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cardiac revascularization in elderly. Common ideas its usually taught

that PCI is a complex procedure and often complicated in elderly

patients in comparison with younger patient. Few data are available in

the literature and particularly in Algerian population about this.


To explore the relationship between older age and pro-

cedural success and in-hospital outcomes among a large unselected

population undergoing percutaneous coronary intervention (PCI).


Data were collected as a part of a prospective registry of all

percutaneous coronary interventions performed in an Hospital school

between January 2014 and June 2015. Our population has been divided

in two groups related to age <70 and 70 years and above. The statistical

analysis were performed using Pearson

s Chi-squared test with Yates

continuity correction, Fisher

s Exact Test for Count Data; Alternative:

two.sided proportion with effectifs <5 and Welch Two Sample t-test;

Alternative: two.sided averages and logistic regression for multivariate



Six hundred ninety seven hospitalizations for PTCA were

performed with 130 of them (18.65%) in patients at over 70 years old.

Were less likely to bemale gender (68.4 vs 83.1% OR 0.63 IC 0.41

0.96 P

value <0.05). less likely to have a history of smoking (18.9 vs 38.2% OR

0.37 IC 0.23

0.60 P value:<0.0001). but more likely to have a history of

kidney failure (11.8 vs 4.8% OR 2.63 IC 1.30

5.33 P value <0.01). but all

others criteria (multivessel disease, complex lesions, urgently and

unstable presentation, angiographic success, post procedural compli-

cation and in-hospital death). did not vary In the elderly compared

with younger age group.


The percutaneous transluminal coronary angioplasty is

safe and feasible without increasing risk of in hospital complication in

elderly Algerian population.


Are START criteria suitable for older, hospitalized patients with

geriatric syndromes? A prospective study in an acute geriatric ward

J.B. Beuscart


, M. Lemaitre


, J. Convain


, D. Lecoutre


, M. Dambrine



A. Charpentier


, Y. Boumbar


, E. Boulanger


, B. Decaudin


, F. Puisieux




CHU Lille, Geriatrics Department,


Univ. Lille, EA 2694,


CHU Lille,

Pharmacy Department, Lille, France


The START criteria are widely used to detect potential

prescribing omissions (PPOs) in patients aged 65 years and older.

However, it remains unknown if they are suitable for very old patients

with geriatric syndromes. The objective of this study was to assess

whether START criteria remained appropriate in older patients

hospitalized in an acute geriatric ward.


This prospective study took place in an acute geriatric ward

fromMay to December 2014. A medication review was performed in 4

steps: (1) Day 2: medication reconciliation; (2) Day 3: PPOs were

detected according to the START criteria and comorbidities recorded in

health records; (3) During hospitalization: geriatric evaluation and

diagnostic reassessment for all comorbidities related to START criteria;

(4) Discharge: multidisciplinary meeting to decide whether to correct

the detected PPOs according to these data.


A medication review was performed for 261 (52.3%) of 499

consecutive hospitalized patients. The mean agewas 84.1 (± 6.3) years.

At day 3, 377 PPOs were detected in 117 (67.8%) patients. After geriatric

evaluation, diagnostic reassessment, and multidisciplinary decision,

only 42 (11%) PPOs were corrected. The main causes of not following

the START criteria were: (1) comorbidity considered obsolete after

diagnosis reassessment; (2) acute medical events or diseases; (3)

severe geriatric syndromes.


START criteria appeared poorly adapted to very old

patients hospitalized in an acute geriatric ward. They should not be

applied in these patients without a rigorous diagnostic reassessment

of comorbidities and geriatric syndromes.


Multidisciplinary peri-operative assessment to empower patient

decision making and improve perioperative and post-operative

management for older urology patients

C. Bowler, R. Hodson, M. Valasubramaniam, V. Palit, V. Pinto.


Hospital of North Tees


A recent review within the author

s organisation

identified the need to change the pre assessment service to improve

patient outcomes for older people undergoing planned urology

surgery. The aim was to identify high risk patients and offer a

patient centred service to improve the peri-operative pathway, reduce

the risk of harm, improve safety and reduce morbidity and mortality.


Using the Model for Improvement a new MDT perioperative

assessment service based on the CGA approach was developed by a

geriatrician, anaesthetist and a urologist to effectively address the

complexities presented by this patient group. Baseline data of 12

patients that had traditional nurse led preoperative assessment was

collected and compared with 18 patients that had MDT perioperative



Patients seen in the nurse led-pre-assessment clinic had

shorter lengths of stay (median 3 days) compared to the MDT pre-

assessment clinic (median 4 days)however, co-morbidities tended to

be higher in the MDT patients. 7 patients in the MDT group declined

surgery following discussion of risk/benefits with the team, in contrast

no patients declined surgery in the nurse assessment group, however,

2 operations were cancelled on the day of surgery and post-operatively

two patients required urgent referral for medical management.

Patients felt empowered to make decisions regarding surgery and

were very positive about the MDT approach.

Key conclusions:

The results suggest that multidisciplinary peri-

operative assessment, optimisation and targeted interventions may

reduce the risk of adverse outcome in older persons undergoing

surgery. This will potentially benefit all older persons undergoing



Does admission to specialist Geriatric Medicine Wards lead to

improvements in aspects of acute medical care for patients with


R. Briggs


, E. O



, A. de Siún


, P. Gallagher


, S. Timmons



D. O



, S.P. Kennelly




Centre for Ageing, Neuroscience and the

Humanities, Trinity Centre for Health Sciences, Tallaght Hospital, Dublin,



Irish National Audit of Dementia Care in Acute Hospitals. Cork:

National Audit of Dementia Care,


Centre for Gerontology and

Rehabilitation, School of Medicine, University College Cork, Cork, Ireland


People with dementia are among the most frequent

service users in the acute hospital. age-attuned comprehensive

assessment of physical, mental health and social care needs on a

specialist ward represents current best practice in this setting. Despite

this, there is little evidence demonstrating improved care processes

specifically on specialist Geriatric Medicine Wards (GMW). Therefore,

the aim of our study was to review whether admission to a specialist

ward leads to improvements in important aspects of care for people

with dementia.


We analysed combined data involving 900 patients from the

Irish and Northern Irish audits of dementia care. Data on baseline

demographics, admission outcomes, clinical aspects of care, multi-

disciplinary assessment and discharge planning processes were



Less than one-fifth of patients received the majority of care on

a specialist GMW. Patients admitted to a GMW were less likely to

undergo a formal assessment of mobility compared to non-geriatric

wards (119/143 (83%) vs 635/708 (90%), OR = 0.57 (0.35

0.94)) and

were more likely to receive newly prescribed antipsychotic medi-

cation during the admission (27/54 (50%) vs 95/2809 (36%), OR = 1.95


3.51)). Patients admitted to a GMW were more likely to have

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