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patients during the QI project compared to 3% at baseline. A falls

reduction was noted from 50% (n = 15) during the two months

intervention to 20% (n = 6) two months after the QI project.


The QI project resulted in increased engagement between

nursing staff and families to complete and deliver personalised care

plans including distraction activities to patients with dementia.

Increased personalised care planning was associated with a reduction

in falls incidents in an acute ward setting. The ongoing challenge is to

sustain momentum over time.


Alteration of cerebral blood flow between Alzheimer

s disease (AD)

and AD with possible dementia with Lewy bodies (AD + pDLB)

M. Imai


, K. Mori


, H. Maruno


, I. Hemmi


, Y. Ouchi


, Y. Igeta




Okinaka Memorial Institution for Medical Research,





Japanese Red Cross College of Nursing, Tokyo, Japan


AD and DLB are made up of a majority of dementia.

The pathology is proposed that these dementias complicatedly affect

each other and develop the diversely neurodegenerative pathway. AD

incorporated with one suggestive/supportive DLB feature, categorized


possible DLB (pDLB)

, might have different findings from AD

without the DLB feature. We evaluated regional cerebral blood flow

(CBF) in AD and AD+pDLB.


Patients with AD first visiting our facility from July to

October in 2015 were enrolled, fallen into AD criteria written by

National Institute on Aging Alzheimer

s Association. Of the patients,

those satisfied pDLB condition written by third report of the DLB

consortium were classified as AD+pDLB. Patients with definite/

probable Parkinson disease or DLB were excluded. Indexed regional

CBFs in the frontal lobe, the temporal, the parietal, the occipital,

and the parahippocampal gyrus were calculated with I-123 iodoam-

phetamine SPECT, the radiotracer presenting arterial blood varies

depending on its uptake. We compared the CBFs between AD and AD

+pDLB group.


We detected 22 with AD and 7 with AD+pDLB. The regional

CBFs were not different significantly, even though the CBF in the left

parietal lobe was marginally different (p = .07).


CBF in AD+pDLB was similar as in AD. Our initial trial

suggested that the distribution of the CBF was overlapped between

AD and AD+pDLB, reflected these complicated pathology.


Characteristics of cognitive disorders of the older patients visiting

the Memory clinic for the first time

J. Knasiene, G. Legotaite, G. Damuleviciene.

Lithuanian University of

Health Sciences, Kaunas, Lithuania


The prevalence of dementia in Lithuania has risen

dramatically in past decades and the vascular risk factors may

contribute to this rise. The proportions of Alzheimer

s disease (ADD)

and vascular dementia (VAD) in older population is not clear. Our aim

was to evaluate the characteristics of cognitive disorders of the older

patients, visiting the Memory clinic for the first time.


We used a population-based retrospective cohort study

design and extracted data from Memory clinic database.


202 patient

s (

60 year-old) data were analyzed. 82,7% of


s (n = 167) had cognitive disorders: 81,4% (n = 136) dementia,

18,6% (n = 31) mild cognitive impairment (MCI). Dementia, accord-

ing to severity: severe 15,4%, moderate 72,1%, mild 12,5%. The most

common was VAD

in 41,9% of cases (subcortical 64,9%), mixed


34,6%, ADD

15,4%, other

4,4%. MCI has relationshipwith

ischaemic heart disease (IHD), hypertension. Dementia is associated

with older age (p <0,001) and lower education of the patients

(p < 0,001). VAD is associated with strokes (p < 0,001), IHD (p = 0,003),

hypertension (p = 0,009), ischemic lacunar state (p < 0,001) and

urinary incontinence (p = <0,001), falls (p = 0,001). Mixed dementia

has relationship with IHD, hypertension, urinary incontinence.


The prevalence of cognitive disorders among the older

patients visiting the Memory clinic for the first time is high and the

most common was VAD. The high prevalence of VAD and mixed

dementia is associated with vascular risk factors

strokes, IHD,

hypertension, chronic ischemic lacunar state. Community based early

interventions controlling vascular risk factors have a priority in

prevention of cognitive disorders in older population.


The level of dementia recognition among the elderly patients and

patients with diabetes hospitalized in a geriatric ward

is there a

need for screening?

A. Kasiukiewicz


, Z.B. Wojszel




Department of Geriatrics, Medical

University of Bialystok, Poland,


Department of Geriatrics, Hospital of the

Ministry of the Interior in Bialystok, Poland


Diabetes is a common disease and a recognized risk factor

for dementia in elderly patients. Dementia may adversely affect the

treatment of diabetes and increase the risk of complications. The aim

of the study was to evaluate the level of recognition of dementia

among the elderly patients and patients with diabetes admitted to a

geriatric ward.


427 patients aged 60 years or older were hospitalized in the

department between September 1st. 2015 and April 30th. 2016.


women; 85% of people 75 year old and older; average age

81,6 ± 6,75

years. A retrospective analysis of dementia prevalence (diagnosis

based on clinical and neuropsychological assessment) was conducted,

and dementia severity was determined on the basis of Mini Mental

State Examination score.


129 (30,2%) dementia cases were identified in this group


(34,1%) previously diagnosed and treated (MMSE

16 (13;21)) and 85

(65,9%) newly diagnosed (MMSE

18 (15;21)). In 130 patients with

diabetes cognitive disability was diagnosed in 33,8% of cases. In 32

(72,7%) patients it was the newly diagnosed dementia. The severity of

cognitive disability in diabetic patients assessed with MMSE was 19

(15;21) in newly diagnosed cases, and 15,5 (10,5

20) in dementia

previously diagnosed and treated.


The awareness of cognitive disability prevalence in older

patients is rather low and very frequently it is not diagnosed and

treated. It concerns also patients with diabetes, suggesting the need

for implementation of dementia screening in this group. This could

positively influence management of the disease.


Is deliriumandmemory impairment identified and acted upon in a

busy district general hospital?

L.J. Koizia, A. Porter, S-L Xiao, L. Poulton, M. Vilasuso.

Northwick Park



Dementia and delirium affects more than a quarter of

in-patients at any one time. These patients have a higher mortality,

complication rates and increased length of stay. This has prompted

the development of the Commissioning for Quality and Innovation

(CQUIN) target and guidelines highlighting the importance of

cognitive screening in elderly patients admitted as an emergency.

We undertook a QIP to assess the number of patients admitted acutely

who had cognitive assessments performed and any actions as a result.


All patients over the age of 75 years who were admitted as

an emergency over a two-day period were assessed. The notes were

reviewed for completion of AMTS (abbreviated mental test score) and

CAMs (confusion assessment method) scores; then further investiga-

tions and referrals were assessed. In addition, the discharge summar-

ies were evaluated to identify if cognitive impairment had been

documented and if further actions were advised.


74 patients were assessed (6 excluded because they passed

away). 48% of patients had an AMTs within 72 hours of admission. In

addition, none of the patients with a low AMTS (<8) had appropriate

steps taken i.e. blood tests, referrals, information passed onto GPs, as

recommended by national guidelines. We have identified that by

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