Mukaetova-Ladinska Elizabeta B
Institute of Neuroscience, Newcastle University, Newcastle upon Tyne NE4 5PL, UK.
Geriatrics (Basel). 2016 Mar 3;1(1):7. doi: 10.3390/geriatrics1010007.
A large number of people admitted to medical wards have co-morbid mental health problems, and these predominantly include depression, dementia and delirium. An additional one third of medically ill patients remain in hospitals with undetected and, therefore, undiagnosed mental health problems. The comorbidity of mental and physical illnesses leads to poor health outcomes, prolonged inpatient stays and use of inpatient resources, involvement of various affiliated health services, introduction of medications and discharge to long-term facilities, including residential and nursing 24-h care, increased both readmission rates and mortality. The establishment of Liaison psychiatry services to meet the needs for people with mental health problems admitted to medical wards is a priority for many acute health Trusts. This has an economical background in terms of cost-savings, especially in relation to the older adults, with decreasing readmission rates and quicker hospital discharges. In the current review, we address the latest policies regarding Liaison psychiatry services; especially those for older people with dementia and delirium, and discuss their future shaping.
大量入住内科病房的患者存在合并心理健康问题，这些问题主要包括抑郁症、痴呆症和谵妄。另有三分之一的内科疾病患者在出院时仍存在未被发现、因此也未被诊断的心理健康问题。精神疾病与身体疾病的合并症会导致健康状况不佳、住院时间延长、住院资源的使用、各种附属健康服务的介入、药物的使用以及转至长期护理机构（包括24小时住院和护理），这会增加再入院率和死亡率。建立联络精神科服务以满足入住内科病房的心理健康问题患者的需求，是许多急性医疗信托机构的优先事项。这在节省成本方面具有经济背景，特别是对于老年人而言，可降低再入院率并加快出院速度。在当前的综述中，我们阐述了有关联络精神科服务的最新政策；特别是针对患有痴呆症和谵妄的老年人的政策，并讨论它们的未来发展方向。
