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

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didn’ t have: iron, folate or vitamin B12 deficiency, acute renal failure,
hypo-ou hyperthyroidism, known or suspected myelodysplatic syn-
drome (platelets < 150 G/L or leucocytes < 4 G/L or MCV > 100 μ3).
We also excluded patients who suffered from cancer or who had
received a transfusion within 3 months or erythropoietin treatment.
Clearance creatinine was estimated using Cockcroft, simplified MDRD
and CKD-Epi equations. Anemia was defined by WHO ’s criteria.
Result: Eighty-two patients were included: 49 women and 33 men
with a mean age of 85 ± 6 years. A mild anemia was found in 43%
patients (n = 35). The overall mean Hb level was 12,4 ± 0,8 g/dL. The
prevalence of chronic kidney disease was 93% with the CKD-Epi
formula: 61% mild, 29,5% moderate and 2,5% severe decrease of
glomerular renal function. No relationship was found between renal
function and anemia, neither between renal function and EPO.
Therefore we couldn’ t find the cut-off of creatinine clearance that
leads to anemia (AUC CKD Epi = 0,55 and p = 0,46; AUC MDRD = 0,51
and p = 0,76; AUC Cockcroft = 0,61 and p = 0,08). There was no
correlation between hemoglobin and EPO (p = 0,47).
Conclusion: This study didn’t find an association of mild to moderate
CKD with anemia without iron or vitamin deficiency, inflammatory
syndrome or thyroid dysfunction in hospitalized elderly patients.
Further large and prospective studies are needed to confirm this result.
P-708
GEMCON16: the first geriatric emergency medicine conference in
Europe
S. Turpin 1, S. Conroy2. 1University Hospitals of Leicester NHS Trust,
2University of Leicester
Introduction: Older people represent a growing proportion of
attendees in Emergency Departments across Europe. Traditionally
Emergency Departments have not focused on care for older people
especially those with frailty. Similarly, geriatric services have not
traditionally focused upon the care of older people in Emergency
Departments. This work seeks to bring together the two disciplines of
Geriatric and Emergency Medicine through a defined and validated
curriculum on Geriatric Emergency Medicine.
Methods: Domains and items for inclusion in the curriculum were
derived through a combination of literature reviewing and a nominal
groupworkshop. The domains and items underwent validation using a
Delphi technique involving the European Societies of Geriatric and
Emergency Medicine.
Results: In the development stage, 100 individual learning outcomes
were identified, reflecting 16 domains. Following the stage 2 validation
process, 98 items remained. All items were approved by the relevant
EU societies. In the final validation step, the curriculum was formally
approved by the UEMS sections for Geriatric Medicine and Emergency
Medicine (responsible for curriculae in the respective disciplines).
Key conclusions: This curriculum was developed as a formal colla-
boration between EUSEM and EUGMS (European Task Force in GEM)
and reflects the need to match the educational development of a
workforce with the changing demographic of the patient population.
The next challenge is ensuring it is embedded into practice. Future
work to address these challenges is underway through the develop-
ment of a GEM conference, GEM textbook and dissemination of in-
formation through journal publication and conference presentations.
P-709
The internet of things (IoT) applied to SPRINTT ICT infrastructure
G. Zia, F. Mocci, L.C. Feletti. Caretek s.r.l.
The dedicated ICT infrastructure for Sarcopenia & Physical frailty
in Older People: Multi Component Treatment Strategies (SPRINTT)
was developed and implemented to support the clinical trial data
gathering and management, building on the initial call requirements
by the Innovative Medicines Initiatives (IMI). SPRINTT project started
on July 2014 and is expected to enrol 1500 participants over 70 years
old in 14 centres across 9 European Member States. Participants ’
physical activity (PA) pattern will be tracked over the whole study
duration with the Adamo watch, a sensor device processing and
recording accelerations, whose encrypted data are periodically trans-
ferred to remote servers. Physical activity patterns plus clinical data
and imaging (DXA) will constitute and progressively accrue a large
database. In facts continuous, long-term clinical data gathering via
non-invasive technologies represents per se an innovative feature of
SPRINTT Clinical Trial. In our ICT infrastructure the Clinical Knowledge
Hub allows to aggregate heterogeneous data from different sources
(generated by DXA, Nutrition, e-CRF and Adamo) in a common
database, where all data generated during the clinical trial can be
retrieved. In order to meet data security, traceability and flexi-
bility requirements an infrastructural component has been used:
The Enterprise Service Bus (ESB) that governs all communication
between modules and enabling the following functions: • tracking
who is sending data and which data are transferred • filtering data flow
based on the user authorization profile • managing data encryption •
governing data flow in a centralized way• decouplingmodules in order
to reduce each other’ s dependency.
Area: Organisation of care and gerotechnology
P-710
Improving traceability of weight and renal clearance of elderly
residents in nursing homes
A. Berthe1, J. Mocquard1, A. Gaultier2, F. Delamarre3, C. Loonis2,
E. Rochais1, J.C. Maupetit 1, G. Berrut4. 1OMEDIT Pays de la Loire, 2Réseau
Qualisanté, Nantes, 3EHPAD Monfort Saint Laurent sur Sèvre, 4CHU de
Nantes, France
Objectives: Elderly patients are more likely to have decreased renal
function, which can require adjustment of therapeutic treatment. The
aim of the present study was to assess medication management
quality bymonitoring weight and renal clearance of elderly population
living in one of the 584 nursing homes of the region, especially people
with chronic renal failure.
Methods: A retrospective professional practice assessment was
conducted in early 2014 with voluntary nursing homes of the
region. People of 75 years old or more and living in a nursing home
for more than a year were included. Traceability of weight and renal
clearance were collected in the resident’ s file.
Results: 84 (14%) nursing homes participated in the study. In total,
3063 resident’ s files were included. The mean age of residents was
88 years and 75% had at least one measure of weight and serum
creatinine in the past year. 80% of nursing homes had automatic
calculation of renal clearance and it was recorded in the resident’ s file
in 68% of cases. 22% of residents had chronic renal failure and their
biological follow-up was respected according to French guidelines
for half of them.
Conclusion: Nursing homes encounter difficulties to collect and record
their residents’ data and to standardize their practices. To improve
traceability of weight and renal clearance, a free e-learning training
and an information leaflet are proposed to healthcare professionals.
A second measure of data will be conducted in early 2017.
P-711
Tailored interventions to promote active ageing using mobile
technology: a feasibility study
M. Cabrita, J. Melenk, N. El Menshawy, M. Tabak, M. Vollenbroek-
Hutten. Roessingh Reserach and Development, University of Twente,
Enschede, the Netherlands
Introduction: Mobile technologies facilitate innovative and ubiqui-
tous interventions to promote Active Ageing in daily life. To ensure
adoption, such interventions must be designed in co-operation
with older adults. This work presents the results of a feasibility
study of a system that monitors physical activity, well-being and
weight of community-dwelling older adults. Previous versions of
Poster presentations / European Geriatric Medicine 7S1 (2016) S29–S259 S215