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

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Conclusion: The quality of anticoagulant therapy with warfarin in
Iranian geriatrics is poorer than that reported in European countries.
References
1. Schmitt L, Speckman J, Ansell J. Quality assessment of anti-
coagulation dose management: comparative evaluation of mea-
sures of time-in-therapeutic range. Journal of Thrombosis and
Thrombolysis, 2003;15, 213–216.
2. Schmitt L, Speckman J, Ansell J. Quality Assessment of
Anticoagulation Dose Management: Comparative Evaluation of
Measures of Time-in-Therapeutic Range. Journal of Thrombosis and
Thrombolysis 2003;15: 213–216.
3. Rosendaal F, Cannegieter S, Van Der Meer F, Briet E. A method to
determine the optimal intensity of oral anticoagulant therapy.
Thromb Haemostas 1993;69:236–239.
P-692
Influence of medical comorbidities on length of stay – perspectives
from a rural geriatric rehabilitation unit in Australia
S. Gangadharan, A. Scane, R.E. Galvin, S.M. Skaife. Hunter New England
Area Health Services
Background: Correlation between medical co-morbidities and the
length of stay (LoS) of patients undergoing physical rehabilitation have
been evaluated in the past. Most of these studies are from tertiary
rehabilitation Centres. The aim of this study was to validate these
findings in a Rural Geriatrics Rehabilitation Unit in New South Wales,
Australia.
Methods: The Maitland Hospital has 12 bedded rehabilitation unit. In
this retrospective database review, patient demographics, LoS and the
Charlson Comorbidity Index (CCI) of patients admitted to the Rural
Rehabilitation Unit of The Maitland Hospital from November 2015 to
March 2016 were analysed.
Results: n : 82 Males : Females : 44:38 Mean Age : 79.2 years Average
LoS : 30.06 days Average CCI (adjusted to age) : 5.90 The longest LoS
was 76 days and the highest calculated CCI was 9. 16 patients had a CCI
of more than 8 and their average length of stay was 28 days. The
average CCI of patients who stayed more than 45 days was 5.83.
Conclusion: The Charlson Comorbidity Index did not influence the LoS
of patients at the Rural Rehabilitation Unit of The Maitland Hospital
(TMH). Identifying other factors like Functional Independence
Measure (FIM) could help estimate LoS at admission. Moreover,
discharge planning at The Maitland Hospital is influenced by service
delivery challenges unique to rural Australia. Further analysis of the
available data could help identify these factors that influence the LoS
in the Rural Geriatrics Rehabilitation Unit.
P-693
Detecting elderly abuse – a meaningful evaluation aspect for
establishing a senior patient’ s holistic approach
A.C. Ilie 1, O. Gavrilovici2, A. Dronic3, A. Pancu4, M. Georgescu4,
I.D. Alexa1. 1Department of Internal Medicine, University of Medicine and
Pharmacy “Grigore T. Popa” Iaşi, 2Department of Psychology, “Alexandru
Ioan Cuza” University of Iasi, 3Psiterra Association, 4“Dr. C. I. Parhon”
Hospital, Iasi, Romania
Objectives: Formanyabusedgeriatricpatientstheirfirstcontactoutside
their environment is during hospitalization. Thus, the role of the
geriatricianinidentifyingthesepatientsisamajorone.Thegeriatrictool
is the comprehensive geriatric assessment to identify both the abuse
and the impact on the physical and psychological health of the elderly.
Frequently, due to the abuse, their physical state deteriorates, the
comorbidities decompensate and other geriatric syndromes may be
revealed.Manystudiesemphasisthebidirectionalrelationshipbetween
elderly abuse and depression or dementia but there are few data
regarding its relationship with other geriatric syndromes.
Methods: To determine the correlations between the presence of
senior abuse using EASI (Elder Abuse Suspicion Index) and the
geriatric syndromes. We performed a prospective study for a one year
period on hospitalized elderly patients. They underwent a compre-
hensive geriatric assessment (including ADL, IADL, MNA, MMSE
and GDS), the EASI questionnaire, and a psychological consult.
Results: The results confirm a relationship between abuse and
studied geriatric syndromes. Depression was positively associated
with abuse (p = 0.003); dependence (ADL, IADL) was not statistically
associated with abuse (p = 0.121, respectively p = 0.251). Malnutrition
was associated with abuse, with statistical significance (p = 0.002).
Cognition was negatively associated with EASI (p = 0.007).
Conclusion: EASI is a new, useful toll in evaluating the degree and type
of abuse in geriatric patients. Positive values will trigger complex
psychological and social interventions which will positively influence
geriatric syndromes.
P-694
Gait pattern of healthy old people for dual task walking conditions
S. Gillain, M. Boutaayamou, C. Schwartz, M. Demonceau, C. Gerontitis,
E. Salmon, J.-L. Croisier, O. Brüls, G. Garraux, J. Petermans. University
Hospital of Liège, Belgium
Background: Gait patterns of healthy ageing are needed to allow a
comparison with pathological situations. However few data are
available. Objective: To present gait pattern of healthy older specially
checked to be “healthy walkers”.
Method: 140 volunteers benefited of a geriatric assessment including
clinical and functional evaluations in order to exclude those having
neurologic disorders, a history of fall, a previous stroke, neuroleptic
drugs or alcohol consumption, mood or cognitive disorders and
musculoskeletal complains. Gait data were simultaneously recorded
using a tri-axial accelerometercarriedon thewaist and four 3Dmarkers
placed on each foot at the level of the heel and the toe. Volunteers
walked in dual task condition where cognitive task was 7-serial
subtraction. The extracted gait parameters were: gait speed, stride
length, stride frequency, regularity and symmetry, swing and stance
time, double support time andminimum toe clearance. Gait speed and
stride length were normalized to the right leg length. A statistical
analysis was carried out using SAS 9.4 version. Results were considered
statistically significant at the 5% critical level a (p-value <0.05).
Results: Data of twelve gait parameters from sixty six “healthy
walkers” mean aged of 70 years old (min 65 and max 88 years) were
presented according to gender and age. Significant differences were
shown according to gender.
Conclusions: This work provides reference gait values from healthy
elderly people which can be used by clinicians and researchers.
P-695
Cognition, outcome and advanced glycation endproducts in
geriatric inpatients
M. Gogol1, A. Walz1, H. Hartmann1, A. Simm2. 1Department of Geriatrics,
Lindenbrunn Hospital, Coppenbruegge, 2Interdisciplinary Centre for
Ageing Halle, Martin-Luther-University Halle-Wittenberg, Halle (Saale),
Germany
Background: The accumulation of Advanced Glycation Endproducts
(AGEs) in skin and blood is described for diabetes, cardiovascular
disease as well as with age itself, so AGEs are described as a potential
biomarker of aging.
Purpose: Measuring AGEs in skin and serum and test for correlation of
cognition and functional outcome in geriatric inpatients.
Methods: We measured skin AGEs with AGE Reader by DiagnOptics
through autofluoescence (AF) and in serum (carboxymethyllysin
(CML), arginine/pyridine(A/P)) and total AGEs by 330/405, 440/520,
280/350, and 360/440 nm. For functional measurement we used
the Barthel Index (BI, range 0–100 points, higher values indicating
better function and independence in activities of daily living) at
admission and discharge. For cognitive assessment we used the Mini
Mental Status Examination (MMSE, range 0–30 points, higher values
indicating better cognition). We used Pearson’s r test for correlation
and Student’s t-test for significance, set to a level of 0.05 or lower.
Poster presentations / European Geriatric Medicine 7S1 (2016) S29–S259 S211