European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S215
depressive symptoms are associated with cognitive deterioration,
especially in comprehension and judgment, delayed recall, verbal
memory and visuospacial coordination in elderly people.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW291
A description of clinical profile of over
65-years-old patients in acute
psychiatric hospitalization unit at
Hospital Universitario Central De
Asturias (Oviedo, Spain)
I. Abad-Acebedo , L. Gonzalez-Blanco ∗, E. Torio-Ojea ,
S. Bestene-Medina , J. Rodriguez-Revuelta
Servicio de Salud del Principado de Asturias, Psiquiatría, Oviedo,
Spain
∗ Corresponding author.
Introduction Older patients with psychiatric conditions often
have other disorders that include different levels of cognitive
impairment, modifying the presentation of psychiatric symptoms
and requiring treatment adaptations
Objective To describe clinical profile of hospitalized patients > 65
years, and its relationship with the presence of cognitive impair-
ment and the length of hospital stay.
Methods Descriptive and comparative study. Sample: 71 inpa-
tients > 65 years (mean ± SD Age: 72.42 ± 5.96), admitted to
“Hospital Universitario Central de Asturias”(Spain) from August
2014 to June 2015. Age, length of hospitalization, diagnosis, cog-
nitive impairment and treatment data were collected
Results Days of hospital stay (mean ± SD) = 15.89 ±11.53. No
variable showed significant relation except number of antipsy-
chotics taken (r = 0.307, P = 0.009). Cognitive impairment was
significantly more frequent in men than women (45.5/15.8%;
2 = 7.46; P = 0.006). No other variable showed significant differ-
ences.
Conclusions A high percentage of psychiatric inpatients > 65
years present a cognitive impairment (29.6%) which was more fre-
quent in males (45.5%). The length of hospital stay seems to be
similar than in the rest of patients and not being affected by any
of studied variables. More studies should be carried on to com-
pare those results with similar variables in younger population
and to analyze if there are differences between subgroups (65–75
vs > 75)
Table 1 Sociodemographic/clinical features.
LAI: long-acting injections.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Reference
[1] Rhodes SM, et al. Predictors of prolonged length of stay and
adverse events among older adults with behavioral health-
related emergency department visits: a systematic medical
record review. J Emerg Med 2015.
EW292
Functional and cognitive
independence in the elderly
M. Henry ∗, A.A. Henry-Gonzalez , A.N. Gonzalez-Delgado ,
E.A.D. Acosta-Diaz , F.J. Castro-Molina
1 University of La Laguna, Department of Internal Medicine,
Dermatology and Psychiatry, Santa Cruz de Tenerife, Spain
2 Gerencia de Atención Primaria, Health Care Department, Santa Cruz
de Tenerife, Spain
3 Tenerife Psychiatry and Behavioural Sciences Consulting Facility,
Managing, Human Support and Resources, Santa Cruz de Tenerife,
Spain
4 University of La Laguna & UNED University in Tenerife, UNED,
Santa Cruz de Tenerife, Spain
∗ Corresponding author.
Introduction The problems and costs associated with aging and
the aged pose a major challenge to the future. The elderly portion
of our population is constantly expanding, No single health issue
will demand more attention than aging, challenging our healthcare
system.
Objectives and aim This study aims at assessing functional and
cognitive independence in a sample of elderly patients in a private
care setting.
Methods The sample is composed of 38 elderly patients undergo-
ing treatment in a private healthcare setting, mean age 76.32 (SD:
7.46), 22 females:16 males. The Functional IndependenceMeasure
Scale was applied in order to assess physical and cognitive disabil-
ity. The scale focuses the level of disability indicating the burden
of caring for these patients. The scale contains 18 items (13 motor
tasks and 5 cognitive ones) of basic activities of daily living.
Results The symptomatic pattern is marked by main scores in
dimensions of a cognitive profile, namely, Problem solving (mean
value: 2.64), Cognitive comprehension (2.88), Memory (3.12) fol-
lowed by motor-gait disability and physical dependence items,
as Bathing (3.24), Upper body dressing (3.92), Lower body dress-
ing (4.06), Toileting (4.38), Shower transfer (4.60) and Locomotion
(4.68).
Discussion and conclusions Cognitive items are underlined as the
most impaired ones. Physical limitation is related to common daily
tasks even in indoor activities. Questions remain concerning the
independence of cognitive and physical variables. Are cognitive
problems the real trigger of body functional disability? Or do they
have an independent onset? Future research could answer properly
these questions.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW293
Facial emotion recognition in elderly
patients with bipolar disorder:
Comparison with healthy controls
M. Herrmann ∗, C. Padovan , I. Rouch , J.M. Dorey
1 Centre Hospitalier Le Vinatier, Geriatric Psychiatry, Bron, France
2 Centre de Recherche en Neurosciences, Inserm U1028, CNRS
UMR5292, Bron, France
3 Hospices Civils de Lyon, Hôpital des Charpennes, Centre Mémoire
Ressource et Recherche, Villeurbanne, France
∗ Corresponding author.