European Geriatric Medicine - Supplement 1 - Volume 7

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.

Methods:

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.

Results:

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.

Conclusion:

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.

P-240

Cross-cultural adaptation and psychometric study of the Turkish

version of the rapid assessment of physical activity into Turkish

K. Cekok

, T. Kahraman

, M. Kalkisim

, A. Genc

, P. Keskinoglu

Department of Physical Therapy and Rehabilitation, Medical Park

Hospital,

School of Physical Therapy and Rehabilitation, Dokuz Eylül

University,

Health Sciences Institute, Dokuz Eylül University,

Department of Biostatistics and Medical Informatics, Dokuz Eylül

University, Izmir, Turkey

Objectives:

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.

Methods:

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.

Results:

The median age of the participants was 72 (minimum-

maximum, 53

–

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).

Conclusions:

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.

P-241

Psychometric study of the International Physical Activity

Questionnaire

–

short form for older adults in Turkey

T. Kahraman

, K. Cekok

, A. Genc

, P. Keskinoglu

School of Physical

Therapy and Rehabilitation, Dokuz Eylül University,

Department of

Physical Therapy and Rehabilitation, Medical Park Hospital,

Department

of Biostatistics and Medical Informatics, Dokuz Eylül University, Izmir,

Turkey

Objectives:

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.

Methods:

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 validity.

Results:

The median age of the participants were 77 (minimum-

maximum, 65

–

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).

Conclusions:

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.

P-242

Prevalence and associated factors of dysphagia among geriatric

in-patients at Kaunas clinical hospital, Lithuania

G. Damulevičienė

, I. Enčerytė

, J. Kna

ienė

Lithuanian University of

Health Sciences, Geriatric department

Objectives:

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.

Methods:

As of September 2015 95 patients of Geriatric department in

Kaunas clinical hospital had been tested using QDS, for OD

–

using

bedside test. The patients

’

mouth and functional status (determined by

Barthel index), concomitant diseases, used medication were also

evaluated.

Results:

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).

Conclusion:

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.

P-243

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

M.L. Rodríguez

, 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

–

S259

S92