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The predicting value of 9-item berg balance scale among the aged
S134
8th Congress of the EUGMS / European Geriatric Medicine 3S (2012) S33–S143
P333
The prevalence of potential alcohol-drug interactions in older adults
cal functioning. Future studies are needed to assess the predicting value of 9-iten BBS among different aged populations. Disclosure.– No significant relationships.
S. Immonen ∗ , K. Pitkälä General Practice And Primary Care, University of Helsinki, University of Helsinki, Helsinki, Finland
http://dx.doi.org/10.1016/j.eurger.2012.07.335
Introduction.– The aim of this study is to assess the possibility of clinically significant drug-alcohol interactions among homedwelling older adults aged 65 and older. Methods.– This study was cross-sectional assessment of a random sample of 2 100 elderly people (≥ 65 years) in Espoo, Finland with response rate 71.6% from the community-dwelling sample. The drugs were coded according to their Anatomical Therapeutic Chemical (ATC) classification index (ATC DDD 2007). We examined significant alcohol interactive (AI) drugs according to the Swedish, Finnish, INteraction X-referencing (SFINX) interaction database, as well as concomitant use of central nervous system drugs, hypoglycemics and warfarin with alcohol. “At-risk alcohol users” were defined consuming > 7 drinks per week, or ≥ 5 drinks on a typical drinking day, or using ≥ 3 drinks several times per week, “moderate users” as consuming at least one drink/month but less than7 drinks/week, and “minimal/non-users” less than one drink/month. Results.– Of the total sample (n = 1395), 1142 respondents responded using at least one drug. Of the drug users, 715 (62.6%) persons used alcohol. The mean number of medication was 4.2 (SD 2.5) among “at-risk users”, 4.0 (SD 2.6) among “moderate users” and 5.4 (SD 3.4) among “minimal/non-users” (P < 0.001). Concomitant use of AI drugs was widespread. Among the “at-risk users”, “moderate users” and “minimal/nonusers” 43.2%, 34.9% and 52.7%, respectively, were on AI drugs (P < 0.001). One in ten of “at-risk users” used warfarin, hypnotics/sedatives or metformin. Conclusions.– Use of AI drugs is very common among older adults, and this increases the potential risks related to use of alcohol. Disclosure.– No significant relationships.
Dynamical complexity of postural fluctuations: A new predictor of functional reserve in middle-aged and older women
http://dx.doi.org/10.1016/j.eurger.2012.07.334 P334
The predicting value of 9-item berg balance scale among the aged U. Hohtari-Kivimäki a,∗ , S. Kivelä b , M. Salminen b , T. Vahlberg c Satakunta Hospital District, Pori, Finland b Institute Of Clinical Medicine„ Turun yliopisto, Finland c Institute Of Clinical Medicine Biostatistics, Turun yliopisto, Finland
a
Introduction.– The aim was to assess the predicting value of the 9item Berg Balance Scale (BBS) to predict multiple falls among the aged with rather good physical functioning. Methods.– The participants (n = 298) were divided according to 9item BBS (range 0–36) to those scoring 0–32 sumpoints (risk group (RG) n = 158) and to those scoring 33–36 (non-risk group (non-RG) n = 140). Poisson regression was used to compare the incidences of falls during 12 month and the incidences of falls requiring treatment during 12 and 36 month between the groups. Analyses were adjusted by gender, age, number of regularly used drugs and vision. Results.– Two hundred and seventy-one falls occurred during 12 months (171 in RG and 100 in non-RG). During 12 and 36 months, 29 and 98, respectively, falls requiring treatment occurred (22 and 72 in RG and 7 and 26 in non-RG respectively). The incidence of falls was significantly higher in RG compared to non-RG (risk ratio (RR) 1.57, 95% confidence interval (CI) 1.23–2.01) during the 12month follow-up (P < 0.001). Also the incidence of falls requiring treatment were significant higher in RG than in non-RG during 12 months (RR 2.82, 95% CI 1.20–6.59 P = 0.017) and 36 months (RR 2.56, 95% CI 1.63–4.01 P < 0.001). Conclusions.– 9-item BBS (cut-off score 32/33) is applicable tool for predicting risk of falls among the aged with rather good physi-
P335
G. Tallon a,∗ , S. Ramdani b , P.L. Bernard b , A. Jaussent c , H. Blain a Department Of Geriatrics, University Hospital of Montpellier, Montpellier, France b Movement To Health Laboratory, Montpellier 1 University, Montpellier, France c Department Of Medical Information, University Hospital of Montpellier, Montpellier, France
a
Methods.– Participants were 127 community-dwelling healthy older women (65.7 ± 4.1 years; 66.3 ± 12.1 kg; 161.9 ± 6.3 cm) recruited during public information meetings on physical activity benefits. Women were included in the study if they met the following inclusion criteria: age 60 and older; signs of deconditioning (Voorips score < 9.4) and a 6MWT lower than 5% over their estimated normal performance calculated on the basis of Trooster’s equation. Women had to be healthy, i.e, without significant disease or medication known to affect their cardiovascular, respiratory or musculoskeletal system. Participants were divided into quartiles according to their physical performance, and women with high 6MWT performance (14.3% below to 2.1% over the estimated normal value) were compared to women with low 6MWT performance (50.8% below to 14.2% below the estimated normal value). Each participant performed a postural assessment in quiet standing (eyes open and eyes closed). Center of pressure (COP) trajectories were recorded and analyzed using classical kinematic variables (path length, area, and COP projections). Two markers of dynamical postural complexity were also calculated: Sample entropy (SampEn), a measure of regularity of the signal; and recurrence quantification analysis (RQA) determinism, an indicator of the predictability of the signal. Results: The classical kinematic variables were not significantly different in women with the highest 6MWD performance when compared to other women. Women in the highest quartile of 6MWT performance had significant higher values of SampEn and significant lower values of RQA (P < 0.05), two markers of complexity of postural fluctuations. Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.336 P336
Older parents’ experiences following a serious illness trajectory of an adult child: A review of the literature and recommendations for future research L. Van Humbeeck a,∗ , R. Piers b , L. Dillen c , S. Verhaeghe d , N. Van Den Noortgate b a Geriatrics, University Hospital Ghent, Ghent, Belgium b Department Of Geriatric Medicine, University hospital Ghent, Ghent, Belgium c Oncology Centre, University Hospital Ghent, Ghent, Belgium d Public Health, Ghent University, Ghent, Belgium Introduction.– Given the increasing life expectancy, the likelihood increases that health care providers are confronted with older people having an adult child with a life-limiting illness. This literature review aimed:
8th Congress of the EUGMS / European Geriatric Medicine 3S (2012) S33–S143
P333
The prevalence of potential alcohol-drug interactions in older adults
cal functioning. Future studies are needed to assess the predicting value of 9-iten BBS among different aged populations. Disclosure.– No significant relationships.
S. Immonen ∗ , K. Pitkälä General Practice And Primary Care, University of Helsinki, University of Helsinki, Helsinki, Finland
http://dx.doi.org/10.1016/j.eurger.2012.07.335
Introduction.– The aim of this study is to assess the possibility of clinically significant drug-alcohol interactions among homedwelling older adults aged 65 and older. Methods.– This study was cross-sectional assessment of a random sample of 2 100 elderly people (≥ 65 years) in Espoo, Finland with response rate 71.6% from the community-dwelling sample. The drugs were coded according to their Anatomical Therapeutic Chemical (ATC) classification index (ATC DDD 2007). We examined significant alcohol interactive (AI) drugs according to the Swedish, Finnish, INteraction X-referencing (SFINX) interaction database, as well as concomitant use of central nervous system drugs, hypoglycemics and warfarin with alcohol. “At-risk alcohol users” were defined consuming > 7 drinks per week, or ≥ 5 drinks on a typical drinking day, or using ≥ 3 drinks several times per week, “moderate users” as consuming at least one drink/month but less than7 drinks/week, and “minimal/non-users” less than one drink/month. Results.– Of the total sample (n = 1395), 1142 respondents responded using at least one drug. Of the drug users, 715 (62.6%) persons used alcohol. The mean number of medication was 4.2 (SD 2.5) among “at-risk users”, 4.0 (SD 2.6) among “moderate users” and 5.4 (SD 3.4) among “minimal/non-users” (P < 0.001). Concomitant use of AI drugs was widespread. Among the “at-risk users”, “moderate users” and “minimal/nonusers” 43.2%, 34.9% and 52.7%, respectively, were on AI drugs (P < 0.001). One in ten of “at-risk users” used warfarin, hypnotics/sedatives or metformin. Conclusions.– Use of AI drugs is very common among older adults, and this increases the potential risks related to use of alcohol. Disclosure.– No significant relationships.
Dynamical complexity of postural fluctuations: A new predictor of functional reserve in middle-aged and older women
http://dx.doi.org/10.1016/j.eurger.2012.07.334 P334
The predicting value of 9-item berg balance scale among the aged U. Hohtari-Kivimäki a,∗ , S. Kivelä b , M. Salminen b , T. Vahlberg c Satakunta Hospital District, Pori, Finland b Institute Of Clinical Medicine„ Turun yliopisto, Finland c Institute Of Clinical Medicine Biostatistics, Turun yliopisto, Finland
a
Introduction.– The aim was to assess the predicting value of the 9item Berg Balance Scale (BBS) to predict multiple falls among the aged with rather good physical functioning. Methods.– The participants (n = 298) were divided according to 9item BBS (range 0–36) to those scoring 0–32 sumpoints (risk group (RG) n = 158) and to those scoring 33–36 (non-risk group (non-RG) n = 140). Poisson regression was used to compare the incidences of falls during 12 month and the incidences of falls requiring treatment during 12 and 36 month between the groups. Analyses were adjusted by gender, age, number of regularly used drugs and vision. Results.– Two hundred and seventy-one falls occurred during 12 months (171 in RG and 100 in non-RG). During 12 and 36 months, 29 and 98, respectively, falls requiring treatment occurred (22 and 72 in RG and 7 and 26 in non-RG respectively). The incidence of falls was significantly higher in RG compared to non-RG (risk ratio (RR) 1.57, 95% confidence interval (CI) 1.23–2.01) during the 12month follow-up (P < 0.001). Also the incidence of falls requiring treatment were significant higher in RG than in non-RG during 12 months (RR 2.82, 95% CI 1.20–6.59 P = 0.017) and 36 months (RR 2.56, 95% CI 1.63–4.01 P < 0.001). Conclusions.– 9-item BBS (cut-off score 32/33) is applicable tool for predicting risk of falls among the aged with rather good physi-
P335
G. Tallon a,∗ , S. Ramdani b , P.L. Bernard b , A. Jaussent c , H. Blain a Department Of Geriatrics, University Hospital of Montpellier, Montpellier, France b Movement To Health Laboratory, Montpellier 1 University, Montpellier, France c Department Of Medical Information, University Hospital of Montpellier, Montpellier, France
a
Methods.– Participants were 127 community-dwelling healthy older women (65.7 ± 4.1 years; 66.3 ± 12.1 kg; 161.9 ± 6.3 cm) recruited during public information meetings on physical activity benefits. Women were included in the study if they met the following inclusion criteria: age 60 and older; signs of deconditioning (Voorips score < 9.4) and a 6MWT lower than 5% over their estimated normal performance calculated on the basis of Trooster’s equation. Women had to be healthy, i.e, without significant disease or medication known to affect their cardiovascular, respiratory or musculoskeletal system. Participants were divided into quartiles according to their physical performance, and women with high 6MWT performance (14.3% below to 2.1% over the estimated normal value) were compared to women with low 6MWT performance (50.8% below to 14.2% below the estimated normal value). Each participant performed a postural assessment in quiet standing (eyes open and eyes closed). Center of pressure (COP) trajectories were recorded and analyzed using classical kinematic variables (path length, area, and COP projections). Two markers of dynamical postural complexity were also calculated: Sample entropy (SampEn), a measure of regularity of the signal; and recurrence quantification analysis (RQA) determinism, an indicator of the predictability of the signal. Results: The classical kinematic variables were not significantly different in women with the highest 6MWD performance when compared to other women. Women in the highest quartile of 6MWT performance had significant higher values of SampEn and significant lower values of RQA (P < 0.05), two markers of complexity of postural fluctuations. Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.336 P336
Older parents’ experiences following a serious illness trajectory of an adult child: A review of the literature and recommendations for future research L. Van Humbeeck a,∗ , R. Piers b , L. Dillen c , S. Verhaeghe d , N. Van Den Noortgate b a Geriatrics, University Hospital Ghent, Ghent, Belgium b Department Of Geriatric Medicine, University hospital Ghent, Ghent, Belgium c Oncology Centre, University Hospital Ghent, Ghent, Belgium d Public Health, Ghent University, Ghent, Belgium Introduction.– Given the increasing life expectancy, the likelihood increases that health care providers are confronted with older people having an adult child with a life-limiting illness. This literature review aimed: