IAGG 2017 World Congress Background: Although several studies relate frailty with poor postoperative outcomes, trials with specifc intraab- dominal surgery cohorts are scarce. Objetives: To evaluate the association between frailty and 1 month postoperative complications, and 3 months mortality Materials and Methods: Observational, descriptive and analytical study of a prospective cohort. Patients older than 70 years who underwent elective surgery were evaluated in the preoperative area of Italian Hospital from Buenos Aires, with the Edmonton Frail Scale. Data were collected between June 4, 2014 and February 1, 2017. We estimated mortal- ity risk and complication risk with a logistic regression. We reported OR and 95% confdence intervals. A multi- variate logistic regression analysis was performed to control confounding Results: We included 85 patients, 18% (15) were frail, mean age 80.3 years old (SD 7.1). The non frail group was younger 76.4 (SD 5.5). Overall 3 months mortality was 20% (3) for frail and 1.4% (1) for non frail patients, OR 17.2 (IC95% 1.65–179.9, p 0.02). After adjusting for sex, age, comorbidity and oncologic surgery this association per- sisted statistically signifcant, OR 36.8 (IC95% 2.4–543.9, p 0.01). 53.3% (8) of frail patients and 17.1% (12) of non frail patients had complications within 1 month postopera- tively, OR 5.5 (IC95 % 1.6–18, p 0.01) and after adjusting for confounders this association persisted statistically signif- cant OR 5.71 (1.43–22.7, p0.01). Conclusion: In this population, the presence of frailty was associated with a signifcant increase in overall posoperative complications and death. COMPARISON SURVEY ON FAMILY CAREGIVERS OF ELDERLY PEOPLE IN THAILAND AND JAPAN C. Greiner 1 , D. Tamdee 2 , N. Okamoto 3 , P. Tamdee 2 , T. Isowa 4 , W. Booonchiang 2 , H. Ryuno 1 , A. Kitagawa 4 , 1. Kobe University, Kobe, Japan, 2. Chiang Mai University, Chiang Mai, Thailand, 3. Sophia University, Chiyoda-ku, Japan, 4. Mie University, Tsu, Japan Purpose: The purpose of this study was to clarify the situ- ations of and differences between family caregivers of elderly people in Thailand and Japan, and obtain basic data that can be used for constructing family support systems in both countries through collaboration and the applying of each country’s strengths. Methods: A cross-sectional exploratory descriptive research design was employed. Participants were family members taking care of elderly people at home. Data were collected in the Kanto, Kinki, and Tokai areas of Japan, and three districts in Chiang Mai in Thailand. This research was approved by the frst presenter’s Institutional Review Board. Results: Of a total of 114 family caregivers in Japan, 82 (71.9%) were female and mean age was 64.8 ± 11.1 years. In Thailand, 76 (73.8%) of 103 family caregivers were female and mean age was 49.1 ± 13.3 years. Family caregivers in Thailand felt more healthy both mentally and physically (p =.000, p =.000). Specifcally, they felt a lighter care burden and less loneliness (p =.000, p =.000) compared to those in Japan, which relate to family caregivers in Thailand having more social connections and informal support than those in Japan (p =.000, p =.000). Conclusion: Despite there being a long-term care insur- ance system in Japan and not Thailand, the condition of family caregivers was better in Thailand than in Japan. We conclude that social connection and informal support are important factors of well-being for family caregivers. CONTRIBUTING FACTORS FOR AVOIDABLE HOSPITALIZATION IN SWISS NURSING HOMES F. Zuniga 1 , T. Brunkert 1 , M. Giger 1 , M. Simon 1,2 , 1. Basel University, Basel, Switzerland, 2. Nursing Research Unit, Inselspital University Hospital Bern, Bern, Switzerland The reduction of avoidable hospitalizations from nursing homes (NHs) is a high priority because of the high human and fnancial costs. Common hindering factors range from the lacking diagnostic services and trained personnel in the NH to patient and family wishes and the lack of individ- ual advanced care plans or do-not-hospitalize orders. This study reports the systematic assessment of barriers and facil- itators of avoidable hospitalizations in a group of 20 pri- vate NHs in Switzerland. The results are embedded in the ProQuaS study, an implementation science project guided by the Consolidated Framework for Implementation Research (CFIR). In a cross-sectional questionnaire survey in summer 2016, 20 NH directors, 34 ward supervisors and 61 registered nurses (RNs) assessed the current situation. Over 70.6% (95%-confdence intervals (CI): 0.52- 0.84) of the ward supervisors considered it important to implement changes to reduce hospitalizations, and 29.4% (CI: 0.16- 0.48) reported to never or seldom have do-not-hospitalize orders discussed with admitted residents. Moreover, 70.6% (CI: 0.52- 0.84) agreed that emergency physicians’ lack of familiarity with the resident at night or weekends is a central factor for hospitali- zations. Similarly, only 67.8% (CI: 0.54- 0.79) of RNs state that the assigned physician can be reached in time in emer- gency situations. Overall, critical factors related to avoidable hospitalizations include the clarifcation of residents’ wishes, do-not-hospitalize orders and the availability of physicians. Insights from this survey will guide the development of a locally adapted intervention to reduce hospitalizations. CURRENT STATUS OF DENTAL INTERVENTION AND SAFETY MANAGEMENT IN THE DEMENTIA WARD A. Yamaguchi, S. Nozue, Y. Maruoka, T. Tsuneoka, S. Hironaka, Y. Sato, K. Takahashi, Showa University, Tokyo, Japan Safety management in psychiatric medical care includes issues of suicide, self-injurious behavior, accidents, medi- cation errors, escape from the hospital, and unauthorized overnight stays. Additionally, preventing asphyxia is a chal- lenge in the dementia ward of our hospital. Dentists have conducted intraoral examinations and evaluation of inges- tion/swallowing function in patients, and have performed dental interventions. As a result of the safety management by the team medical care, the ward maintains 0 asphyxia. Therefore, the oral function and dental intervention of recent patients for higher safety management will be present. The subjects were 229 hospitalized patients in the dementia ward between April 2014 and December 2016. Using the medical records, age, sex, primary disease, oral function, and details Innovation in Aging, 2017, Vol. 1, No. S1 601 Downloaded from https://academic.oup.com/innovateage/article/1/suppl_1/601/3899043 by guest on 15 March 2022