European Geriatric Medicine - Supplement 1 - Volume 7 - October 2016

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including dementia and depression. This clinical case highlights the
importance of high suspicion of organic disease behind unspecific
symptoms and signs in this population that frequently is on the
eminency of autonomy loss, but still has great potential to recover.
P-688
SPPB score is associated with daily walking time in elderly: results
from the InCHIANTI-FARSEEING Study
V. Del Panta 1, M. Colpo1, M. Baccini2, L. Chiari3, S. Mellone3, A. Piazzi
Tsigler 1, S. Bandinelli1. 1Laboratory of Clinical Epidemiology, InCHIANTI
Study Group, LHTC Local Health Tuscany Center, 2Unit of Functional
Rehabilitation and Motion Analysis Laboratory, LHTC Local Health
Tuscany Center, Firenze, 3Department of Electrical, Electronic and
Information Engineering, University of Bologna, Bologna, Italy
Purpose: To determine the relationship between daily walking time
(WT) and physical function.
Methods: Data from 171 participants at fourth follow-up of the
InCHIANTI study, 84 men and 87 women, 79.7 ± 6.5 ys old (range
65 –98 ys) and Mini Mental State Examination ≥21. Participants wear
a 3-axial accelerometer built on Samsung Galaxy SII/III (S) to record
activity for a week. WT was recognized on accelerometer raw signals
data. Lower extremity performance was categorized into three levels
by the Short Physical Performance Battery (SPPB) score as: 12-11, 10-8
and <8. Linear Mixed Effect Models (LMEM) were used to study the
relationship of WT with SPPB after adjusting for confounders (Stata/SE
12.0).
Results: Across SPPB groups, subjects with highest lower extremity
performance walked significantly more (169.8 ± 77.1 min/day) than
those in intermediate (147.9 ± 66.3 min/day) and lowest (106.2 ± 62.5
min/day) performance. LMEM adjusted for multiple confounders
shows a consistent relationship between WT and SPPB: the estimate
differences in intermediate and high score groups compared to the
lowest group are 22.4 ± 11.5 min/day (p = 0.05) and 32.3 ± 13.5 min/
day (p = 0.02) respectively.
Conclusion: Lower extremity function is strongly and independently
correlated with WT in older persons. These data suggests that
interventions aimed at improving lower extremity function translate
into increased physical activity in older persons.
P-689
The multidisciplinary team narrative approach of the elderly
patient identified using EASI – Elder Abuse Suspicion Index © in a
Geriatric Clinic from Iasi, Romania
O. Gavrilovici1, A. Dronic2, A.I. Pâslaru3, A. Pancu4, A.C. Ilie3, I.D. Alexa 3.
1Iasi Department of Psychology, “Alexandru Ioan Cuza” University,
2Psiterra Association, 3Iaşi Department of Internal Medicine, University
of Medicine and Pharmacy “Grigore T. Popa”, 4“Dr. C. I. Parhon”
Hospital, Iasi
Introduction: Psychological abuse and neglect of elderly people is a
major problem in their management. There are many “hiding” forms
of abuse, manifesting in various forms, from mild to severe cognitive
impairment to refusing medication and nutrition.
Method: We studied the incidence of abuse on a group of 420 patients
hospitalized in a geriatric clinic in a period of 13 months. We used
EASI – Elder Abuse Suspicion Index as tool for detecting abuse. The
adaption of these principles in the organizing of the multidisciplinary
complementary service maintained the patient in the centre of the
interactions.
Results: This is an outline of the adapted narrative and dialogic
approaches in setting up a multidisciplinary team services in support
of the geriatric patient after a screening process using EASI on 420
senior patients. This study is the first in Romania to use EASI as tool for
detecting abuse in elderly. The narrative model of care is described and
the successive adaptations of the process of care are presented.
Conclusion: This is an unique case for Romania of setting up a
mixed multi-professional team – the geriatric medical team in the
hospital and the psycho-social-juridical services (as a complementary
team) – continuing with a system of referrals to state and private,
secular and religious institutions in the community with amazing
results for the senior population.
P-690
The examination of the relationship between flexibility and
stability of trunk in older adults
M. Duray1, N. Yagci1, H. Senol1. 1Pamukkale University School of Physical
Therapy and Rehabilitation, Denizli, Turkey
Objectives: Flexibility of trunk and mobility decrease with aging,
therefore impairment in balance can be observed. This study was
designed to examine the relationship between stability and flexibility
of the trunk in older adults.
Methods: 91 elderly subjects aged over 65 without any neurological
problems and musculoskeletal pain in spine, independent in daily
activities, living in their own homes and 65 adults aged over 40–65
without musculoskeletal pain in spine were included in this study.
Flexibility of trunk was evaluated by Sit and Reach Test (SRT), Back
Extension Test (BET), Side Bending Test (SBT) and anterior-posterior
stability of trunk was measured by Functional Reach Test (FRT).
Results: Significant differences were found between groups in respect
to results of SRT (p = 0.009), BET (p = 0.0001), SBT (p = 0.0001) and
FRT (p = 0.006). In elderly group, the results of FRT had positive and
medium significant correlation with BET (r = 0.463; p = 0.0001) and
SBT (r = 0.465; p = 0.0001). Similarly in adults, the result of FRT had
positive and medium significant correlation with BET (r = 0.431;
p = 0.0001) and SBT (r = 0.437; p = 0.0001). On the other hand in
elderly, negative and low significant correlationwas detected between
age and flexibility tests (r = − 0.273; p = 0.009), while no significant
correlation was found between age and stability of trunk (p > 0.05). In
elderly, it was concluded that age was not correlated with flexibility
and stability of trunk (p > 0.05).
Conclusion: Reduction in flexibility and stability of trunk was detected
with aging in elderly. However it was identified that impairment of
balance became more apparent together with reducing flexibility.
Keywords: Keywords: flexibility; balance; elderly.
P-691
Assessment of time in therapeutic range (TTR) in geriatrics with
non-valvular atrial fibrillation receiving treatment with warfarin
in Tehran, Iran: a cross sectional study
B.F. Farsad1, M. Abbasinazari2, H. Bakhshandeh1. 1Rajaie Cardiovascular
Medical and Research Center, Iran University of Medical Sciences,
2Department of Clinical pharmacy, School of Pharmacy, Shahid Beheshti
University of Medical Sciences, Tehran, Iran
Introduction: Anticoagulant control is assessed bytime in therapeutic
range (TTR) [1]. For a given patient, TTR is defined as the duration of
time inwhich the patient’ s international normalized ratio (INR) values
were within a desired range [1,2]. The aim of the study was to assess
TTR in geriatrics receiving treatment with warfarin for non-valvular
atrial fibrillation at a referral center for cardiovascular diseases in
Tehran, Iran.
Methods: Over six months, we enrolled eligible geriatric patients
presenting to Shaheed Rajaie Hospital in Tehran for regular INR testing.
Demographic data, medical history, and current medications were
determined for all participants. TTR was assessed by the Rosendaal
method [3].
Results: A total of 243 patients (mean age 65.0 ± 5.0 years, 46.7%
women) underwent 1254 INR measurements. The mean TTR was
calculated as 44.9 ± 13.9%. Of the sample patients, 24.7% were in the
good control category (TTR > 70%), 37.3% were in the intermediate
category (50% < TTR < 70%), and 38% were in the poor control category
(TTR < 50%). The number of current medications above three was a
significant predictor of poor control (OR = 2.06; 95% CI, 1.87, 2.23). The
mean TTR of the studied patients (44.9%) was below the good control
range too.
Poster presentations / European Geriatric Medicine 7S1 (2016) S29–S259 S210