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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.


Therapeutic approach in diabetics 65+ y. in outpatient care 2015

P. Weber


, H. Meluzinova


, D. Prudius




Department of Internal

Medicine, Geriatrics and Practical Medicine, Faculty Hospital and

Masaryk University,


Outpatient Dept. for Diabetes, DIASTOP, Ltd., U Po



14, Brno, Czech Republic


Diabetes mellitus (DM) has a crucial impact on personal

and social health.


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.



85 y.



Polypharmacy (5

9 drugs) took 44% of old diabetics

and extreme polypharmacy (

10 drugs) 4.5%. Obesity (BMI


men in comparison to women 46.3% vs. 44.3%; morbid obesity


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%.


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.


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


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.


Patient journey to intermediate care from Emergency Department

V. Paranna, T. Wilton.

West London Mental Health NHS Trust and Ealing


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.


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].


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].


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