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ext.– Method.– Retrospective study of 898 hip fracture patientsdmitted to Ashford & St Peter’s Hospital from April 2009 to May011. CRP was tested in hip fracture patients on admission. CRPas divided into three groups (CRP < 10, CRP 10–50 and CRP > 50)

nd compared with length of stay, mortality and outcome.esults.–reoperative serum CRP average length of stay (days):CRP < 10 21.86;CRP 10–50 26.90;CRP > 50 25.76.reoperative serum CRP inpatient mortality:CRP < 10 18/289 = 6.2%;CRP 10–50 19/163 = 11.65%;CRP > 50 19/124 = 15.32%.nalysis of variance (F = 2.06, P = 0.130) showed no significant dif-

erence in length of stay between levels of preoperative CRP.here is a significant difference in inpatient mortality between lev-ls of preoperative serum CRP as indicated by chi square analysis�2 = 16.623, P = < 0.05).ur study also showed that there is a significant relationshipetween preoperative CRP and patient outcome. (�2 = 28.965,= < 0.01).onclusion.– Preoperative CRP is a reliable predictor of inpatientortality and poorer patient outcome in hip fracture patients and

hould be taken seriously. This will help to reduce the financialurden on health services.isclosure.– No significant relationships.

ttp://dx.doi.org/10.1016/j.eurger.2012.07.057

057obility before hip fracture

. Michael a,∗, S. Vasishta a, L. Doos b

Geriatrics Medicine, Russells Hall Hospital, Dudley, United KingdomHealth Service Research Unit, Keele University, Stock on Trent,nited Kingdom

ntroduction.– Poor mobility is a risk factor for hip fractures. Mobil-ty prior to hip fracture predicts the outcome.im.– To study the mobility of patients before they sustained hip

racture and correlation with length of hospital stay (LOS) and mor-ality.ethods.– Analysis of the electronic records of consecutive hip frac-

ure patients admitted in a 19 months period in a UK teachingospital.esults.– In the study period, 1199 hip fracture patients were admit-ed; 73%females and 27% males. The mean age was 81.2 years. MeanOS was 22.5days. Inpatient mortality was 9%. Prior to the fracture;8.1% patients were walking indoor without aids, 25.8% with oneid, 23.6% with two aids or a frame and 2.4% were Wheelchair or bedound. The mean LOS were 20, 22.5, 27.6 and 23.9 days respectivelyP = 0.001). The mortality was 6.4%, 11%, 12.3% and 14.3% respec-ively (P = 0.02). As regards pre-fracture outdoors mobility; 42.8%alked outdoors without aids, 26% with one aid, 10.9% with two

ids or a frame, 13.9% patients used to go out in a wheel chair and.6% did not go outdoors. The mean LOS was 19.1, 21.9, 29.6, 22.2nd 26.3 days (P = 0.004). The mortality was 4.6%, 7.2%, 11.2%, 10.3%nd 13.7% respectively (P = 0.03).onclusion.– Patients who were mobile unaided, prior to hip frac-ure, had shorter length of stay and less mortality compared tohose who needed walking aids. Patients who used one stick, prior

o hip fracture, had shorter length of stay and less mortality com-ared to those who used a frame or two sticks.isclosure.– No significant relationships.

ttp://dx.doi.org/10.1016/j.eurger.2012.07.058

iatric Medicine 3S (2012) S33–S143

P058ASA Score in hip fracture patientsA. Michael a,∗, K. Eagland b, L. Doos c

a Geriatrics Medicine, Russells Hall Hospital, Dudley, United Kingdomb Anaethesia, Russells Hall Hospital, Dudley, United Kingdomc Health Service Research Unit, Keele University, Stock on Trent,United Kingdom

Introduction.– The American Society of Anesthiologists (ASA) physi-cal status classification is commonly used by anaesthetists to scorefitness for anaesthesia. Patients are classified into ASA I (normalhealthy patient), ASA II (mild systemic disease), ASA III (severe sys-temic disease), ASA IV (severe systemic disease that is a constantthreat to life) and ASA V (moribund patient).Aim.– To study ASA in hip fracture patients and whether it canpredict length of hospital stay (LOS) and inpatient postoperativemortality.Methods.– Retrospective analysis of the electronic records of con-secutive patients who were admitted with hip fracture in a 19months period in a UK teaching hospital. ASA grade and mortal-ity were recorded. Results. There were 1199 hip fracture patientsadmitted in the study period; 73% females and 27% males. The meanage was 81.2 years. Mean LOS was 22.5 days. Inpatient mortal-ity was 9%. 5% patients had ASA I, 48% patients had ASA II, 42%patients had ASA III, 5% patients had ASA IV and 0.4% patients hadASA V. The mean age of patients was 69.1, 80.7, 82.8, 83.3 and 86.2years respectively (P = 0.0001. The length of hospital stay of patientswas10.4, 21.7, 24.4, 27.2 and 11.3 days respectively (P = 0.001). Themortality rate was 3.8%, 6.1%, 7.8%, 25.9% and 60% respectively(P = 0.0001).Conclusion.– Nearly half of hip fracture patients had severe systemicdisease preoperatively. The higher the ASA score, the higher is thepostoperative mortality following hip fracture surgery especiallyat ASA scores IV & V. For ASA I to IV: the higher the ASA score, thelonger is the length of stay.Disclosure.– No significant relationships.

http://dx.doi.org/10.1016/j.eurger.2012.07.059

P059The relationship between executive function andfalls and gait abnormalities in older adults: Asystematic reviewF. Kearney a,∗, R. Harwood b, J. Gladman a, N. Lincoln a, T. Masud b

a Division Of Rehabilitation And Ageing, University of Nottingham,Nottingham, United Kingdomb Healthcare Of Older People, Nottingham University Hospitals,Nottingham, United Kingdom

Introduction.– Older adults with dementia have at least a two-foldincreased risk of falls, which multi-factorial interventions fail toreduce. A better understanding of specific cognitive factors andtheir relationship to gait, balance, and falls is required.Text.– Search methods.– Systematic searches of MEDLINE, EMBASE,PsycINFO, and CINAHL databases from inception through April2011 were conducted and reference lists of retrieved articlesexamined to identify prospective studies in adults over 65 yearsexamining executive function and its relationship with falls, bal-ance and gait abnormalities. Two independent reviewers extracteddata on study populations, measures of executive function, out-come measures, and study findings.Results.– Of 8985 abstracts identified, 14 studies met inclusion cri-teria. Eleven studies examined executive function and falls, whilethe remaining studies examined executive function and gait speed.No studies using balance as an outcome measure were identified.

Most studies found a relationship between poor executive function(using the Trail Making Test and Digit Symbol test) and increasedrisk of falls and between poor executive function and declines in