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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.


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).


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.


GEMCON16: the first geriatric emergency medicine conference in


S. Turpin


, S. Conroy




University Hospitals of Leicester NHS Trust,


University of Leicester


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.


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.


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.


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:


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


Improving traceability of weight and renal clearance of elderly

residents in nursing homes

A. Berthe


, J. Mocquard


, A. Gaultier


, F. Delamarre


, C. Loonis



E. Rochais


, J.C. Maupetit


, G. Berrut




OMEDIT Pays de la Loire,



Qualisanté, Nantes,


EHPAD Monfort Saint Laurent sur Sèvre,


CHU de

Nantes, France


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.


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.


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.


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.


Tailored interventions to promote active ageing using mobile

technology: a feasibility study

M. Cabrita, J. Melenk, N. El Menshawy, M. Tabak, M. Vollenbroek-


Roessingh Reserach and Development, University of Twente,

Enschede, the Netherlands


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