 day and 180 day readmission following geriatric in-patient


L.D. Hughes, L. Cochrane, M.D. Witham.

University of Dundee


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.


Admissions for in-patient rehabilitation over a 10-year

period were identi


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.


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


0.999] p = 0.018) and congestive cardiac failure (CCF) (1.621


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


p = <0.001), previous myocardial infarction (MI) (1.265 [1.077


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.


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.


Geriatric assessment data on elderly men and women living in the

society the relation with gender

E. Kandemir


, T. Sivrikaya


, G. Bahat


, C. Kilic


, S. Avci


, M.A. Karan




Division of Geriatric, Department of Internal Medicine, Faculty of

Istanbul Medicine, Istanbul University,


Division of Geriatric, Department

of Internal Medicine, Faculty of Cerrahpasa Medicine, Istanbul University,


Faculty of Istanbul Medicine, Istanbul University, Istanbul, Turkey


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.


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