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P382: Hypovitaminosis D is an independent associated factor of overactive bladder in older adults
Poster presentations, Friday 19 September 2014 / European Geriatric Medicine 5S1 (2014) S159–S234
between CC-sarcopenia and BMI (p = 0.006) and between FFM/BSAsarcopenia and the number of doctor visits needed in one year (p = 0.037). Conclusions: The prevalence of sarcopenia was high in our internal medicine department. Sarcopenia was associated with BMI but not nutritional or functional status and PA. This maybe because of the number of participants. P380 Use of gastrostomy in patients over 75 B. Montero Errasqu´ın, M.E. Baeza-Monedero, C. Sanchez-Castellano, L. Garc´ıa-Cabrera, A.J. Cruz-Jentoft Hospital Ram´ on Y Cajal, Madrid, Spain Introduction: Dysphagia is a symptom that appears in the late stages of dementia so many of the elderly patients who carry a percutaneous endoscopic gastrostomy (PEG) suffer from severe dementia. The indication of PEG in the elderly is controversial. Objectives: To study the indications of PEG in an university hospital, the patient profile and characteristics, complications and mortality. Material and Methods: It’s a retrospective study of all patients over 75 years who were placed a PEG within three years (2011–2013) in the Interventional Radiology Department. Sociodemographic and baseline data and medical history were collected. The indication of PEG was analyzed in each individual case. The prevalence of complications and mortality during a 36 months follow-up period were reviewed by electronic medical records. Results: 74 patients. Mean age: 84 years. 80% with cognitive impairment. The main indication of PEG were dysphagia in severe dementia (56.8%) followed by tumor of the oropharyngeal cavity (12.2%), Parkinson’s disease (10.8%) and stroke (9.6%). PEG was never removed in 90.5% of cases. The most common complication was aspiration (32.4%). The overall mortality was 59.5%. In the subgroup of dementia, the most common complication was also aspiration (39%), the survival after PEG placement was 3 months and the mortality 57.6%. Conclusions: Dysphagia in severe dementia is the main indication of PEG in patients over 75 years. This intervention does not prevent aspiration pneumoniae, which is the most common complication. Survival in the dementia group after PEG placement is 3 months. P381 High prevalence of anemia and iron deficiency in the Portuguese elderly population
S201
participants (84.3% of participants with age <65), <50ng/mL in 55.7% of elderly participants (vs. 52.7%), <30ng/mL in 33.5% of elderly participants (vs. 31.5%). Ferritin levels followed patterns similar to anemia; however the Center region presented lower prevalence of ID when compared to the prevalence of anemia. Conclusions: Anemia and ID are highly prevalent in the Portuguese elderly population, particularly among those with age ≥80. Better strategies for prevention, diagnosis, and treatment need to be implemented in this at-risk population. P382 Hypovitaminosis D is an independent associated factor of overactive bladder in older adults M.K. Kilic, M.C. Kizilarslanoglu, O. Kara, G. Arik, H. Dogan Varan, M.E. Kuyumcu, Y. Yesil, B. Balam Yavuz, M. Halil, M. Cankurtaran Hacettepe University Faculty of Medicine, Ankara, Turkey Introduction: Urinary incontinence and vitamin D deficiency are common problems encountered in geriatric population. We aimed to investigate if there is a relationship between these conditions. Methods: Among 2281 patients who were admitted to our geriatric medicine outpatient clinic spanning the last three years, 705 patients with known vitamin D status, urinary incontinence and subtype, and calcium plus vitamin D therapy data were included in statistical analysis. SPSS (Statistical Package for Social Sciences) version 15.0 for Windows was used for statistical analysis and p < 0.05 was considered as statistical significant. Results: Mean age of the study population was72.3±6.4years and 62.8% was female. Plasma vitamin D level (OR: 0.968, 95% CI: 0.943–0993, p = 0.013), MMSE score (OR: 0.944, 95% CI: 0.902– 0.989, p = 0.014), and serum ALP level (OR: 0.995, 95% CI: 0.992– 0.998, p = 0.001) were found to be inversely correlated factors, and serum calcium level (OR: 1.772, 95% CI: 1.008–2.888, p = 0.022) was found to be a positively correlated factor of overactive bladder. Considering the different clinical subtypes of urinary incontinence, only urge incontinence was associated with lower plasma vitamin D level (p = 0.013). Conclusions: Vitamin D deficiency and insufficiency are independent associated factors for urinary incontinence in older adults. This is explicable by effects of vitamin D on muscle growth and function. P383 Low postoperative dietary intake is associated with more complications in geriatric hip fracture patients
A.R. Nunes1 , C. Fonseca2 , F. Marques2 , A. Belo3 , D. Brilhante4 , J. Cortez4 1 Pulido Valente Hospital, Lisboa, Portugal; 2 S. Francisco Xavier Hospital, Lisboa, Portugal; 3 OM Pharma, Lisboa, Portugal; 4 IPO Hospital, Lisboa, Portugal
S. Goisser1 , E. Schrader2 , K. Singler2 , C. Sieber2 , D. Volkert2 1 Friedrich-Alexander-Universit¨ at Erlangen-N¨ urnberg, Germany; 2 Institute for Biomedicine of Aging (IBA), Friedrich-AlexanderUniversit¨ at, Erlangen-N¨ urnberg, Germany
Introduction: Anemia and iron deficiency (ID) are global public health issues with great implications on quality of life. This study aimed to establish the prevalence of these conditions in the Portuguese population. Methods: This was a transversal study in which 7890 randomly selected adults (1617 with age ≥65) were interviewed at their residency. Levels of hemoglobin and ferritin were assessed using Point-of-Care testing devices. Anemia was classified as hemoglobin levels <12g/dL for women and <13g/dL for men. ID was classified according to ferritin levels: <30ng/mL, <50ng/mL, and <100ng/mL. Results: Anemia was present in 21.1% of elderly participants (19.6% of participants with age <65). Participants with age ≥80 presented significantly (p < 0.001) higher prevalence of anemia (31.4%), whereas those with age 65–79 presented lower prevalence of anemia (17.3%). The prevalence of anemia was highly variable between the different regions of the country: 13.5% in the North, 23.2% in the Center, 23.0% in Lisbon and Tagus Valley, and 30.2% in the South. Ferritin levels were <100ng/mL in 84.4% of elderly
Rationale: After hip fractures in old age complications occur frequently. Elderly patients often have very low postoperative dietary intake in hospital. We assessed the relationship between postoperative dietary intake of geriatric hip fracture patients and incidence of in-hospital complications. Methods: In 104 hip fracture patients dietary intake was determined by plate diagrams as mean intake from all 12 offered main meals over 4 postoperative days and stratified as dietary intake >50%, 25–50%, <25%. Comorbidities and possibly nutrition-related postoperative in-hospital complications (infections, pressure ulcers, dehydration) were recorded according to clinical diagnosis. Differences between dietary intake groups were tested for significance with exact X2 - or Kruskal-Wallis-test followed by pairwise Mann–Whitney-U-test. Results: Postoperatively, 29% of participants ate >50%, 40% ate 25–50% and 31% ate <25% of main meals offered. At hospital admission dietary intake groups did not differ regarding prevalence of comorbidities, but patients with low dietary intake were older
between CC-sarcopenia and BMI (p = 0.006) and between FFM/BSAsarcopenia and the number of doctor visits needed in one year (p = 0.037). Conclusions: The prevalence of sarcopenia was high in our internal medicine department. Sarcopenia was associated with BMI but not nutritional or functional status and PA. This maybe because of the number of participants. P380 Use of gastrostomy in patients over 75 B. Montero Errasqu´ın, M.E. Baeza-Monedero, C. Sanchez-Castellano, L. Garc´ıa-Cabrera, A.J. Cruz-Jentoft Hospital Ram´ on Y Cajal, Madrid, Spain Introduction: Dysphagia is a symptom that appears in the late stages of dementia so many of the elderly patients who carry a percutaneous endoscopic gastrostomy (PEG) suffer from severe dementia. The indication of PEG in the elderly is controversial. Objectives: To study the indications of PEG in an university hospital, the patient profile and characteristics, complications and mortality. Material and Methods: It’s a retrospective study of all patients over 75 years who were placed a PEG within three years (2011–2013) in the Interventional Radiology Department. Sociodemographic and baseline data and medical history were collected. The indication of PEG was analyzed in each individual case. The prevalence of complications and mortality during a 36 months follow-up period were reviewed by electronic medical records. Results: 74 patients. Mean age: 84 years. 80% with cognitive impairment. The main indication of PEG were dysphagia in severe dementia (56.8%) followed by tumor of the oropharyngeal cavity (12.2%), Parkinson’s disease (10.8%) and stroke (9.6%). PEG was never removed in 90.5% of cases. The most common complication was aspiration (32.4%). The overall mortality was 59.5%. In the subgroup of dementia, the most common complication was also aspiration (39%), the survival after PEG placement was 3 months and the mortality 57.6%. Conclusions: Dysphagia in severe dementia is the main indication of PEG in patients over 75 years. This intervention does not prevent aspiration pneumoniae, which is the most common complication. Survival in the dementia group after PEG placement is 3 months. P381 High prevalence of anemia and iron deficiency in the Portuguese elderly population
S201
participants (84.3% of participants with age <65), <50ng/mL in 55.7% of elderly participants (vs. 52.7%), <30ng/mL in 33.5% of elderly participants (vs. 31.5%). Ferritin levels followed patterns similar to anemia; however the Center region presented lower prevalence of ID when compared to the prevalence of anemia. Conclusions: Anemia and ID are highly prevalent in the Portuguese elderly population, particularly among those with age ≥80. Better strategies for prevention, diagnosis, and treatment need to be implemented in this at-risk population. P382 Hypovitaminosis D is an independent associated factor of overactive bladder in older adults M.K. Kilic, M.C. Kizilarslanoglu, O. Kara, G. Arik, H. Dogan Varan, M.E. Kuyumcu, Y. Yesil, B. Balam Yavuz, M. Halil, M. Cankurtaran Hacettepe University Faculty of Medicine, Ankara, Turkey Introduction: Urinary incontinence and vitamin D deficiency are common problems encountered in geriatric population. We aimed to investigate if there is a relationship between these conditions. Methods: Among 2281 patients who were admitted to our geriatric medicine outpatient clinic spanning the last three years, 705 patients with known vitamin D status, urinary incontinence and subtype, and calcium plus vitamin D therapy data were included in statistical analysis. SPSS (Statistical Package for Social Sciences) version 15.0 for Windows was used for statistical analysis and p < 0.05 was considered as statistical significant. Results: Mean age of the study population was72.3±6.4years and 62.8% was female. Plasma vitamin D level (OR: 0.968, 95% CI: 0.943–0993, p = 0.013), MMSE score (OR: 0.944, 95% CI: 0.902– 0.989, p = 0.014), and serum ALP level (OR: 0.995, 95% CI: 0.992– 0.998, p = 0.001) were found to be inversely correlated factors, and serum calcium level (OR: 1.772, 95% CI: 1.008–2.888, p = 0.022) was found to be a positively correlated factor of overactive bladder. Considering the different clinical subtypes of urinary incontinence, only urge incontinence was associated with lower plasma vitamin D level (p = 0.013). Conclusions: Vitamin D deficiency and insufficiency are independent associated factors for urinary incontinence in older adults. This is explicable by effects of vitamin D on muscle growth and function. P383 Low postoperative dietary intake is associated with more complications in geriatric hip fracture patients
A.R. Nunes1 , C. Fonseca2 , F. Marques2 , A. Belo3 , D. Brilhante4 , J. Cortez4 1 Pulido Valente Hospital, Lisboa, Portugal; 2 S. Francisco Xavier Hospital, Lisboa, Portugal; 3 OM Pharma, Lisboa, Portugal; 4 IPO Hospital, Lisboa, Portugal
S. Goisser1 , E. Schrader2 , K. Singler2 , C. Sieber2 , D. Volkert2 1 Friedrich-Alexander-Universit¨ at Erlangen-N¨ urnberg, Germany; 2 Institute for Biomedicine of Aging (IBA), Friedrich-AlexanderUniversit¨ at, Erlangen-N¨ urnberg, Germany
Introduction: Anemia and iron deficiency (ID) are global public health issues with great implications on quality of life. This study aimed to establish the prevalence of these conditions in the Portuguese population. Methods: This was a transversal study in which 7890 randomly selected adults (1617 with age ≥65) were interviewed at their residency. Levels of hemoglobin and ferritin were assessed using Point-of-Care testing devices. Anemia was classified as hemoglobin levels <12g/dL for women and <13g/dL for men. ID was classified according to ferritin levels: <30ng/mL, <50ng/mL, and <100ng/mL. Results: Anemia was present in 21.1% of elderly participants (19.6% of participants with age <65). Participants with age ≥80 presented significantly (p < 0.001) higher prevalence of anemia (31.4%), whereas those with age 65–79 presented lower prevalence of anemia (17.3%). The prevalence of anemia was highly variable between the different regions of the country: 13.5% in the North, 23.2% in the Center, 23.0% in Lisbon and Tagus Valley, and 30.2% in the South. Ferritin levels were <100ng/mL in 84.4% of elderly
Rationale: After hip fractures in old age complications occur frequently. Elderly patients often have very low postoperative dietary intake in hospital. We assessed the relationship between postoperative dietary intake of geriatric hip fracture patients and incidence of in-hospital complications. Methods: In 104 hip fracture patients dietary intake was determined by plate diagrams as mean intake from all 12 offered main meals over 4 postoperative days and stratified as dietary intake >50%, 25–50%, <25%. Comorbidities and possibly nutrition-related postoperative in-hospital complications (infections, pressure ulcers, dehydration) were recorded according to clinical diagnosis. Differences between dietary intake groups were tested for significance with exact X2 - or Kruskal-Wallis-test followed by pairwise Mann–Whitney-U-test. Results: Postoperatively, 29% of participants ate >50%, 40% ate 25–50% and 31% ate <25% of main meals offered. At hospital admission dietary intake groups did not differ regarding prevalence of comorbidities, but patients with low dietary intake were older