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

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that DBP ’s origin was iatrogenic and that omeprazole was sufficient to
prevent AA ’s gastric adverse reaction. Nicorandil–AA long-term
association showed an increased risk of DU and DBP. Early PPI
initiation with clinical surveillance and adverse reaction control
should be discussed at the introduction of every nicorandil-AA
association.
Area: Pre and post-operative care
P-826
Preliminary data of the “Gruppo Italiano di Ortogeriatria, GIOG”
database in elderly patients admitted to Orthogeriatric Units after
hip fracture
G. Bellelli1,2, P. Rapazzini3, A. Zurlo4, C. Mussi5, M. Corsi6, M.
L. Lunardelli 7, G. Castoldi8, F. De Filippi9, M.C. Magri1, M.G. Valsecchi 1,
A. Ferrari10, N. Ferrara11, M. Trabucchi12. 1School of Medicine and
Surgery, Milano-Bicocca University, Milan, 2Gruppo Italiano di
Ortogeriatria (GIOG), Florence, 3Orthogeriatric Unit, Circolo Hospital,
Varese, 4Gruppo Italiano di Ortogeriatria (GIOG), National Coordinator,
Florence, 5Department of Biomedical, Metabolic and Neurological
Sciences, University of Modena and Reggio Emilia, Modena,
6Orthogeriatric Unit, S Gerardo Hospital, Monza, 7Orthogeriatric Unit,
S. Orsola Malpighi, Bologna, 8Orhtopedic Unit, ASST Vimercate, Carate
Brianza Hospital, Vimercate (MB), 9Department of Medicine, Geriatric
and Sub Acute Care Unit, Hospital of Sondrio-ASST VAL, Sondrio, 10Italian
Society of Hospital’s and Community Geriatrics, Rome, 11Italian Society of
Gerontology and Geriatrics (SIGG), Florence, 12Italian Association of
Psychogeriatrics (AIP), Brescia, Italy
Introduction: Recently, the Italian Association of Psychogeriatrics
(AIP), the Italian Society of Gerontology and Geriatrics (SIGG) and the
Italian Society of Hospital’s and community Geriatrics (SIGOT) have
developed a dataweb to collect data of hip fracture (HF) patients
admitted to a network of Italian Orthogeriatric Units (OU). Here we
report some preliminary data.
Methods: From February 1st, to May 13th, 2016, the data of 257
patients admitted to 7 OUs were collected, including demographics,
functional and cognitive status, type of fracture and surgery, time from
HF to surgery, delirium, osteometabolic drugs, length of hospital stay
(LOS) and destination at discharge.
Results: Mean age was 86.0 + 5.9, with predominant females (74.7%).
235 patients (91.4%) were admitted from home and 22 (8.5%) from
nursing home. Before HF, 102 (39.6%) patients were able to walk
without aids outside home and 51 (19.8%) to walk only inside. Only
15.2% of patients took osteometabolic drugs. According to Short
Physical Mental Status Questionnaire score (211 patients), normal
cognitive status was found only in 98 (46.4%) patients. Type of fracture
was mainly intertrocantheric (n = 103, 40%) and intramedullary nail
(122, 47.7%) was the most frequent surgical intervention, with a time
from HF to surgery of 53.2 + 75.3 hours. Delirium occurred post-
operatively in 24.1% patients. At discharge, 146 patients (75.6%) were
sent to rehabilitation units, with most patients being on osteometa-
bolic treatment (n = 151, 78.2%). The average LOS was 10 + 5.8 days.
Conclusion: These preliminary data will serve at a basis for future
studies and benchmarking purposes among OU in Italy.
P-827
Proximal femoral fractures: readmission and mortality one year
post operatively
A. Carvalho1, A. Sequeira2, D. Pascoal 1, E. Salgado1, N. Oliveira1,
M. Silva1. 1Centro Hospitalar Cova da Beira, Covilhã, 2Unidade de
Cuidados de Saúde Personalizados da Covilhã, Covilhã, Portugal
Introduction: Proximal femoral fractures are a public health problem
of growing importance. This type of fracture is associated with a high
mortality and morbidity. The aim of this study is to describe mortality
and readmission rate in the first year after surgery for proximal femur
fracture in an elderly population.
Methods: This was an observational, descriptive and retrospective
study of a sample of 149 elderly patients, hospitalized for proximal
fractures of the femur (neck and trochanteric region) and submitted to
surgical treatment between January and December 2014. The datawas
statistically analyzed using the Statistical Package for Social Sciences
(SPSS – 19.0).
Results: The sample was composed by 113 female (75.8%), with an
average age of 82.3 years.). The number of readmissions for any reason
in the first year was 52 (34.9%) with respiratory infection being the
most frequent reason (32.7% of readmissions). Younger patients had a
longer hospital stay (p < 0.05, 95%) and 11.4% of the readmissions
occurred in the first month. Male patients had a higher readmission
rate. One year mortality was 12.8% (19 patients), being respiratory
infection the main cause (42.1% of all deaths). Mortality in men was
22.2% versus 9.7%, with a statistically significant difference.
Key conclusions: We conclude that patients treated for proximal
femur fracture had a high readmission and mortality rate in the first
year of follow-up, mainly caused by respiratory infection. Male had a
higher readmission and mortality rate.
P-828
Combined pharmacological and mechanical methods for the
prevention of venous-thromboembolism (VTE) in surgically
treated hip-fractured elderly
C.Y. Cheong, S. Su, J. Mallya. Department of Geriatric Medicine, Khoo Teck
Puat Hospital
Obejctive: The incidence of VTE could still be as high as 19% in patients
with surgically treated hip fractures while on pharmacological
prophylaxis. The application of combined pharmacological and
mechanical methods as VTE prophylaxis following surgery for hip
fractures has not been widely described. Possible synergistic effect of
the combined methods could not be dismissed.
Method: We studied 259 patients with surgically treated hip fractures
(mean age 78.6 ± 8.9), who were admitted to the Hip Fracture Unit
between November 1, 2014 and October 31, 2015. Demographic,
medical and surgical data of patients were recorded during first
admission and if there were re-admissions. Mechanical calf compres-
sors and anti-embolism stockings were used as mechanical methods
whereas low-molecular weight heparin or unfractionated heparin
were used as pharmacological methods. The combined method was
started from the first day of admission to all patients above except
those with absolute contraindications. Deep vein thrombosis(DVT)
was confirmed by ultrasonography and pulmonary embolism(PE) was
confirmed by CT pulmonary angiography.
Results: 2.7% had DVT and 0.8% had PE. The combined method had a
relative risk ratio 0.969(CI 95% 0.946–0.992). 1(0.003%) mortality was
associated with the VTE-positive group. Mean length of stay was
significantly higher in patients with DVT(14.67 vs 24.14, p = 0.19). No
complication was report from mechanical methods. Complications
from the pharmacological method which consisted of minor/major
bleeding from the wound, major bleeding not from the wound and
heparin-induced thrombocytopenia were not reported.
Conclusion: VTE is a serious complication in patients with hip
fracture. The combined method has a promising synergistic effect in
VTE prevention.
P-829
Does the use of a fascia iliaca block reduce length of hospital stay
and opioid use in older patients with neck of femur fractures?
G.S. Alg, D. Yeomans, A. Phelps. Stoke Mandeville Hospital,
Buckinghamshire Healthcare NHS Trust, UK
Introduction: Currently, 65,000 hip fractures each year are leading to
the occupation of over 4,000 inpatient beds at any one time across the
United Kingdom. The National Institute for Health and Care Excellence
quality standards for hip fracture cites the use of fascia iliaca block (FIB)
Poster presentations / European Geriatric Medicine 7S1 (2016) S29–S259 S247