Kilbourne Amy M, Cornelius Jack R, Han Xiaoyan, Haas Gretchen L, Salloum Ihsan, Conigliaro Joseph, Pincus Harold A
VA Pittsburgh Center for Health Equity Research and Promotion (151-C), University Drive C, Pittsburgh, PA 15240, USA.
Am J Geriatr Psychiatry. 2005 Mar;13(3):250-4. doi: 10.1176/appi.ajgp.13.3.250.
The burden of medical comorbidities was compared between older (> or =60 years) and younger patients with serious mental illness.
Patients (N=8,083) diagnosed with schizophrenia, schizoaffective disorder, or bipolar disorder in 2001 were identified from VA facilities in the mid-Atlantic region. Medical comorbidities were identified by an ICD-9-based clinical classification algorithm.
Older, versus younger, patients were more likely to be diagnosed with cardiovascular or pulmonary conditions, and less likely to be diagnosed with substance-use disorders or hepatic conditions.
More aggressive detection and management of general-medical comorbidities in older patients with serious mental illness is paramount.
比较患有严重精神疾病的老年（≥60岁）患者和年轻患者的医学合并症负担。
从大西洋中部地区的退伍军人事务部设施中识别出2001年被诊断患有精神分裂症、分裂情感性障碍或双相情感障碍的患者（N = 8083）。通过基于国际疾病分类第九版（ICD - 9）的临床分类算法识别医学合并症。
与年轻患者相比，老年患者更有可能被诊断患有心血管或肺部疾病，而被诊断患有物质使用障碍或肝脏疾病的可能性较小。
对患有严重精神疾病的老年患者进行更积极的普通医学合并症检测和管理至关重要。
