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Studies don

t include patients in this group, which

entails complex decisions. We conclude that treatment should focus

on functional status and not in patients age.


Nutritional assessment of elderly people with pressure ulcer


T. Santos, M. Cravo.

Serviço de Dietética e Nutrição e Serviço de

Gastroenterologia do Hospital Beatriz Ângelo

The objective of this study was the assessment of the nutritional

situation of a population of elderly individuals and its possible

association with Pressure Ulcer (PU) occurrences. 80 elderly patients

(40 with PUs and 40 without PUs) have been assessed from January to

March 2016 on parameters such as sociodemographic background,

clinical history, anthropometric parameters (Body Mass Index (BMI),

Arm Circumference, Geminal Perimeter (GP), Triceps Skinfold, Sub-

Scapular Skinfold), body composition (Fat Free Mass (FFM), Fat Mass

(FM), Phase Angle), nutritional risk (MUST


), subjective nutritional

assessment (MNA


) and biochemical parameters (haemoglobin, total

proteins, albumin and total cholesterol). The risk of development of

PUs has been assessed through the Braden Scale. 40 patients from the

Case Group (Case), 72.5% women and 27.5% men, averaging 83.5 ± 6.3

years old and 40 patients from the Control group (Control), 50%

women and 50% men, averaging 81.6 ± 8.4 years old. As per BMI, 45%

of the Case patients showed malnutrition, while in the Control it

was 32.5%. Following MNA


, 97.5% of patients showed malnutrition

in Case, while only 7.5% in Control. 92.5% of the patients from

Case revealed albumin concentration under 3.5 mg/dL, while in

Control it was only 22.5%. Between both groups, statistical differences

have been seen in GP (Case = 27.7 cm and Control = 30.3 cm; p = 0.008),

FFM (Case = 35.3 cm and Control = 41 cm; p = 0.002), albumin

(Case = 2.7 mg/dL and Control = 3.8 mg/dL; p = 0.000) and total chol-

esterol (Case = 121 mg/dL and Control = 148.9 mg/dL; p = 0.000).

Albumin (OR: 0.99, 95% CI [0,001

0,102], p = 0,000) and total

cholesterol (OR: 0.974, 95% CI [0,948

1,000], p = 0,000) have been

seen as a protective factor for the occurrence of PUs. An appropriate

nutritional assessment of patients with PUs can reduce further

deterioration of general health condition, reduce hospital stay and

reduce overall care and treatment cost, ultimately contributing

improve patients quality of life.


Breast cancer incidence and survival in elderly women

during the 1989

2012 period: a population based-study in a

French area

L. Schoutteten


, M. Colonna


, H. Curé


, P. Delafosse


, N. Mitha



N. Zerhouni


, G. Gavazzi


, A. Seigneurin




Medical Oncology Unit,

Grenoble Alpes Universisty Hospital,


Cancer Registry of Isère,



Unit, Grenoble Alpes Universisty Hospital, La Tronche, France


The purpose of our study is to analyse incidence

evolution of breast cancer diagnosed from 1989 to 2012 in elderly

women (>75 y), in a French area. We compared it to other age group


74 years) and established overall and relative survivals at 1 year, 5

years, 10 years.


This cohort study was based on appropriate population-

based cancer registry data. We used the software JoinPoint to identify

trend break and estimate annual incidence change.


6,172 women aged 50 to 74 years and 1,893 women aged over

75 years were analysed. The incidence increased, per year, by 7.5%

(IC 95%: 4.1

10.9%) and by 1% (IC 95%: 0.4

1.5%) for elderly women

who had in situ and invasive breast cancer respectively. Overall

survival of women aged over 75 years was 87% (IC 86

89%), 57%

(IC 54

59%) and 31% (IC 73

76%) at 1 year, 5 years and 10 years

respectively and was 97% (IC 97

97%), 85% (IC 84

86%) and 74% (IC 73

76%) in women aged of 50 to 74 years. Relative survival for women

aged over 75 years with invasive breast cancer was 93% (IC 91


78% (IC 75

82%) and 67% (IC 61

74%) at 1, 5 and 10 years respectively

and was 98% (IC 97

98%), 89% (IC 88

90%) and 82% (IC 81

83%) for

women aged of 50 to 74 years.


Women aged over 75 years exhibited more stage IV. They

underwent less surgery and lower survival. A greater disease severity

at the time of diagnosis, and less-effective treatments given to elderly

patients are the most plausible explanations for lower survival.


Gastric antral vascular ectasia

a rare cause of gastrointestinal

bleeding in the elderly

S. Sintra, C. Filipe, A. Simão, A. Carvalho.

Centro Hospitalar e

Universitário de Coimbra, Coimbra, Portugal


Gastric antral vascular ectasia (GAVE) syndrome,

also known as watermelon stomach, is a rare but significant cause of

acute or chronic gastrointestinal blood loss in the elderly. The

initial presentation may include occult blood loss leading to

transfusion-dependent chronic iron-deficiency anemia, severe acute

upper-gastrointestinal bleeding, nonspecific abdominal pain, or even

gastric outlet obstruction.

Clinical case:

A 87-year-old female patient is brought to the

emergency department for blood transfusion due to anemia. Past

medical history included arterial hypertension, hypothyroidism, diet-

controlled diabetes mellitus and chronic kidney disease for which

she was medicated with darbepoetin alfa for 9 months. She presented

with asthenia and denied visible blood loss. At the admission she

was conscious, hemodynamically stable and presented with skin

pallor. There was no acute blood loss. Laboratory findings showed

microcytic hypochromic anemia (hemoglobin 5.8 g/dL, mean corpus-

cular volume 76.5 fL, mean corpuscular hemoglobin 22.4 pg), ferritin

8 ng/mL, creatinine 1.5 mg/dL, normal hepatic function, platelet

count, prothrombin time, and international normalized ratio. Upper

endoscopy revealed extensive friable vascular ectasias. Although the

anemia was consistent with iron deficiency, the hemoglobin level

invariably decreased to pretransfusion levels within two weeks of

blood transfusion (with a minimum of 3.9 g/dL). After 5 treatment

sessions with argon plasma coagulation, she finally reached a stable

hemoglobin value of 14.4 g/dL.


Althoug GAVE syndrome is a rare medical condition and

represents a diagnostic challenge, it is a cause to consider in elderly

patients with severe anemia and occult or profuse gastrointestinal



Is the risk of malnutrition associated with NTproBNP

concentration in the elderly?

A. Skalska


, A. Pac


, P. Fatyga


, M. Fedyk-




, T. Grodzicki




Department of Internal Medicine and Gerontology, Jagiellonian

University Medical College,


Chair of Epidemiology and Preventive

Medicine, Jagiellonian University Medical College, Krakow, Poland


The aim of the study was to assess relationship between

nutritional status and NTproBNP concentration in older person.


NTproBNP concentration, medical history and risk of

malnutrition with Mini-Nutritional-Assessment was evaluated in

patients followed in geriatric outpatient clinic. Body composition

was measured with dual energy X-ray absorptiometry. Relationship of

nutritional status with NTproBNP concentration (in quartiles) was



Mean age of 106 examined persons (58.5% men) was

73.1 ± 8.99 years. Heart failure was diagnosed in 77 (72.6%) patients,

in 6 (22.3%) in 1st quartile of NTproBNP concentration, in 19 (73.1%) in

2nd quartile, in 26 (96.3%) in 3rd, and in 26 (100%) in 4th quartile. Risk

of malnutrition was recognized in 30 (28.3%) patients, and percentage

of patients at risk increased in subsequent NTproBNP quartiles

from 18.5% in 1st to 46.2% in 4th quartiles (p = 0.019). Also BMI

decreased from 29.4 kg/m


in 1st to 26.8 kg/m


in 4th quartile

(p = 0.048), and total body fat decreased from 40.6 ± 6.4 kg in 1st

quartile to 30.3 ± 8.2 kg in 4th quartile of NTproBNP concentration

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