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9.9% of cases are newly diagnosed. 28.49% have a history of stroke

(20.82%) or TIA (6.84%) or TIA + stroke (0.83%). Chronic kidney disease:

background (11.8%), and discharge (34.4%). Hospital mortality:

18.9%. Treatment at income: 56.83% acenocoumarol, warfarin 5.16%,

7.29% NOACs (rivaroxaban 80%), ASA 24.62%. Anticoagulation cri-

teria: CHADS2

2 (96.7%), CHA2DS2-VASC

2 (99.7%), HASBLED


(44.1%). Complications: bleeding (6.3%), anaemia (49%), stroke (6.8%).


Low prevalence of atrial fibrillation than described for

this age range. Low incidence of atrial fibrillation in the study sample.

High hidden chronic kidney disease in the studied group. According to

the guidelines for use of oral anticoagulation (NICE, EHRA) patients

met the criteria for oral anticoagulation.


Description and monitoring of elderly patients candidates for

intensive care

I. Ferrando Lacarte


, M. Gonzalez Eizaguirre


, C. Deza Perez


, C. Canovas



, J.I. Corchero Martin


, E. García-Arilla Calvo






ICU Services, Hospital Nuestra Señora de Gracia, Zaragoza, Spain


To describe characteristics of patients older than 80 years

admitted to ICU and monitoring resource use and mortality.


Prospective descriptive study of ICU admissions between

2012 and 2014. Evolution and monitoring during first year.


142 patients. 22.36% of total incomes. Distribution by years:

2012: 19.32%, 2013: 22.54%, 2014: 56.3%. 25.90% Men. Average age:

83.65 years (80

93). 8 over 90 years. Apache II: 12.62 (4

38). Average

stay: 6.57 days. Admission from: Emergency 79.6%, 11.3% medical

services, 4.2% surgical services, other ICUs 4.9%. Income diagnosis:

41.9% acute coronary syndrome, 25.8% rhythm disorders, 6.5% heart

failure, 4.8% respiratory insufficiency, 4% cardiorrespiratory arrest,

4% sepsis, pneumonia 3.2%, 1.6% pulmonary embolism. Background:

19.7% atrial fibrillation, ischemic heart disease 26.8%, valvular disease

14.8%, hypertension 79.6% 18.3% I heart, I chronic renal 12%, chronic

respiratory 12.7% I, ACV 16.9%, 8.5% cognitive impairment, DM 26.8%,

14.1% COPD. Complications: 14.8% nosocomial infection, Delirium

17.6%. ICU mortality: 22.5%. One-year mortality: 26.4% During first

year: attending emergency department 1 or 2 times 41.8%, >3: 19.1%.

(39.1% do not need emergency services). 40% require 1 or 2 hospital

admissions, >3: 10%. (50% do not enter). A patient was readmitted to

the ICU (0.1%).


High prevalence of elderly patients who need intensive

treatment, with a growing number of income in subsequent years.

Predominant cardiac pathology. Regardless of age are candidates

for invasive techniques. Low cognitive impairment and delirium.

Moderate mortality during hospitalization and first year. High use of

emergency services, not requiring income in half the cases.


Combining brief physical and cognitive assessments to predict

hospitalization and functional decline in elderly outpatients in

acute care

S.Q. Fortes-Filho


, M.J.R. Aliberti


, J.A. Melo


, D. Apolinario



W. Jacob-Filho


, L.E. Garcez-Leme




Department of Orthopedics and

Traumatology, University of São Paulo Medical School, São Paulo, Brazil,


Division of Geriatrics, Department of Internal Medicine, University of São

Paulo Medical School, São Paulo, Brazil


To evaluate the predictive value of combined short phy-

sical performance battery (SPPB) and 10-point cognitive screener

(10-CS) for hospitalization and functional decline, de


ned as a decline

at least one activity of daily living.


A 6-month prospective cohort study with 383 older adults

who were able to walk and without previous diagnoses of dementia

admitted to a Geriatric Day Hospital (GDH) with acute problems in

São Paulo, Brazil. Poor physical performancewas defined as SPPB lower

than seven points and provable cognitive impairment when 10-CS

lower than seven points (maximum of 10). High-risk group were

patients who had poor performance in both assessments and

medium-risk group those with poor performance in at least one test.

Kaplan-Meier curves and adjusted Cox proportional hazards models

were calculated for each outcome.


The 6-month incidence of hospitalization and functional

decline were significantly more frequent in the high-risk group at

Kaplan-Meier curves (p = 0.001 and p < 0.001). After adjusting for

demographic and clinical variables, participants with high-risk

and medium-risk were more likely to hospitalization (HR = 2.5; 95%

CI 1.4

4.5 and HR = 1.9; 95%CI 1.2

3.1, respectively) compared with

participants with a low risk. High-risk and medium-risk group were

also independently associatedwith functional decline (HR = 5.7; 95%CI


12.3 and HR = 4.3; 95%CI 2.1

8.8, respectively). The Harrell

s C

discrimination index was 0.65 for hospitalization and 0.74 for

functional decline.


In acute care older patients admitted at GDH, combining

brief physical and cognitive assessments was a good predictor of

hospitalization and functional decline in six months.


Older adults in the emergency department: the challenge of


B. Gasperini


, A. Fazi


, A. Cherubini


, G. Maracchini




Department of

Geriatric and Rehabilitation, Santa Croce Hospital, Azienda Ospedaliera

Ospedali Riuniti Marche Nord, Viale Vittorio Veneto 2, 61032 Fano, Italy,


Emergency Department Ospedale Principe di Piemonte, Asur Marche

Area Vasta 2 Via Cellini 1, 60019 Senigallia, Italy,


Geriatrics and Geriatrics

Emergency Care, Italian National Research Center on Aging

(IRCCS-INRCA), Ancona, Italy


Older adults are vulnerable patients at risk of undertriage.

We aimed at evaluating the undertriage rate and associated risk factors

in an Italian Emergency Department (ED).


A retrospective study carried out on subjects 65 years and

older. Undertriage is defined as a priority tag assigned at admission

lower than the severity tag assigned at discharge.


8894 subjects >64 years were admitted in 2012. 675 cases

(7.6%) underwent undertriage, 9.2% among over 85 years, 7.5% to


75 years and 6,4%, to 65

74 years (p < 0.001). The mean age in

the undertriage group was 79,8 years compared to 78.5 years

(P < 0.001). The length of stay between acceptance and visit was 105

minutes vs 80 minutes (p = 0.001). Undertriage was associated with

unspecified complaints

in 33.5%, dyspnoea (10.5%), trauma (11.4%)

and pain (excluding abdominal and chest) (7.6%) as admission

complaints. At discharge 15% kept a diagnosis of

unspecified ill


. 72% of older adults with undertriage were hospitalized

compared to 22.7% of the others (p < 0.001). Risk factors were

age greater than 74 years (OR 1.429, CI 1.167

1.750), and 84 years

(OR 2.291, CI 1.839

2.853) and admission for wheezing (OR 2.751, CI


3.699). Admission for trauma was protective (OR 0.522, CI


0.671; p < 0.001).


Undertriage determined delayed care and older age is an

important risk factor. The high rate of diagnosis of unspecified disease,

both at the triage and at discharge, underlying the troubles in focusing

the real clinical problem in older patients.


Standby resuscitation for elderly patients: how to guess the


R. Legrand, P. Gillois, J.F. Payen, G. Gavazzi, T. Trouve Buisson.


of Grenoble-Alpes and University Hospital of Grenoble-Alpes, France


Elderly patients admitted in intensive care units have

more severe outcomes than general population. Standby resuscitation

is devoted to avoid lost of opportunity and unreasonable obstinacy

when prognosis is uncertain. This study aimed to determine prognosis

factors associated with in hospital survival after 3 days in ICU.


Retrospective study including all patients >80 years old

admitted in ICU between 2012 and 2014. Clinical status, diagnosis,

organ failures characterized by severity scores (IGS II, SOFA) at

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