Ng Tze Pin, Feng Liang, Chiam Peak Chiang, Kua Ee Heok
Gerontological Research Program, Faculty of Medicine, National University of Singapore, Singapore.
Int Psychogeriatr. 2006 Dec;18(4):701-11. doi: 10.1017/S1041610206003346. Epub 2006 Mar 16.
Few studies have investigated the association of psychiatric morbidity with acute hospitalization risk in elderly people.
We examined this association using population-based data for 1092 older adults aged > or =60 years in Singapore, including subjects who reported at least one acute hospitalization from any medical condition(s) in the 12 months prior to interview (N = 136). Psychiatric morbid/comorbid disorders were diagnosed using the Geriatric Mental State examination.
In a multivariate analysis, comorbid psychiatric disorders were independently associated with hospitalization [adjusted odds ratio 2.76, 95% confidence interval 1.20-6.33], after controlling for age, ethnicity, employment status, number of medical comorbidities, number of activities of daily living limitations, hearing and visual impairment, SF-12 Physical and Mental Component Summary scores, social, productive, fitness and health activities, and regular visits to health-care providers. Neither dementia diagnosis nor cognitive impairment measured by the Mini-mental State Examination was associated with increased hospitalization risk.
Psychiatric morbidity in old age was significantly associated with increased hospitalization risk. This finding underlines the importance of treating psychiatric illness to reduce the risk of acute hospitalization in elderly patients.
很少有研究调查老年人精神疾病发病率与急性住院风险之间的关联。
我们利用新加坡1092名年龄≥60岁的老年人的基于人群的数据进行了此项关联研究，其中包括在访谈前12个月内因任何医疗状况至少有一次急性住院记录的受试者（N = 136）。使用老年精神状态检查来诊断精神疾病/共病。
在多变量分析中，在控制了年龄、种族、就业状况、医疗共病数量、日常生活活动受限数量、听力和视力损害、SF - 12身体和精神成分总结得分、社交、生产、健身和健康活动以及定期就诊医疗服务提供者等因素后，共病精神疾病与住院独立相关[调整后的优势比为2.76，95%置信区间为1.20 - 6.33]。简易精神状态检查测量的痴呆诊断或认知障碍均与住院风险增加无关。
老年精神疾病发病率与住院风险增加显著相关。这一发现强调了治疗精神疾病以降低老年患者急性住院风险的重要性。
