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71.9 (11.0) p-value 0.513. Overall prevalence rates (%) of falls (CI95%) in

the 16 European countries was 5.18 (4.99

5.37). The prevalence was

higher inwomen in all countries with a clear north-south pattern. The

ratio women/men varied from 1.3 in Sweden and Denmark to 3.7 in

Italy. Portugal presented the highest rate among women [12.53


14.67)] and Hungary among men [6.46 (4.63

8.29)]. The

lowest rates were in Slovenia for women [3.22 (2.28

4.16)] and in

Switzerland [1.29 (0.68

1.90)] for men.


The prevalence of falls among elders showed accentuated

disparities between countries and by sex. It is important to understand

the reasons behind falls in elderly to implement effective preventive

campaigns and actions to minimise falls risk.


Causes and risks of falls in patients treated in a geriatric clinic:

proposal of an algorithm for the management

A. Gruschwitz, R.J. Schulz.

St. Marienhospital Cologne


Falls as a geriatric syndrome are one of the major

contributors of morbidity and mortality in people of older age. Proper

management of causes and risks of falls is a major task in a geriatric



We are currently developing a new algorithm to systemat-

ically diagnose and treat causes and risk of falls in patients referred to

our clinic of geriatric medicine. Our algorithm attempts to consider

the challenges to evaluate syncope and pre-syncompe in cognitively

impaired patients, specific symptoms like vertigo, standard judgement

of multiprofessionally obtained results of geriatric assessment, as well

as diagnostic possibilities and ressources. The primary goal is to reduce

frequency of falls during the hospital stay, and addition after dismissal

of the patient. We regularly capture events of falls in our patient

database and will compare frequencies before and after introduction

of our algorithm.


Details of the composition of the algorithm as well first

outcome data will be presented at the meeting.


Establishment of a standard algorithm to assess and

manage causes and risks of falls in the setting of a geriatric clinic may

help to better weigh musculoskeletal, neurological, cardiovascular,

and other fall determinants in individual patients and as a conse-

quence to better decide on further diagnostic procedures as well as

targeted treatment approaches, including highly specific physical

therapy and a accurate recommendations for the general practitioner

managing patients after the hospital stay.


Detecting diabetes mellitus and prediabetes in patients with acute


M. Randles, A. O

Connor, E. Hannon, N. Harnedy, S. Cronin.


of Geriatric Medicine and Neurology

Stroke is a leading cause of death and disability [1]. Control of

modifiable risk factors is the most effective approach to decreasing the

burden of stroke [2]. The purpose of this study was to determine the

prevalence of diabetes mellitus (DM) and prediabetes (pre-DM) in

acute stroke patients in an Irish population. We conducted a

retrospective review of the records of stroke patients admitted to

Cork University Hospital from 9th March 2014 to 9th March

2015. HbA1C and fasting glucose measurements during admission

were recorded. DM and pre-DM prevalence levels were determined

using both HbA1C and fasting glucose level. Among 445 strokes

admitted to CUH, 383 (86%) had a test for diabetes performed. 241

(54%) had a HbA1c check, while 252 (57%) had a measurement of

fasting glucose performed. 39 (9%) had a HbA1c level >47 mmol/L. 40

(9%) had a HbA1c between 42 and 47 mmol/L. 27 (6%) had a fasting

glucose greater than 7 mmol/L. The rate of Impaired Fasting Glucose

varied from 7% to 21% dependant on range used. In our study 6


of acute strokes had either a fasting glucose or HbA1c consistent

with DM, while 7

21% had pre-DM. The rate of detection of DM and

pre-DM varies with diagnostic test performed, suggesting that both

HbA1c and fasting glucose should be performed in cases of acute



1. Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Connor

M, Bennett DA,

et al.

Global and regional burden of stroke during


2010: findings from the Global Burden of Disease Study 2010.




2. Meschia JF, Bushnell C, Boden-Albala B, Braun LT, Bravata DM,

Chaturvedi S,

et al.

Guidelines for the primary prevention of stroke:

a statement for healthcare professionals from the American Heart

Association/American Stroke Association.





Colon-specific automated massage ameliorates idiopathic chronic

constipation in aged women

I. Herrero-Fresneda


, M. Benet


, A. Calzada


, M. Wilhelms





L., c/LLacuna 162, 08018 Barcelona, Spain


The colon-specific abdominal massage has been shown

effective in treating constipation. To study the efficacy of a medical

device that automatically reproduces this manual massage we

conducted a pilot study with chronically constipated aged people.


n = 8 women (50

86 yo), chronically constipated for >5 y

due to idiopathic causes, w/o anal sphincter dysinergia and not using

the manual abdominal massage, received 15min automatic massage,

once a day for 15 days, administered with the medical device

MOWoOT. Abdominal massage was an additional treatment; patients

did not suspend any of their prescribed therapeutic regimens. Before

and after the treatment patients answered questionnaires for fecal

consistency (Bristol scale), chronic constipation (CCCS) and Quality-of-

Life scores (CVE-20). During the treatment they filled in an evacuation

diary. Each patient serves as her own control. Quantitative variables

were analyzed with paired t-Test. Non-parametric variables with

Mann-Whitney test. P < 0.05 was considered statistically significant.


2 people (50yo each) were excluded due to not compliance.

There was not any reported adverse effect. Results showed a clear

increase in the median number of depositions per week (from 4 to 6,

P = 0.006); an amelioration in fecal consistency (from 3 to 5, Bristol

P = 0.056), in min/deposition (from 7 to 3

8, P = 0.020) and in whole

constipation score (CCCS from 12 to 8, P = 0.001). All patients reported

comfortable sensation during the automated massage.


The colon-specific automatic massage improves the

frequency of evacuations and fecal consistency ameliorating idiopathic

chronic constipation in aged women.


Cool down! Minimizing health risks of elderly people during heat


H.-P. Hutter


, A. Arnberger


, B. Allex


, R. Eder


, F. Kolland


, A. Wanka



B. Blättner


, H.A. Grewe


, M. Kundi


, P. Wallner




Institute of

Environmental Health, Center for Public Health, Medical University

Vienna, Austria;


Institute of Landscape Development, Recreation and

Conservation Planning, University of Natural Resources and Life Sciences



Institute of Sociology, University of Vienna,


Department of

Nursing and Health Sciences, University of Applied Sciences Fulda,


Medicine and Environmental Protect


Intensive heat has negative impacts on human health

resulting in higher morbidity/mortality during and past heat waves.

Particularly at risk are (very) elderly and socially isolated persons. Aim

of our study

Cool towns for the elderly

protecting the health of

elderly residents against urban heat

was, inter alia, to explore how

elderly people perceive heat and how they adjust their behaviour in

response to heat. Targeted adaptation strategies were to be developed.


Using standard questionnaires (SF-6, de Jong-Gierveld

loneliness scale) 400 subjects (>65 years) living in four different

urban districts (varying proportion of green spaces, differences in

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