and modifying risk factors can reduce the risk of falls. We determined
the incidence of falls 3 months after hospital discharge and related risk
factors in elderly patients and made a follow up at 6 months on the
group of patients that had fallen at 3 months.
We analysed 100 patients over 65 years admitted to an
Internal Medicine ward. A questionnaire was performed during the
hospitalization, and a telephone interview 3 and 6 months after
discharge. An analysis was performed to determine risk factors for pre
and post-discharge falls.
100 patients were included, 52% male, aged 80 ± 8.1 years. For
69 patients follow-up information was obtained, 18 reporting falling
during the 3-month period. 6 months after discharge 69% reported a
new fall. Higher risk of falls was associated with history of falls in the
previous 6 months (p < 0.05 RR = 2.76) and shorter hospital stays (
days) (p < 0.05 RR = 2.78). Polymedication (p = 0.002), use of psycho-
active drugs (p = 0.019), analgesics (p = 0.026) and a higherMorse scale
score (p = 0.017) were associated with a higher incidence of falling.
Risk factors identified should be sought in future studies.
The results highlighted the association of polymedication, psycho-
active, analgesic and a higher Morse scale score to a history of falls.
Shorter hospital stays were significantly associated to a higher
frequency of falls after a hospital discharge. Fall prevention strategies
should focus on patients who present these risk factors.
Cross-cultural adaptation and psychometric study of the Turkish
version of the rapid assessment of physical activity into Turkish
, T. Kahraman
, M. Kalkisim
, A. Genc
, P. Keskinoglu
Department of Physical Therapy and Rehabilitation, Medical Park
School of Physical Therapy and Rehabilitation, Dokuz Eylül
Health Sciences Institute, Dokuz Eylül University,
Department of Biostatistics and Medical Informatics, Dokuz Eylül
University, Izmir, Turkey
The Rapid Assessment of Physical Activity (RAPA) was
developed to provide an easily administered and interpreted means of
assessing levels of physical activity among adults older than 50 years.
The RAPA is a valid tool for use in clinical practice. However, there are
some concerns about its reliability. The aim of this study was to
linguistically and culturally adapt the RAPA into Turkish and assess its
validity and reliability.
This methodological and cross-sectional study included 110
participants (68 female) from community and a nursing home. The
RAPA was translated and culturally adapted into Turkish using
established double-back translation methods. The participants com-
pleted the RAPA twice with a one-week interval to examine test-retest
reliability. The IPAQ-Short Form (IPAQ-SF) and Physical Activity Scale
for the Elderly (PASE) were used to examine the validity.
The median age of the participants was 72 (minimum-
93) years. The kappa coefficients exceed 0.81 for each
nine items, aerobic score and strength & flexibility score, indicating
that the test-retest reliability was almost perfect. There were positive
moderate correlations between the RAPA, IPAQ-SF, and PASE (p < 0.01).
Additionally, the RAPA was negatively correlated with the IPAQ-SF
sitting time as pre-hypothesised (p < 0.01).
This study has indicated that the Turkish version of the
RAPAwas aneasy-to-use, valid, and reliablemeasure of physical activity
among adults older than 50 years. This study has also provided
considerable evidence about the test-retest reliability of the RAPA
whichwas not investigated in the original validation study of the RAPA.
Psychometric study of the International Physical Activity
short form for older adults in Turkey
, K. Cekok
, A. Genc
, P. Keskinoglu
School of Physical
Therapy and Rehabilitation, Dokuz Eylül University,
Physical Therapy and Rehabilitation, Medical Park Hospital,
of Biostatistics and Medical Informatics, Dokuz Eylül University, Izmir,
The International Physical Activity Questionnaire (IPAQ)
was developed as a standardized tool for cross-national monitoring of
physical activity and inactivity. The IPAQ has commonly used in
geriatric field in Turkey. However, the Turkish version of the IPAQ has
only been tested for its psychometric properties among adults (18
years old) in the original validation study. The aimwas to examine the
psychometric properties of the Turkish version of the IPAQ-Short Form
(IPAQ-SF) among adults older than 65 years in Turkey.
Seventy participants from community and a nursing home
were included in this methodological and cross-sectional study. The
participants completed the IPAQ-SF twice with a one-week interval.
The participants also completed the Rapid Assessment of Physical
Activity (RAPA) and Physical Activity Scale for the Elderly (PASE) to test
The median age of the participants were 77 (minimum-
93) years. The intra-class correlation coefficients (ICC)
exceeded 0.80 for total physical activity, moderate physical activity,
walking, and, sitting scores. The ICC for vigorous activity score was
not able to be calculated since it had zero variance. There were
significant moderate correlations between the IPAQ total score, RAPA,
and PASE, indicating adequate validity (p < 0.01).
This study has suggested that the Turkish version the
IPAQ-SF had adequate test-retest reliability and validity among older
adults in Turkey. However, the vigorous activity item appears
irrelevant for older adults. The IPAQ-SF can be used assessing and
monitoring of physical activity and inactivity among older adults.
Prevalence and associated factors of dysphagia among geriatric
in-patients at Kaunas clinical hospital, Lithuania
, I. Enčerytė
, J. Kna
Lithuanian University of
Health Sciences, Geriatric department
Dysphagia is an important geriatric syndrome associated
with other geriatric syndromes: frailty, sarcopenia, malnutrition,
dementia, which leads to severe complications, and must be diag-
nosed on time. The aim of study was to determine: the frequency of
dysphagia using the questionnaire for dysphagia screening (QDS); the
frequency of oropharyngeal dysphagia (OD) using the bedside test;
associated factors of dysphagia.
As of September 2015 95 patients of Geriatric department in
Kaunas clinical hospital had been tested using QDS, for OD
bedside test. The patients
mouth and functional status (determined by
Barthel index), concomitant diseases, used medication were also
The mean age was 79.2 ± 10.6 years, 68.4% were female. The
dysphagia with QDS was determined for 18.9%, OD
in 29.5% of the
patients. Common incidence of dysphagiawas 31.6%. The sensitivity of
QDS for patients with ODwas 57.1%, and the specificity was 97%. Level I
thickness fluids were required for 10.7%, level II
for 85.7%, level III
for 3.6% of the participants. The relationship between dysphagia and
sex, age, history of stroke, dementia, Parkinson
s disease, oesophageal,
thyroid pathologies, and the usage of medication was not determined,
but the relationship was established between dysphagia and mouth
dryness (P = 0.004) and functional status (P = 0.04).
Incidence of dysphagia among geriatric in-patients
constituted 31.6%. Low sensitivity of QDS (57.1%) was determined in
the diagnosing of the OD. Majority of the patients with OD required
level II thickness fluids. Dysphagia was associated with bad functional
status as well as xerostomia.
Which factors influence the improvement of quality of life (QoL) in
patients that completed an interventional program in a geriatric
day hospital (GDH)? A prospective observational study
E. de Jaime
, A. Renom-Guiteras
, O. Vázquez
, R. Miralles
, E. Sevilla
, A. Huarte-Mendicoa
, S. Burcet
Geriatric Service Centre Fòrum del Parc Salut Mar, Barcelona, Spain
Poster presentations / European Geriatric Medicine 7S1 (2016) S29