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P229: Peripheral arterial disease – screening in seniors (carried out by general practitioners under supervision of angiologists)
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Poster presentations, Thursday 18 September 2014 / European Geriatric Medicine 5S1 (2014) S83–S158
patients (46.7%) were positive. The first case was a communityacquired influenza but 20 were nosocomial influenza. In hospitalmortality rates were 31.1% and 10.5% for patients with flu and for other hospitalized patients respectively. Death occurs 16.4 mean days after positive PCR; complications were functional decline, bacterial infections, acute renal and cardiac insufficiency, Septic shock, Multi-organ failure. Conclusions: Community and nosocomial acquired Influenza leads to high rate of death. The complications are numerous highly variable and unexpected. All kind of prevention is warranted to prevent this devastating disease. P227 Detection of unconscious eye movements to check hearing thresholds (pilot study) 1 L.M. Gigirey1 , C. Vazquez ´ , A. Fernandez2 , M. Ortega2 , M.G. Gonzalez2 1 University of Santiago de Compostela, Spain; 2 University of Coru˜ na, A Coru˜ na, Spain
In the geriatric patient, the development of an audiometry becomes more complex due to the presence of multiples pathologies or a less interaction between the patient and the tester, particularly when cognitive impairment exists. However, involuntary facial reactions to sound are observed in patients with “special needs”, mainly on the eye region. Objective: We present a screening method that analyzes changes within the eye region as a response to sound, in order to corroborate the hearing thresholds in elders with “special needs”. Methodology: A fully-automatic computer-driven system has been developed to analyze video sequences of recorded hearing test sessions. The system processes the recordings to detect when the auditory stimuli are sent. Simultaneously, test subject eye region movements are also automatically detected and characterized by applying dynamic computer vision techniques. These gestures are then correlated to the test stimuli so that the system is able to establish the presence of a spontaneous and significant reaction to each one of them, allowing to evaluate the patient’s hearing status when no collaboration exists. Results: Initial results point out that significant movements are detected and a 100% of agreement is achieved between the expert and the automatic system for the detection of eye-based spontaneous reactions to the stimuli for the 5 analyzed sequences. Conclusions: The development of an automatic system that detects facial reactions to sound would be very helpful for early detection of hearing loss when patient low collaboration exists. Clearly, further studies are necessary to corroborate these early results. P228 Predicting cognitive function using physical performance in community-dwelling older women N. Tomiyama1 , R. Hasegawa2 1 Seijoh University, Japan; 2 Chubu University, Kasugai, Japan Introduction: Previous research has reported that physical performance requires cognitive function. In particular, control processes play critical and supportive roles in physical performance for older adults. Thus, physical performance may be useful to assess cognitive function in older adults. The purpose of this study was to examine whether cognitive function is predictable from physical performance in community-dwelling older women. Methods: Sixty-two community-dwelling older women (mean age, 73.5±5.2 years) performed physical performance tests of muscle strength, balance ability, and flexibility, as well as cognitive function testing using Test Your Memory (TYM). Grip strength, arm curl test (AC), and 30-sec chair stand test (CS) were used to represent muscle strength. Center of pressure (COP) root mean square area (RMS) with eyes open and closed, 8-foot timed up-and-go test (TUG),
and four square step test (FSST) were used to determine balance ability. Pearson’s correlation coefficient was used to investigate the relationship between physical performance and cognitive function. Multiple linear regression analysis was used to examine whether physical performance can predict cognitive function. The variable showing the most significant correlation with cognitive function was then used as an independent variable. Results: TYM results showed significant correlations with TUG, FSST, and eyes-closed COP RMS. The factor selected as the independent variable for multiple regression analysis was eyesclosed COP RMS (b = −0.408, P = 0.001). Conclusion: These results suggest that balance ability in physical performance may predict cognitive function. P229 Peripheral arterial disease – screening in seniors (carried out by general practitioners under supervision of angiologists) K. Dostalova1 , V. Stvrtinova2 , V. Sefranek3 , S. Moricova4 1 Faculty of Public Health, Slovak Medical Univerzity, Bratislava, Slovak Republic; 2 Faculty of Medicine, Comenius University, Bratislava, Slovakia, Bratislava, Slovak Republic; 3 Department of Vascular Surgery, Slovak Medical University, Bratislava, Slovak Republic; 4 Faculty of Public Health, Slovak Medical University, Bratislava, Slovak Republic Introduction: Peripheral arterial disease (PAD) causes symptoms, most notably leg pain when walking (intermittent claudication). 70%-80% patients are asymptomatic. Of patients with intermittent claudication, only 7% will undergo lower extremity bypass surgery, 4% major amputations, and 16% worsening claudication, but stroke and heart attack events are elevated, and the 5-year mortality rate is estimated to be 30% (versus 10% in controls). Methods: 24 general practitioners from all regions of Slovakia under supervision of angiologists assessed 2207 consecutive patients over 60 years. We use ultrasound blood flow detector – Doppler probe and a sphygmomanometer to measure brachial and ankle blood press. Then we calculated Ankle Brachial Pressure Index (ABPI). Results: 67.4% of patients had normal ABPI 0.9–1.2. 9.4% of patients had decreased ABPI <0.9 and 23.2% of patients ABPI >1.2. By questionnaire of risk factors and complications we detected that patients with decreased ABPI have significantly increased risk of myocardial infarction and stroke. Decreased ABPI is more often in men, smokers, diabetics, suffered by high blood pressure, patients with dyslipidaemia and people with lower education. Conclusions: Patients with lower ABPI are at high risk of stroke and heart attack events so they need further active management of risk factors. ABPI test is a similar and cheap tool for the non-invasive assessment of PAD. Practitioners have mastered the methodology of investigation. Examination will help them in the further practice not only in the differential diagnosis of lower extremity pain, but also clarify cardiovascular risk. P230 Profile of benzodiazepines, antidepressants and antipsychotics used by older people M.M. Moraes1 , A.C. Matias2 , M.A. Soares1 , J. Gorjao Clara2 Lisbon Pharmacy Faculty, Lisbon, Portugal; 2 Hospital Pulido Valente – CHLN, Lisbon, Portugal 1
Introduction: Older people are much vulnerable to psychotropic drugs and the risk of adverse events increases with age and number of used medications. Goals: To characterize psychotropic drugs used by a group of older patients at their admission in a medicine ward. Methods: Cross-sectional study. Analysis of patients’ medication at their admission. Results: Media age of studied patients (n = 100) was 81.8 years old, being most female (65%). Patients’ diagnosis: depression 17%, anxiety 3% and dementia 24%.
Poster presentations, Thursday 18 September 2014 / European Geriatric Medicine 5S1 (2014) S83–S158
patients (46.7%) were positive. The first case was a communityacquired influenza but 20 were nosocomial influenza. In hospitalmortality rates were 31.1% and 10.5% for patients with flu and for other hospitalized patients respectively. Death occurs 16.4 mean days after positive PCR; complications were functional decline, bacterial infections, acute renal and cardiac insufficiency, Septic shock, Multi-organ failure. Conclusions: Community and nosocomial acquired Influenza leads to high rate of death. The complications are numerous highly variable and unexpected. All kind of prevention is warranted to prevent this devastating disease. P227 Detection of unconscious eye movements to check hearing thresholds (pilot study) 1 L.M. Gigirey1 , C. Vazquez ´ , A. Fernandez2 , M. Ortega2 , M.G. Gonzalez2 1 University of Santiago de Compostela, Spain; 2 University of Coru˜ na, A Coru˜ na, Spain
In the geriatric patient, the development of an audiometry becomes more complex due to the presence of multiples pathologies or a less interaction between the patient and the tester, particularly when cognitive impairment exists. However, involuntary facial reactions to sound are observed in patients with “special needs”, mainly on the eye region. Objective: We present a screening method that analyzes changes within the eye region as a response to sound, in order to corroborate the hearing thresholds in elders with “special needs”. Methodology: A fully-automatic computer-driven system has been developed to analyze video sequences of recorded hearing test sessions. The system processes the recordings to detect when the auditory stimuli are sent. Simultaneously, test subject eye region movements are also automatically detected and characterized by applying dynamic computer vision techniques. These gestures are then correlated to the test stimuli so that the system is able to establish the presence of a spontaneous and significant reaction to each one of them, allowing to evaluate the patient’s hearing status when no collaboration exists. Results: Initial results point out that significant movements are detected and a 100% of agreement is achieved between the expert and the automatic system for the detection of eye-based spontaneous reactions to the stimuli for the 5 analyzed sequences. Conclusions: The development of an automatic system that detects facial reactions to sound would be very helpful for early detection of hearing loss when patient low collaboration exists. Clearly, further studies are necessary to corroborate these early results. P228 Predicting cognitive function using physical performance in community-dwelling older women N. Tomiyama1 , R. Hasegawa2 1 Seijoh University, Japan; 2 Chubu University, Kasugai, Japan Introduction: Previous research has reported that physical performance requires cognitive function. In particular, control processes play critical and supportive roles in physical performance for older adults. Thus, physical performance may be useful to assess cognitive function in older adults. The purpose of this study was to examine whether cognitive function is predictable from physical performance in community-dwelling older women. Methods: Sixty-two community-dwelling older women (mean age, 73.5±5.2 years) performed physical performance tests of muscle strength, balance ability, and flexibility, as well as cognitive function testing using Test Your Memory (TYM). Grip strength, arm curl test (AC), and 30-sec chair stand test (CS) were used to represent muscle strength. Center of pressure (COP) root mean square area (RMS) with eyes open and closed, 8-foot timed up-and-go test (TUG),
and four square step test (FSST) were used to determine balance ability. Pearson’s correlation coefficient was used to investigate the relationship between physical performance and cognitive function. Multiple linear regression analysis was used to examine whether physical performance can predict cognitive function. The variable showing the most significant correlation with cognitive function was then used as an independent variable. Results: TYM results showed significant correlations with TUG, FSST, and eyes-closed COP RMS. The factor selected as the independent variable for multiple regression analysis was eyesclosed COP RMS (b = −0.408, P = 0.001). Conclusion: These results suggest that balance ability in physical performance may predict cognitive function. P229 Peripheral arterial disease – screening in seniors (carried out by general practitioners under supervision of angiologists) K. Dostalova1 , V. Stvrtinova2 , V. Sefranek3 , S. Moricova4 1 Faculty of Public Health, Slovak Medical Univerzity, Bratislava, Slovak Republic; 2 Faculty of Medicine, Comenius University, Bratislava, Slovakia, Bratislava, Slovak Republic; 3 Department of Vascular Surgery, Slovak Medical University, Bratislava, Slovak Republic; 4 Faculty of Public Health, Slovak Medical University, Bratislava, Slovak Republic Introduction: Peripheral arterial disease (PAD) causes symptoms, most notably leg pain when walking (intermittent claudication). 70%-80% patients are asymptomatic. Of patients with intermittent claudication, only 7% will undergo lower extremity bypass surgery, 4% major amputations, and 16% worsening claudication, but stroke and heart attack events are elevated, and the 5-year mortality rate is estimated to be 30% (versus 10% in controls). Methods: 24 general practitioners from all regions of Slovakia under supervision of angiologists assessed 2207 consecutive patients over 60 years. We use ultrasound blood flow detector – Doppler probe and a sphygmomanometer to measure brachial and ankle blood press. Then we calculated Ankle Brachial Pressure Index (ABPI). Results: 67.4% of patients had normal ABPI 0.9–1.2. 9.4% of patients had decreased ABPI <0.9 and 23.2% of patients ABPI >1.2. By questionnaire of risk factors and complications we detected that patients with decreased ABPI have significantly increased risk of myocardial infarction and stroke. Decreased ABPI is more often in men, smokers, diabetics, suffered by high blood pressure, patients with dyslipidaemia and people with lower education. Conclusions: Patients with lower ABPI are at high risk of stroke and heart attack events so they need further active management of risk factors. ABPI test is a similar and cheap tool for the non-invasive assessment of PAD. Practitioners have mastered the methodology of investigation. Examination will help them in the further practice not only in the differential diagnosis of lower extremity pain, but also clarify cardiovascular risk. P230 Profile of benzodiazepines, antidepressants and antipsychotics used by older people M.M. Moraes1 , A.C. Matias2 , M.A. Soares1 , J. Gorjao Clara2 Lisbon Pharmacy Faculty, Lisbon, Portugal; 2 Hospital Pulido Valente – CHLN, Lisbon, Portugal 1
Introduction: Older people are much vulnerable to psychotropic drugs and the risk of adverse events increases with age and number of used medications. Goals: To characterize psychotropic drugs used by a group of older patients at their admission in a medicine ward. Methods: Cross-sectional study. Analysis of patients’ medication at their admission. Results: Media age of studied patients (n = 100) was 81.8 years old, being most female (65%). Patients’ diagnosis: depression 17%, anxiety 3% and dementia 24%.