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Self-reported and measured physical performance among elderly

people during the first year in senior house living

S. Lotvonen


, H. Kyngäs


, P. Koistinen


, S. Elo




University of Oulu,



People older than 85 years is the fastest growing

segment of elderly and at the highest risk for physical disability.

Increasing number of older people is moving into senior housing,

when no longer able to live independently in their home. Low physical

performance is critical to maintaining resident

s independence in the

new surroundings.


The aim of the study is to evaluate self-reported and

measured physical performance and its change during the first year in

senior housing, and association of self-reported physical performance

with IADL-performance, physical activity and hobbies.


We examined elderly people (n = 81, mean age 81, F = 57/

M = 24) who had moved to senior housing 3 months and 12 months

after relocation. We used Oldwellactive-self-rated Wellness Profile

(including grip-strength and 30-chair stand) and SPPB to measure

physical performance. The data was statistically analyzed.


As presumed, measured physical performance was poorer

than average in home living population of the same age. Measured

walking speed, IADL-performance and dominant hands grip strength

decreased significantly but SPPB-scores, 30 s chair stand and left hand

grip strength did not change. Self-reported IADL-performance, muscle

strength training and hobby activity increased significantly. Self-

reported physical activity and various background variables were

linked to decreased walking speed and IADL-performance.


The results of this study suggest that although the muscle

strength training and hobby activity increases assessment and

promotion of physical performance is important among elderly

people moving to a senior housing to support their independence

and wellbeing.


Hospital and inactivity, a hazardous combination for the elderly

J. Dronkers


, F. Strookappe


, S. Mosterd


, A. Janse


, C. Veenhof




Gelderse Vallei Hospital, Ede,


University Medical Center Utrecht, the



Hospitalization associated disability is more and more

considered as an iatrogenic event which is mostly evitable [1].

Inactivity is an important cause. The objective of this study is to

determine the physical activity level (PAL) of elderly patients during

hospital stay and to investigate related factors.


Prospective cohort study on a geriatric ward in a regional

hospital. PAL expressed in kilocalories (kcal) was continuously

monitored by an accelerometer that is worn on the ankle of the

patient during hospital admission. The relationships with frailty, use of

assistive device, drip infusion and catheter use were calculated by the

Mann-Whitney U Test and with fear of falling by Spearman correlation



Forty-three patients were included with mean age 82.7 ± 6.7

years. Median PAL was 77 kcal (IQR 42

112). Frail patients (ISAR-score

>4) showed a lower PAL (median 54, IQR 29

80) compared to non-frail

patients (median 90 kcal, IQR 63

117)(p < 0.001). PAL of patients with

and without catheter was median 49 kcal (IQR 23

76) and 76 kcal (IQR


116), respectively (p = 0.02). There was no significant difference

between patients with and without assistive device (p = 0.42) and

patients with and without drip infusion (p = 0.41) and no significant

correlation with fear of falling (rsp = 0.2; p = 0.6).


In this study population patients show a very low PAL.

Frailty and catheter use were significantly related factors which can be

of use in the guidance of patients who are at risk for functional decline

and the development of interventions to improve PAL.


Effects of cardiac rehabilitation in maintaining physical

performance of patients aged >75 years over the long-term period,

after an acute coronary syndrome or heart surgery

A. Pratesi


, S. Baldasseroni


, R. Barucci


, R. Pallante


, A. Foschini



S. Venturini


, G. Mannarino


, V. Nucci


, C. Burgisser


, N. Marchionni



F. Fattirolli




Department of Experimental and Clinical Medicine,

Careggi University Hospital, University of Florence,



Rehabilitation Unit, Careggi University Hospital, Florence


There are few data about effectiveness of cardiac

rehabilitation (CR) in promoting durable functional recovery and

adherence to secondary cardiovascular prevention in elderly. Aim of

our study was to evaluate if Home-Based exercise program is more

effective than usual care after in-Hospital CR in maintaining long-term

effects on physical performance in elderly, after acute coronary

syndrome or heart surgery.


At the end of four weeks CR program, 160 patients aged >75

years were enrolled in the study and were randomized in usual care

group (standard follow-up visits at 6 and 12 months) and intervention

group (specific set of exercises detailed and recorded in a log book,

with a reinforcement session at the CR-centre each month for the first

6 months). The patients were evaluated at the entry and at discharge of

CR, at 6- and 12-months follow-up, measuring with VO2peak


distance walked (6-Minute

Walking test) and Torque peak (isokinetic dynamometer).


there were no significant differences between 2 groups with

mean age 80 ± 4 ys. After adjustment for age, sex, and test value at the

entry in CR program, in ANOVA for repeated measure, all the patients

substantially maintained the improvement obtained with CR in all

three physical performance indexes at 12 months follow up, and the

intervention group had a slightly lower reduction respect to control.

Key conclusions:

our findings suggest that elderly treated with a CR

program substantially maintain their functional status after a cardiac

event, without further significant improvement with our Home-based

exercise program.

Area: Ethics and end-of-life pre and post-operative



A systematic review on the efficacy of ondansetron in the

prevention and treatment of post-operative delirium

N. Haque, M. Dasgupta, R.M. Naqvi.

Western University


Post-operative delirium (POD) affects up to 50% of

surgeries. It is associated with higher rates of functional decline and

death. Serotonin may play a role in POD. Ondansetron is a serotonin

antagonist with a favourable safety profile, and could represent a

therapeutic and preventive option in POD.


We performed a systematic review of MedLine, EMBASE,

CENTRAL and PsychINFO from inception to December 2015. Initial

screening identified 622 abstracts and three randomized controlled

trials (RCTs) met inclusion criteria.


Two RCTs examined ondansetron for the treatment of POD.

One study administered haloperidol 5 mg or ondansetron 8 mg

intravenously (IV) as a single dose to 80 delirious patients post

cardiac surgery (mean age 71). Both had similar reductions in their

average delirium score and patients with persistent delirium. Another

study administered ondansetron 4 mg or haloperidol 5 mg IV twice

daily to 96 postoperative delirious patients for three consecutive days

(mean age 31). Both groups had similar delirium rates after

administration. However the ondansetron group received a higher

total dose of rescue haloperidol. Finally, one RCT examined prophy-

lactic ondansetron versus placebo to prevent POD in 106 orthopedic

patients (mean age 71). They administered 8 mg of ondansetron or

Oral presentations / European Geriatric Medicine 7S1 (2016) S1