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and patients >80 yo had a longer TAD (mean 8:01 vs 7:40 hours), but

the difference was not significant.

Key Conclusions:

Patients over 80 years old present with even less

specificity in PE. Nevertheless, MTS color was not influenced by old

age, allowing for an equally fast imaging diagnosis of PE.


Outcome of older patients admitted in an Internal Medicine


results of a cohort of 100 patients at discharge, 6 and

12 months follow-up

Á. Chipepo


, S. Duque


, M.J. Serpa


, M. Maia


, Y. Mamade


, A. Watts



, S. Velho


, F. Araújo


, J. Pimenta da Graça




Internal Medicine

Department, Hospital Beatriz Ângelo, Loures,


Internal Medicine

Department, Centro Hospitalar de Lisboa Ocidental, Hospital São

Francisco Xavier,


Unidade Universitária de Geriatria, Faculdade de

Medicina, Universidade de Lisboa, Lisboa,


Nutrition and Dietetics

Department, Hospital Beatriz Ângelo, Loures, Portugal


In-hospital mortality is one of the quality indicators

most used worldwide. However, in older people this quality indicator

do not exactly reflect life expectancy nor quality of life after discharge.

Healthcare professionals and stakeholders are not aware of the

medium/long-term outcome of patients discharged. Our aim was to

evaluate mortality, readmissions and emergency department (ED)

admissions at 6 and 12 months (6 M, 12 M) follow-up of patients


years admitted to an Internal Medicine (IM) ward.


Prospective longitudinal cohort study of 100 patients.

Comprehensive geriatric assessment at baseline was performed.

Outcome at 6 M and 12 Mwas assessed by phone contact and hospital

record analysis.


Average age 83.7 years, 63% males, 25% nursing home

residents, average Cumulative Illness Rating Scale Geriatrics 11.2,

average Barthel score 62.6, 70% malnourished, 31% cognitively

impaired. In-hospital mortality 10%. One patient lost during follow-

up. Considering follow-up of 89 patients at 6 M and 12 M: mortality

42.7 and 48.3% (51 survivors at 12 M); 39.3 and 47.2% of patients

were readmitted; 60.7 and 66.3% of patients were admitted in ED.

Mortality, readmission and ED admission rates were expressively

lower during the 2nd semester of follow-up: 9.8, 23.5, 41.1%. Survivors

revealed expressively lower readmission and ED admission rates at

6 M and 12 M, comparing to non-survivors.


Mortality of older people discharged from an IM ward

is impressively high, namely in first 6 months. Readmission and ED

admission rate might be markers of poor outcome. Further analysis

of high-risk patients is needed to understand the predictability of



Stroke and intravenous thrombolysis in patients 80 years and older

C. Eira


, Â. Mota


, R. Silvério


, A. Gomes


, A. Monteiro





Hospital Center, Viseu, Portugal


Cerebrovascular disease is the leading cause of death in

Portugal. Intravenous thrombolysis is a breakthrough in the treatment

of ischemic stroke. Clinical trials rarely include patients greater than

80 years old. Therefore, the risks and benefits of thrombolysis in this

age group remains uncertain.


A retrospective study was performed on patients

80 years

old admitted to a Stroke Unit between 2009 and 2015 with ischemic

stroke. All patients underwent intravenous thrombolysis. The study

evaluated demographic, clinical and functional outcome. Statistical

analysis was performed using SPSS.


A total of 285 thrombolysis were performed, 60 (21.1%)

of which in patients

80 years old. A majority of the patients

were female (68.3%). The mean age was 83.3 years old. The main

comorbidities were hypertension (70.0%) and atrial fibrillation (65.0%).

Most strokes occurred in the anterior circulation (96.7%). Computed

tomography showed signs of acute ischemia in 53.3%. In 76.7% of

the cases, thrombolysis was performed in the first 3 hours of onset of

symptoms. Intravenous antihypertensive medication was used

in 6.7% of cases. Cardioembolic strokes were more prevalent

(63.3%). Intracranial bleeding occurred in 16.7% of patients and 28.3%

had no neurological complications. At hospital discharge, 36.7% of

patients had Modified Rankin Scale (MRS)

2. The mortality rate

was 18.3% (11 patients). At 3 month follow-up 20.4% had died and

40.8% had mRS



Intravenous thrombolysis should be performed in selec-

ted patients. The prognosis depends on the age, stroke severity,

comorbidities and non-neurological complications.


Incorporating the OPERA instrument to identify and direct the care

needs of frail older patients in the AMAU Setting

A. Fallon, R. Moola, J. Armstrong, R. Briggs, T. Coughlan, D. O


R. Collins, S.P. Kennelly.

Tallaght Hospital


Frail older patients represent an increasing proportion of

those accessing acute hospital services. The aim of this study was to

evaluate outcomes for patients aged

70 presenting to the acute

medical assessment unit (AMAU) based on functional ability scores on



A prospective cohort study was carried out. Data was

collected on patients presenting between July 2015 and May 2016.

Functional ability (FA) is routinely recorded as part of a novel 5-minute

nurse-administered instrument- the Older Persons in ED/AMAU Risk

Assessment (OPERA) for those aged

70 admitted to the AMAU.

The Delphi-derived OPERA instrument reviews premorbid comorbid

illness, functional ability (Mobility, self-care, speech and nutrition),

and acute illness indicators. FA needs were calculated as a score of 0


7 (dependent). A positive response to each question

directs MDT referral to appropriate specialty for review.


1952 patients attended AMAU during this period. 28.4%

(555/1952) were aged

70. 44.3% (246/555) scored 0 on FA. 18.1%

(100/555) scored 1, 10.5% (58/555) scored 2, 10.2% (57/555) scored 3,

9.2% (51/555) scored 4, 5.7% (32/555) scored 5, 3.6% (20/555) scored 6

and 3.6% (20/555) scored 7. 956 MDT referrals were prompted. 70.3%

(390/555) were admitted. The highest admission rate, 95% (19/20), was

in the FA6 group, 20% (4/20) of whom were nursing home residents

and a further 10% (2/20) were newly discharged to nursing homes.

No patients in the FA1 group were discharged to nursing homes; 84%

(84/100) went directly home. Average length of stay increased in each

category from 6.4 (0

52) days in the FA1 group to a maximum of 17.2


125) days in the FA5 group. The highest in-hospital mortality rate

was in the FA5 group, 15.6% (5/32).


The OPERA instrument was easily incorporated into

admission process and supported early referral to MDT services for

timely intervention.


Non-valvular atrial fibrillation: drugs used for stroke prevention

I. Ferrando Lacarte, B. Gamboa Huarte, C. Deza Perez, M. González


Geriatrics Service, Hospital Nuestra Señora de Gracia,

Zaragoza, Spain


Atrial fibrillation is highly prevalent in geriatric popula-

tion. We set as objetives to describe drugs used for prevention of

thromboembolic events (ASA, clopidogrel, VKAs, NOACs) in a sample

of patients discharged from a Geriatrics Service in 2015.


We reviewed discharge reports and electronic medical

records of hospital discharges with a diagnosis of atrial fibrillation.

Variables studied: sociodemographic (gender, age), clinical (income

days, personal history, renal function, Charlson index (CI), Barthel

index (BI), SPMSQ, CHADS2, CHA2DS2-VASC, HASBLED, liver function,

antiplatelet drugs and anticoagulants, albumin, coagulation study),

associated complications (stroke, anemia, bleeding), hospital mortal-

ity. SPSS v19.


1379 patients were discharged in 2015, 365 (26.46%) diag-

nosed with atrial fibrillation. Women 67.9%. mean age 87.41 (71


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