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

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was 85.23 years old (with 30.13% of nonagenarian), of whom 60.27%
were women compared with an average age of 81.4 years, and
56% women in the second group. In 2015 many of our patients came
from nursing homes (39.8% versus 26% in 2010) and a considerable
percentaje (20%) of falls occurred during the night (this fact is
presumably due to the restriction of staff developed in recent times).
Mean Barthel score was 66/100 for the first group and 77/100 for the
second, with a similar average GDS scale score in both groups 2 –3/7.
Conclusions: It is suspected to be an emergent tendency to longevity
with a higher average age at the expense of increased morbidity
and mortality and also more institutionalization at discharge because
of poorer functional and cognitive outcomes, which represents
a continuous challenge for the specialty in improving elderly
quality care.
P-700
Retrospective study about non-Hodgkin ’s lymphoma aggressive
lymphoma of the elderly
K. Natori, S. Ishihara, N. Daisuke, A. Sakai, Y. Mitsui, M. Kato, Y. Kuraishi,
K. Arai, H. Izumi. Division of Hematology & Oncology, Internal Medicine,
Toho University Medical Center Oomori Hospital
Objectives: Because of aging society, the number of non-Hodgkin’ s
lymphoma (NHL) patients were increasing. So we investigated NHL of
the elderly. Especially we investigated aggressive lymphoma of the
elderly.
Methods: The subjects in this study were 197 patients who were
histopathologically diagnosed as NHL from January 2003 to December
2012. The criteria of elderly was more than 65 years old. Survival
curves and the median survival times were estimated by the Kaplan-
Meier method and any significant differences between the two groups
were evaluated by the Log rank test. The authors and coauthors have
no conflict of interest to disclose.
Results: All cases were 197 cases including male 105 cases, female 92
cases, median age was 73 year. Pathological findings, diffuse large B
cell type 161 cases, intravascular large B cell lymphoma(DLBCL) 8
cases, peripheral T cell type 8 cases and others 20 cases. Therapy policy
for NHL, curative chemotherapy(CTx) 169 cases, palliative CTx 6 cases,
curative radiation therapy(RTx) 2 cases, palliative RTx 3 cases, best
supporting care(BSC) 17 cases. Kind of therapy, CHOP or CHOP like
therapy were 32 cases, RCHOPor RCHOP like therapy were 133 cases,
RTx alone 4 cases, operation + CTx 1 case, CTx + RTx 1 case, other CTx 9
cases, BSC 17 cases. In DLBCL, median survival time was not reached, 5
years overall survival time was 59.2%.
Conclusions: Even if elderly patients, early stage cases can be cured
intensive therapy.
P-701
Treating radiation-induced cystitis with hyperbaric oxygen: safety
and effectiveness in elderly patients
T. Oliveira 1,2, P. Oliveira2, S. Gaspar2, J. Almeida2, D. Costa1, S. Pereira2,
A. Romão2, F. Guerreiro1, T. Lopes2. 1Underwater and Hyperbaric
Medicine Centre, Portuguese Navy, 2Department of Urology, Santa Maria
Hospital, Lisbon, Portugal
Introduction: The use of Hyperbaric Oxygen (HBO) for the treatment
of Radiation-Induced Cystitis (RIC) is well established nowadays.
However, no studies analyze the effectiveness and safety of this
treatment in the elderly.
Methods: Clinical data from patients treated at our centre during a
15-year period were retrospectively analyzed. Main outcomes con-
sidered were hematuria evolution and relapse. Age ≤65years was
classified as young and >65 as elderly.
Results: A total of 176 patients, 65 men and 111 women, with a mean
age of 61.9years (15–85 years, 105 young and 71 elderly) complied
with the inclusion criteria. Most frequent indications for radiotherapy
were uterine cervix cancer (50.6%), prostate cancer (31.8%) and
endometrial cancer (9.7%). The average period from radiotherapy to
hematuria onset was 55.7 months (0–313 months), whereas the
average period from hematuria onset to HBO therapy was 13.7 months
(0–168 months). 19.3% of patients needed transfusion therapy
prior to HBO and 23.9% showed concomitant radiation-induced soft
tissue lesions. At the end of treatment (an average of 37 daily sessions
of HBO), there was a 89.8% hematuria resolution rate. Hematuria
relapse was identified in 13.6% of patients. Adverse events occurred in
1.7% of patients. There was no statistical difference between young and
elderly patients regarding hematuria resolution (90.5% vs 88.7%),
hematuria relapse (15.2% vs 11.3%) or incidence of adverse events (1.9%
vs 1.4%).
Conclusions: In our sample, HBO therapy was safe and effective, and
age was not associated to lower effectiveness or higher rate of adverse
events.
P-702
Our Orthogeriatric Unit: a descriptive study
C. Pablos Hernández1,2, M.M. Luis3, A. González Ramírez2, R. Pérez
López1, J.M. Julián Enríquez1, M.A. García Iglesias 4, J.F. Blanco Blanco1.
1Orthogeriatric Unit, Universitary Hospital of Salamanca, 2Geriatric Unit,
Universitary Hospital of Salamanca, Salamanca, Spain; 3Internal
Medicine Department, Centro Hospitalar Gaia/Espinho, Porto, Portugal;
4Admission and Clinical Documentation Service, Universitary Hospital of
Salamanca, Salamanca, Spain
Introduction: The Orthogeriatric Units (OU) are a multidisciplinary
team composed of Geriatricians and Orthopaedic Surgeons. A classical
collaborative organizational model has evolved to an active one.
Objective: Description and analysis of the components concerning an
OU.
Material and methods: Epidemiological, retrospective, observational
and descriptive study. Secondary database. Population: elderly
patients admitted with the primary diagnosis of hip fracture during
1st June 2013 – 31st December 2014: N = 813 patients. The primaryand
secondary diagnosis were codified according to ICD-9. Considering
CMDB, patients were categorized by AP-GRDR. ALCORR was used
to collect assistance clinical information. Statistical analysis was
performed in two steps: descriptive and comparative study.
Results: N = 813 patients. Mean age 85.73 (+/−6.9). 78.0% women.
50.1% pertrochanteric and 30.1% subcapital fractures. 100% Geriatric
Comprehensive Assessment [Barthel: 81,3%: 61–100//Lawton: 62,2%:
0–4//Cruz Roja Fisica(CRF): 75% 1–2/5; 18,8% 3/5// 6,2% 4 –5/5// 2,9%
5/5)]. Length of stay: 9.55 (DP 4.37) days; preoperative: 3.23 days
(DP 2.43); postoperative: 6.53 (DP 3.31). Conservative treatment:
4,4%; early surgery (<24 h): 26%; 51% osteosynthesis 39,2% (PPC).
Intrahospitalarmortality: 3.4%; GRDR: (34,3% 818; 31,4% 211; 14,8%
210) PESO-GRDR: 3,18 (DE 1,42).
Conclusion: The OU model will provide more insight on how to
improve care processes and outcomes for patients with hip fracture.
Considering patients’ age and comorbidities, our patients present low
in-hospital mortality compared to other national series. We believe
early surgery is a key factor for such results.
P-703
Frequency and socio-economic predictors of diabetes in the
Caucasian elderly and in oldest-old: the PolSenior study
M. Puzianowska-Kuznicka1,2, J. Januszkiewicz-Caulier3,
A. Kurylowicz1, M. Mossakowska4, T. Zdrojewski5, P. Slusarczyk4,
A. Skalska6, J. Chudek7, E. Franek1,3. 1Mossakowski Medical Research
Centre, 2Medical Centre of Postgraduate Education, 3Central Clinical
Hospital MSWiA, 4International Institute of Molecular and Cell Biology,
Warsaw, 5Medical University in Gdansk, 6Jagiellonian University Medical
College, Cracow, 7Medical University of Silesia in Katowice, Katowice,
Poland
Introduction: Diabetes morbidity in the elderly depends on bio-
logical, environmental and social factors.
Methods: The study was conducted on 2128 males and 1961 females
aged 65+ years, based on the fasting plasma glucose levels and a
detailed medical questionnaire.
Poster presentations / European Geriatric Medicine 7S1 (2016) S29–S259 S213