Does multimorbidity in older psychiatric patients lead to higher transfer rates between psychiatric and somatic departments?

Zeitschrift für Gerontologie und Geriatrie
Tilman Wetterling, Klaus Junghanns

Abstract

Multimorbidity is an increasing challenge in geriatric medicine, also in psychiatric patients. The question arises where an adequate treatment should be carried out. This exploratory study was part of the Gerontopsychiatry study Berlin (Gepsy-B), an investigation of all admissions of older inpatients (>65 years) to a psychiatric hospital within 3 years. A total of 1266 admissions to a hospital in Berlin could be analyzed. Of the patients primarily admitted to the psychiatric department, 17.4% had to be transferred to a somatic department with a preponderance of patients with higher multimorbidity (11.7 ± 3.7 vs. 9.9 ± 3.8 somatic diagnoses, U‑test p < 0.001). Of the patients 19.7% were transferred from somatic departments to the psychiatric department mainly due to delirium. They were also often multimorbid (mean number of somatic diagnoses: 11.7 + 3.7 vs. 10.3 + 3.8, U‑test p < 0.001). Multimorbidity results in more frequent transfer of older patients in hospital.

References

Jun 1, 1982·The British Journal of Psychiatry : the Journal of Mental Science·C P HughesR L Martin
Aug 19, 2007·Zeitschrift für Gerontologie und Geriatrie·A B MaierW Hofmann
Feb 13, 2008·Der Nervenarzt·T WetterlingK Haupt
Feb 5, 2009·Zeitschrift für Gerontologie und Geriatrie·Sabine Kirchen-Peters
Dec 22, 2009·Deutsche medizinische Wochenschrift·W Hewer, H W Stark
Jun 5, 2015·Family Practice·Judith SinnigeJozé C Braspenning
Mar 10, 2016·Scandinavian Journal of Primary Health Care·Tora Grauers WilladsenNiels de Fine Olivarius
Mar 2, 2017·Der Internist·E BattegayS Rampini

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Citations

Jul 12, 2020·Zeitschrift für Gerontologie und Geriatrie·Tilman Wetterling
Nov 25, 2020·Zeitschrift für Gerontologie und Geriatrie·S SpannhorstC Thomas

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