[P2–539]: INSTITUTIONALIZATION AND ADL DISABILITY AS INTERVENING FACTORS IN SEASONAL MORTALITY OF DEMENTIA PATIENTS

Assessment) scale. A score 25 points was suggestive of a cognitive deficit. Two groups were constituted according to this threshold (diabetic patients with normal versus abnormal cognitive functioning) and the two groups were compared. Results:191 diabetic patients (25 T1 and 166 T2) were evaluated using the MOCA scale. The frequency of cognitive impairment in this population was 35%. Patients with a cognitive deficit were older (mean age: 65.2 6 8.5 years vs 62.7 6 7.8 years; p 1⁄4 0.0377,), had more microangiopathic complications (mean: 1.02 vs 0, 68; p 1⁄4 0.04,), were more sedentary (62.12% vs 36.67%; p 1⁄4 0.001,), without significant difference in gender, BMI, HbA1C, macro-angiopathic complications, diabetes duration, hypertension, tobacco, depression and cognitive complaints. Conclusions: The high frequency of cognitive deficit in this cohort of diabetic patients suggests that cognitive deficit could be considered as a complication of diabetes, which would imply they are sought systematically in diabetes clinic to adapt a personalized care plan. Data source: Claims data AOK 2004-2010, DWD data 2004-2010; adjusted for age, gender, nursing home, comorbidities, urban living, winter and summer climate zones, apparent temperature at lag-days 4-7, and interaction of apparent temperature at lag-days 4-7; cl1⁄4care level P2-539 INSTITUTIONALIZATION AND ADL DISABILITYAS INTERVENING FACTORS IN SEASONALMORTALITYOFDEMENTIA PATIENTS