Table of Contents Table of Contents
Previous Page  23 / 290 Next Page
Show Menu
Previous Page 23 / 290 Next Page
Page Background


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).


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.


Prognostic value of estimated glomerular filtration rate in older

patients admitted in an internal medicineward at 6 and 12 months


Y. Mamade


, S. Duque


, M.J. Serpa


, M. Maia


, A. Watts Soares



Á. Chipepo


, S. Velho


, F. Araújo


, J. Pimenta da Graça




Hospital Beatriz


Internal Medicine Department, Loures,


Centro Hospitalar de

Lisboa Ocidental

Hospital São Francisco Xavier

Internal Medicine

Department, Lisboa,


Unidade Universitária de Geriatria

Faculdade de


Universidade de Lisboa, Lisboa,


Hospital Beatriz Ângelo

Nutrition and Dietetics Department, Loures, Portugal


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).


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.


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



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.


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.


Indications, safety, and diagnostic efficacy of balloon-assisted

enteroscopy in the elderly: a systematic review and meta-analysis

Y. Chen


, H.T. Gan


, X.L. Huang


, H. Yu


, T. Zhang




Department of

Geriatrics Medicine, West China Hospital, Sichuan University,


Department of Gastroenterology, West China Hospital, Sichuan

University, Chengdu, China


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



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



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).


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.


The psychosocial status of community dwelling elderly


75 years)

R.A.C.M. Olde Keizer


, S.M. Jansen-Kosterink


, S.W.T. Frazer



M.M.R. Vollenbroek-Hutten




Roessingh Research and Development,


University of Twente, Enschede, The Netherlands


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).


As part of the PERSSILAA-project (FP7-ICT-610359), elderly


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].


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