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mRankin = <2. Were identified comorbidities in 84.5% of patients and

the complications, the prevalence of anemia was (53.03%) and urinary

tract infections (19.70%). There was a gain in functionality regarding

in admission to the unit in 82.7% and to the previous functional status

of 24.5% (p = .0001). As to mortality we had 0.9% and 82.7% were

discharged to home.


Our study indicates that co-management of hip fracture

patients by multidisciplinary team is effectiveness in the control of

comorbidities, reduced complications, gains in functionality and low

mortality. The concept should be further developed particularly

among the frail elderly.


Gender differences in caregiver strain? A post hoc analysis

A.A. Lefebre -van de Fliert, C.M. Tamis, L. Los, M. van Eijk,

W.P. Achterberg.

Leids Universitair Medisch Centrum


After rehabilitation, most stroke survivors are dis-

charged home, where the informal caregivers provide the care that

is needed to function in the home-situation. We hypothesized

that these caregivers experience strain based on functional abilities

as well as neuropsychiatric symptoms of the person they provide

care for.


The Caregiver strain Index (CSI), used to determine caregiver

strain, was dichotomized at the cut off of 7/14. Barthel Index (BI) was

used for assessing functional abilities and the neuropsychiatric

Inventory (NPI) was used to assess neuropsychiatric symptoms. Data

were collected 3 months after discharge from geriatric stroke

rehabilitation in patients and their informal caregivers. A multivariate

binary regression model was built to determine the independent

relationship of BI and NPI with caregiver strain.


Our sample consisted of 72 patients with an average age of 78

years. Thirty-one patients were male. The data showed a significant

interaction for BI and gender, resulting in 2 different models. For males

BI as well as NPI independently related to CSI, with an odds ratio of

0.61 (95% CI 0.40

0.94) and 1.32 (95% CI 1.04

1.67) respectively. This

was not the case for female stroke survivors. The BI nor the NPI showed

an independent relation with caregiver strain.

Key conclusions:

We found that caregiver strain was determined by

lower functional abilities and higher scores on the NPI, but this was

only the case in male stroke survivors. We hypothesize that most male

stroke survivors will have female spouses, putting these caregivers at

higher risk for greater strain.


New technologies in rehabilitation of upper limbs

R. López-Liria


, J.J. Gutiérrez-Giménez


, F.A. Vega-Ramírez



P. Rocamora-Pérez




University of Almería. Almería. Spain


To show the latest trends in technology for the rehabilita-

tion of the upper limb, its impact on research and clinical practice and

the current lines of development.


Systematic review. The search for articles was conducted

in the databases PudMed and PEDro, using as restrictors date of

publication in the last 10 years and randomized controlled trials. The

selection criteria were: articles in which the effects of new technolo-

gies in patients with upper limb functional deficits were evaluated.

Only those studies that referenced in the title to virtual reality, robotics

and telemedicine/remote rehabilitation, telerehabilitation or new

technology were included in the review.


17 articles were selected, in which different treatments based

on the use of new technologies were applied. Almost all analyzed

articles described the advantages of using new technologies in the

treatment of patients who had suffered a CVD, with the exception of

a study that referred to humerus fracture treatment. Two of them

focused on virtual reality, 7 were related to robotics, 3 addressed the

issue of telerehabilitation, and 5 considered a combination of devices.

The variables under study were: main motor function, range of motion

and ability to perform activities of daily living. The scales used for

the assessment were the Fugl-Meyer, the Action Research Arm Test, a

scale to measure the range of motion and the Barthel index.


The use of new technologies appears to be effective in

the recovery of upper limb function, being adaptable to each case,

increasing patient

s adherence to treatment and allowing assistance

whatever the location of the patient.


Chronic diseases in RITH (rehabilitation in the home): a cross-

sectional descriptive study

R. López-Liria


, F.A. Vega-Ramírez


, P. Rocamora-Pérez


, M.I. Segura-





University of Almería. Almería. Spain


To describe the most prevalent disorders in chronic

patients referred to RITH (Rehabilitation in the home) in Almería

province (South Spain).


We carried out a cross-sectional descriptive study to

describe the home care provided, the characteristics of its imple-

mentation, and its results on patients and their functional



The main diagnoses were motor impairment, hip fracture and

replacement, stroke, knee replacement, chronic obstructive pulmon-

ary disease and Alzheimer

s disease. In relation to the descriptive

study about RITH developed in Almería province, it was shown that the

aim of this service (bring the physiotherapy service to the home) is to

fulfill the social and health needs of those patients with functional

limitations due to different diseases, for whom the transfer from their

home to the rehabilitation center is not only difficult and highly cost,

but also stressing and tiring for the patients themselves, with risk of

new comorbidities. In addition, it was proved that this service

improved the functional ability of the patients, according to the

Barthel Index. The effect in user

s satisfaction confirms the effective-

ness of this service (as users would ask for this service again in the

future), and provides us with results criteria in the terms of the person

that receives the service.


Innovative approaches in the management of chronic

diseases have become a basic tool for decision making in healthcare

systems, in order to prevent looses in quality of life and personal

autonomy related with disability.


Elderly functional assessment outcomes: two years analysis of a

tertiary hospital population sent to long-term care

M.M. Luís, A.A. Sousa, R. Veríssimo, A. Oliveira.



Functional capacity refers to autonomy in perform-

ing activities of daily living (ADL) that predict mortality and hospi-

talization of dependent older people. We conducted a 2-year

retrospective cohort study of elderly living in long-term care faci-

lities (LTC), aiming to assess: functional capacity at discharge using the

Katz scale (KZ), its association with readmission to acute care and



Participants were the referenced patients to National

Network of Long-Term Integrated Care [RNCCI] from January 2013

December 2014. The KZ was stratified and applied on discharge.

Statistical analysis utilized chi-squared for pvalue < 0.05 and relative



387 patients were referenced to RNCCI, and 81.4% (315/387)

were identified as elders (age

65 years), 58.1% of the patients were

females, the median age was 80 and interquartile range 68

84 years.

When stratifying using the KZ: minimal change in functionality in 1.3%

[n = 5], moderate change in 50.6% [n = 196] and total dependence in

48.1% [n = 286]. The overall mortality in RNCCI was 151 (39%). Bivariate

analysis related to total dependence: the mortality was 1.94 (95% CI:


2.38), and readmission ratewas 1.34 (1.06

1.69). The older group

is not associated with mortality, readmission and total dependence.

Nevertheless, the older with total dependence is associated to

mortality: 2.11 (CI 1.68

2.71), and readmission: 1.54 (CI 1.01



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