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

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Conclusion: Our study has shown that the distribution of dementia
research over the different subtypes of dementia does not correspond
with the prevalence of these subtypes in clinical practice. The research
population in the protocols is not representative of the larger
patient population. A greater number of dementia patients could
derive benefit from the conducted research, if the research agenda
were more closely aligned with the disease prevalence. A better
representation of all dementia patients in research will help to meet
the needs of these patients.
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Therapeutic approach in diabetics 65+ y. in outpatient care 2015
P. Weber 1,2, H. Meluzinova2,1, D. Prudius1. 1 Department of Internal
Medicine, Geriatrics and Practical Medicine, Faculty Hospital and
Masaryk University, 2Outpatient Dept. for Diabetes, DIASTOP, Ltd., U Pošty
14, Brno, Czech Republic
Background: Diabetes mellitus (DM) has a crucial impact on personal
and social health. Purpose: An analysis of clinical characteristics in one
out-patient department for diabetology.
Patients and methods: During the year 2015 authors treated 1,400
persons 65+ y. (71%); 638 men and 762 women of the average age
(74.5 ± 7.1 y. vs. 76.5 ± 7.1 y.). We analyzed in the set: age, duration of
diabetes, kind of therapy, obesity, presence of late diabetic vascular
complications and overall approach in persons 65+ y. The patient set
was divided to three age different subgroups: 1. 65 –74 y. −50%; 2. 75–
84 y. − 33%; 3. ≥85 y. −17%. Development of DM was 64.4±10.6 y.
Loneliness is a problem in maintenance of adherence to therapy in
age different subgroups: 1. 65–74 y. −10.9%; 2. 75–84 y. −35.6%;
3. ≥ 85 y. −44.4%.
Results: Polypharmacy (5–9 drugs) took 44% of old diabetics
and extreme polypharmacy ( ≥10 drugs) 4.5%. Obesity (BMI ≥ 30)
men in comparison to women 46.3% vs. 44.3%; morbid obesity
(BMI ≥ 40) 4.2% vs. 7%. Averagewaist circumference in both groups was
also significantly higher in comparison to standard range in 345 men
(51%) vs. 612 women (80.4%). The presence of late macrovascular
complications took place in set in 50.4%. Methods of treatment in DM
set 65+y. were diet only (MNT) 23%; oral antidiabetic drugs (OAD)
altogether 60%; mere insulin or analogues 9% and combination of
insulin with OAD 8%.
Conclusions: A geriatric patient faces a long-term threat of decom-
pensation of functional status and therefore requires specific modifi-
cation of the specialist′s approach to DM care.
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Depression and associated factors among hospitalized elderly: a
cross sectional study in a Saudi teaching hospital
S.H. Alamri, A.I. Bari, A.T. Ali. College of Medicine, King Abdulaziz
University, Jeddah, Saudi Arabia
Depression is a serious and often underdiagnosed psychiatric disorder.
The purpose of this study was to examine the prevalence of depression
and associated factors among hospitalized elderly. We included a
consecutive series of patients (n = 208) aged 60 years and older who
were admitted to the medical and surgical wards of King Abdulaziz
University Hospital (KAUH). Participants were interviewed within 48
hours of admission using an interviewer administered questionnaire
to provide basic demographic and clinical information. Patient Health
Questionnaire-9 (PHQ-9) was used to screen for depression. DSM-V
criteria was used to confirm the diagnosis. According to PHQ-9, there
were 34(17%) and 21(10.5%) of the 200 patients diagnosed with
major depressive disorder and other depressive disorder respectively.
There was no statistical significant difference found between major
depressive disorder, other depressive disorder and no depression
groups in terms of sociodemographic and clinical measures except for
the number of comorbidity which was significantly higher in the
major depressive disorder group than the no depression group (post
hoc p = 0.023). According to DSM-V criteria, There were 24(12%) of the
200 patients diagnosed with major depression which is less than the
number diagnosed by PHQ-9. There was no statistical difference in
patients’ characteristics between DSM-V depression and no depres-
sion group. In conclusion, our study demonstrated a high prevalence
rate of depression among hospitalized elderly. Consequently, physi-
cians must maintain a high index of suspicion for such illness in this
frail population.
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Patient journey to intermediate care from Emergency Department
V. Paranna, T. Wilton. West London Mental Health NHS Trust and Ealing
Hospital
Ealing Home ward (HW) has a clinician based in Ealing Emergency
Department (ED) to both receive referrals from ED staff that may be
suitable for the service, and to proactively seek out patients that may
match our selection criteria also. This study analyses the patient
journey in ED who are reviewed by the HW team.
Methods: A prospective audit of all referrals from Ealing ED from June
21st to June 30th inclusive. Data collected through SystmOne &
Symphony and analyzed through Excel [Poster Figure X].
Results: 43 patients were reviewed by the HW team during the
period. 58% of patients were assessed in Trolleys, 40% in CDU [Poster
Figure 1]. 55% of those assessed were accepted onto the HW
caseload [Poster Figure 4]. Of the 55% accepted there was a 50:50
split between treated by HW at home (RR) or at Magnolia [Poster
Figure 5]. 55% of referrals were female [Poster Figure 2]. Patients’
ages ranged from 51 to 100, the majority were in their ninth
decade [Figure 3]. There was also an expected increase in average
age of patients when correlated with the discharge destinations
level [Figure 6]. 72% of referrals were seen by the HW team within 4
hours of the patient registering in ED, the remainder were in CDU
overnight and referred outside our working hours of 8 am till 8 pm
[Poster Figure 7]. The time spent in the ED department increases
with the level of input required by HW (home without RR input,
home with RR, Magnolia) despite being seen and assessed within a
similar time span [Poster Figure 8].
Conclusion:
• Needs further ED data analysis to improve the patient journey and
to streamline the process.
• To improve efficiency in HW staff assessing the patients in Trolleys.
Poster presentations / European Geriatric Medicine 7S1 (2016) S29–S259 S259