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Recommendation Taxonomy) scale of the American Family Physician

was used to grade the evidence.


Thirty-seven studies were found. We selected one NGC

guideline, three meta-analysis, four systematic reviews and three

randomized clinical trials. There is consistent evidence of better

quality and efficiency of sleep after treatment with acupuncture when

compared with placebo, hypnotic drugs or sham acupuncture, but

the quality of the studies analyzed was low (level 2). Therefore we

attributed a level B recommendation.


Although most studies report some improvement of

sleep, the current evidence is not rigorous enough to allow a high

strength recommendation. Therefore we cannot refute or support the

use of acupuncture. Better studies are needed, with larger sample size

and better methodological quality.


Acute confusional syndrome in hospitalized patients with hip


M.I. Porras-Guerra


, T. Porras-Guerra


, M.A. De La Torre-Alonso



C.E. Benítez-González


, M.N. Gómez-Gónzalez




Servicio de Geriatría,

Complejo Asistencial Universitario de León, León,


I.E.S. Tomás Bretón,

Villamayor de Armuña, Salamanca,


Servicio de Psiquiatria, Complejo

Asistencial Universitario de León, León, España

Delirium is a frequent complication in hospitalized patients.


Determining characteristic of admitted patients suffering

from hip fracture and delirium during their hospitalized period.

Material and methods:

Observational, longitudinal and retrospective

study of admitted patients medical records that suffer from hip

fracture and have delirium during hospitalization period. Variables:

sex, age, hospitalized period, domicile, type of delirium, beginning and

duration, associated pathologies and consumed medicines. Tracing: 60

days. Statistical treatment: SPPSv.15.


n = 66. Males:27,3%. Female:72,7%. Average age 85,1years; no

sex differences. Average stay:14,1days; males 20,5 days; female:12

days. (Double stay for male). Domicile: Family 71,2%, Alone 6,1%,

Residence 22,7%. Delirium: Hyperactive: 66,1%. Hypoactive:16,7%.

Mixed:16,7%. Beginning of delirium:1st day:24,2%, 2nd day:16,7%,

3rd day:13,6%, 4th day:10,6%, 5th day: 1,5%, 6th day:13,6%, 6th

day more than:7,5%. Delirium duration: Average duration: 2,4days.

40,9% 1day. 25,7% 2 days. 10,6% 3 days. 3,6% 4 days, 5 or more days 9%.

Associated pathologies: Average pathologies: 3,1. Hypertension:

66.7%, heart disease: 34,8%, neurological disease: 34,8%, diabetes:

28,8%, dyslipidemia: 25,7%, psychiatric disease: 19,7%. respiratory

disease 10,6%, renal failure:9,1%. Average consumption of drugs:4,8.

Treatment: Surgery: 90,9%. Conservative: 9,1%.


The most common type is the hyperactive delirium lasts

an average of 2,4 days and is presented in the first 24 hours. The

comorbidity associated with delirium was hypertension, heart and

neurological disease. The patient


with hip fracturewho suffered

delirium during hospitalization is a woman of 85 years with heart

and neurological disease, which has an overactive delirium in the first

24 hours, lives in the family home, taking an average of 4 drugs,

receives surgical treatment and remains hospitalized about 14 days.


Psychological predictors of the development of impulse control

disorders in Parkinson

s disease

A. Powell, Y.Z. Zhuang.

Department of Medicine, The Queen Elizabeth

Hospital (TQEH), Adelaide, Australia



s disease is a progressive neurodegenerative

disease affecting the motor systemwith myriad non-motor manifesta-

tions. Impulse control disorders (ICDs) are increasingly recognised as

a complication of Parkinson

s disease and, particularly, dopamine

agonist therapy. ICDs involve behaviours that are performed repeti-

tively, excessively and or compulsively to an extent that they interfere

in major areas of life functioning and can have devastating con-

sequences. Examples include hypersexuality, pathological gambling,

punding and dopamine dysregulation syndrome. The aim of this

review is to identify psychological factors that may be predictors of the

development of ICDs in patients with Parkinson

s disease. This may

assist clinicians in determining the risk of ICD development when

commencing a dopamine agonist and to advise caregivers and primary

care physicians to be more vigilant.


Databases were systematically searched up to 15th April

2016, identifying 23 studies meeting inclusion criteria.


Significant psychological predictors of the development

of impulse control disorders included impulsivity, novelty seeking

personality traits, alexithymia, mood disorders, anxiety, obsessive

compulsive disorder and higher scores on neuroticism, social

introversion and alienation-self/others on personality inventories.

There was also an association with lower scores on agreeableness and



There is a well-documented association in the litera-

ture between several underlying personality traits and psychiatric

disorders with the development of impulse control disorders in


s disease. These factors could be used to predict the

development of ICDs in patients with Parkinson

s disease.


Psychometric properties of Hospital Anxiety and Depression Scale

(HADS) in Iranian older adults

V. Rashedi


, M. Foroughan


, A. Delbari


, H. Nazari




Iranian Research

Center on Aging, University of Social Welfare and Rehabilitation Sciences,



Student Research Committee, Hamadan University of Medical

Sciences & Health Services, Hamadan, Iran


Co-morbid symptoms of anxiety and depression in older

adults is associated with more physical and mental health compli-

cations. Late-life anxiety and depression can often be silent, missed

or difficult to diagnose as older adults tend to express their emotions

by body complaints. The present study evaluated the psychometric

properties of Hospital Anxiety and Depression Scale (HADS) in Iranian

older adults.


In this methodological study, 230 community-dwelling

older people recruited. Subjects completed Persian version of HADS,

Depression in Old Age Scale (DIA-S), General Practitioner Assessment

of Cognition (GPCOG) along with a socio-demographic questionnaire.

Internal consistency was measured by Cronbach



and reliability

evaluated by test-retest method. Factor structure of HADS was

evaluated by principal component analysis.


The mean age of the sample was 70.67 ± 9.51 years and 57.4%

were male. Mean score of anxiety and depression were 7.43 (SD:2.51)

and 10.22 (SD:2.81), and the frequency of anxiety and depressive

symptoms were 18.4% and 21.1%, respectively. The Cronbach




HADS scorewas 0.844, indicating a high degree of internal consistency.

Factor analysis revealed a two-factor solution that supported the

theoretical construction of the scale. Higher HADS score was associa-

ted with higher DIA-S score and lower GPCOG score that confirmed

concurrent and convergent validity. Significant correlations were

found between age, gender, marital status and schooling and the HADS



Persian version of HADS is of appropriate validity and

reliability. It can be used as a screening instrument for anxiety and

depressive symptoms in Iranian older people.


A quality improvement project to reduce violence and aggression

enhancing patient

s sense of safety on an older adult mental health


G. Rodgers, C. Naughton.

NELFT NHS Foundation Trust, Kings College

London, United Kingdom


A local audit identified that 46% of patients felt unsafe

during their in-patient stay and this was correlated with a high

incidence of violence and aggression on the ward.

Poster presentations / European Geriatric Medicine 7S1 (2016) S29