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

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Results: The study included 959 elderly patients (272 male, 687
female). Mean age was 74.21 ± 7.4 years. The total number of diseases,
the total number of drugs; EAT-10 total score and distribution by and
gender are shown in Table 1. In the study population EAT-10 threshold
3 and threshold 15 detected by positive dysphagia screening by
prevalence and gender distribution are summarized in Table 2. Patiens
with EAT-10 score ≥ 3 said symptoms without prompting symptoms of
dysphagia with a percentage of 32.7%, while this percentage for
patients with EAT-10 score >15 was 51.5 (Table 2). In EAT-10
questionnaire, the article which has the highest positivity and the
highest score was the item questioning dysphagia with liquids that
“I am making extra effort to swallow liquids” (Table 3). Factors
independently associated with advanced age and EAT-10 score in
linear regression analysis was established as advanced age (p = 0.007),
female gender (p < 0.001) and the high number of drugs (p < 0.001).
Conclusions: In our study, screening the elderly outpatient prevalence
of dysphagia; it was found with a significant incidence (64.8%) of
dysphagia with threshold EAT-10 score ≥3; when it was 7.1 for
thresholds EAT 10 > 15. Dysphagia in the elderly living in the
community is a common problem in our country. Close to half of
patients with significant dysphagia does not express dysphagia
without query. Female sex and drugs excess number are risk factors
for dysphagia. Our results suggest the need for performing dysphagia
screening in the elderly.
O-057
Prognostic value of estimated glomerular filtration rate in older
patients admitted in an internal medicineward at 6 and 12 months
follow-up
Y. Mamade 1, S. Duque2,3, M.J. Serpa1, M. Maia1, A. Watts Soares1,
Á. Chipepo1, S. Velho4, F. Araújo1, J. Pimenta da Graça1. 1Hospital Beatriz
Ângelo – Internal Medicine Department, Loures, 2Centro Hospitalar de
Lisboa Ocidental – Hospital São Francisco Xavier – Internal Medicine
Department, Lisboa, 3Unidade Universitária de Geriatria – Faculdade de
Medicina – Universidade de Lisboa, Lisboa, 4Hospital Beatriz Ângelo –
Nutrition and Dietetics Department, Loures, Portugal
Introduction: Kidney physiological ageing usually results in a decline
of glomerular filtration. Chronic kidney disease is associated with
increased morbi-mortality of older patients. Our aim was to analyze
outcomes at 6 and 12 months (6 M and 12 M) of a cohort of patients
≥ 75 years admitted in an Internal Medicine Ward according estimated
glomerular filtration rate (eGFR).
Methods: Prospective longitudinal cohort study of 100 patients.
Comprehensive geriatric assessment at baseline. Body composition
assessed by bioimpedance. eGFR calculated by Cockcroft-Gault
equation (CGeq). Survival and hospital readmission at 6 and 12 M
assessed by phone contact and hospital record analysis.
Results: One patient lost during follow-up. Average age 83.7 years, 63%
males, average Cumulative Illness Rating Scale Geriatrics 11.2, average
baseline Barthel score 63.6, 70% malnourished. Cumulative mortality:
6 M 48.4%, 12 M 53.5%. Average eGFR 57.8 ± 58.3 mL/min/1.73 m 2.
Lower eGFR was statistically significantly associated with emergency
department admission at 6 M (p 0.008) and 12 M (p 0.011) and
rehospitalisation at 12 M (p 0.042). Lower serum creatinine was
associated to lower Free-Fat Mass (FFM) according Deurenberg
equation (p 0.001). Consequently, lower FFM was associated with
higher eGFR (p < 0.001). This “higher eGFR” should be carefully
understood as it results from reduced muscle mass and not from
preservation of kidney excretory function. Association between eGFR
calculated by CGeq and mortality was not detected.
Conclusion: CGeq results strongly depend on FFMand therefore might
not be accurate to estimate kidney function in sarcopenic older people.
Nevertheless, decline in kidney function seems to be related to
increased hospital readmission.
O-058
Indications, safety, and diagnostic efficacy of balloon-assisted
enteroscopy in the elderly: a systematic review and meta-analysis
Y. Chen1, H.T. Gan2, X.L. Huang1, H. Yu 2, T. Zhang2. 1Department of
Geriatrics Medicine, West China Hospital, Sichuan University,
2Department of Gastroenterology, West China Hospital, Sichuan
University, Chengdu, China
Background: Balloon-assisted enteroscopy (BE) are commonly used
for investigation of small bowel diseases. Currently, there are limited
data on the safety and efficacy of BE in the elderly. Therefore, we
performed meta-analysis to assess the safety and diagnostic efficacy of
balloon-assisted enteroscopy in the elderly compared to those in the
younger.
Methods: We searched PubMed, Medline, Elsevier ScienceDirect and
EMBASE databases until May, 2016, for articles assessing the safety and
efficacy of balloon-assisted enteroscopy in the elderly. Data were
extracted and assessed to evaluate the pooled complication rate and
diagnostic yield of BE in the elderly compared to those in the younger
patients.
Results: Seven articles involving 1,161 patients (1490 procedures)
were included. The elderly were with high co-morbidity rate (74.7%).
Obscure gastrointestinal bleeding was the most common indication
(87.7%), and angioectasia was the most frequently final detected
abnormality (40.1%). The pooled diagnostic yield of BE in the elderly
group was 0.67(95% CI: 0.56, 0.77). The pooled relative diagnostic yield
of BE in the elderly group compared to the younger group was 1.51
(95% CI: 1.14, 2.00; P = 0.004). The pooled complication rate of BE in the
elderly group was 0.03(95% CI: 0.01, 0.04). The pooled relative
complication rate of BE in the elderly group compared to the
younger group was 0.88 (95% CI: 0.33, 2.32; P = 0.79).
Conclusion: Our study demonstrates that the complication rate is not
higher in the elderly compared to the younger, and the elderly are
more likely to a have higher diagnostic yield than that in the younger.
O-059
The psychosocial status of community dwelling elderly
(65–75 years)
R.A.C.M. Olde Keizer1, S.M. Jansen-Kosterink1, S.W.T. Frazer1,
M.M.R. Vollenbroek-Hutten1,2. 1Roessingh Research and Development,
2University of Twente, Enschede, The Netherlands
Introduction: Aging increases the chance of frailty [1]. Frailty can be
understood as the loss of functioning and independence [2]. The
Groningen Frailty Indicator (GFI) is valid measurement instrument to
asses frailty [3,4]. The GFI has 8 domains; mobility, wellbeing, vision,
hearing, weight, comorbidity, cognition and psychosocial functioning.
The aim of this study is to provide an overview of the psychosocial
status of community dwelling elderly (65–75 years).
Methods: As part of the PERSSILAA-project (FP7-ICT-610359), elderly
(65–75 years) were asked to complete various assessment instru-
ments, including the GFI. The GFI consists of 15 items. The maximal
score on the GFI is 15 and a score above 4 can be seen as frail [3].
Results: At this moment, 3,199 elderly (48% male and average age 70.0
SD 4.0 years) participated and completed the GFI. The mean score on
the GFI was 2.2 (SD 2.3) and 24.7% of the elderly were categorized as
frail. Considering the frail elderly, 72.9% experienced emptiness, 76.3%
missed people around them, 53.7% felt abandoned, 74.3% felt sad or
depressed and 54.6% felt nervous or anxious. Of the frail elderly, 96.1%
suffered from at least one of these problems, 74.1% suffered from at
least 3 of these problems and 17.5% suffered from all of these problems.
Key conclusions: Compared to the other domains of the GFI,
psychosocial functioning plays an important role in frailty. Therefore,
the role of psychosocial functioning should not be underestimated and
intervention to prevent frailty should focus on improving the
psychosocial status of elderly.
Oral presentations / European Geriatric Medicine 7S1 (2016) S1–S27 S17