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

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O-067
Self-reported and measured physical performance among elderly
people during the first year in senior house living
S. Lotvonen1, H. Kyngäs1, P. Koistinen1, S. Elo 1. 1University of Oulu,
Finland
Introduction: 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.
Purpose: 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.
Methods: 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.
Results: 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.
Conclusion: 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.
O-068
Hospital and inactivity, a hazardous combination for the elderly
J. Dronkers 1, F. Strookappe1, S. Mosterd1, A. Janse1, C. Veenhof2.
1Gelderse Vallei Hospital, Ede, 2University Medical Center Utrecht, the
Netherlands
Objectives: 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.
Methods: 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
coefficient.
Results: 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
36 –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).
Conclusion: 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.
O-069
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. Pratesi1, S. Baldasseroni1, R. Barucci1, R. Pallante1, A. Foschini1,
S. Venturini1, G. Mannarino1, V. Nucci 1, C. Burgisser1,2, N. Marchionni1,
F. Fattirolli1,2. 1Department of Experimental and Clinical Medicine,
Careggi University Hospital, University of Florence, 2Cardiac
Rehabilitation Unit, Careggi University Hospital, Florence
Background: 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.
Methods: 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
(cardiopulmonary-exercise-testing), distance walked (6-Minute
Walking test) and Torque peak (isokinetic dynamometer).
Results: 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
care
O-070
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
Introduction: 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.
Methods: 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.
Results: 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–S27 S20