Cooper B
J R Soc Med. 1987 Jan;80(1):13-6. doi: 10.1177/014107688708000107.
A psychiatric investigation was carried out on patients aged 65-80 years who were admitted to the medical wards of six general hospitals in an industrial urban area of West Germany. In all, 626 patients were screened for cognitive and affective disorder using a short standardized interview, and at the second stage all those with abnormal responses, as well as a subsample of the apparently normal patients, were examined in greater detail. After correction for inaccuracies of screening, the frequency of psychiatric illness in this patient population was estimated as 30.2%, made up of 9.1% with organic brain syndromes and 21.1% with functional mental disorders. Comparison with field-study data for the same background population showed that the hospital patients were at increased risk for mental disturbance. At follow up after one year, outcome in terms of mortality, admission to long-term care and dependency on others was worst for patients with organic mental disorder, even after matching for age and initial severity of physical impairment. Functional mental illness was also associated with a relatively poor outcome in terms of dependency. The mental status of elderly medical patients appears to be important for the prognosis.
对西德一个工业城市地区六家综合医院内科病房收治的65至80岁患者进行了一项精神病学调查。总共对626名患者进行了简短标准化访谈，以筛查认知和情感障碍，在第二阶段，对所有反应异常的患者以及部分表面正常的患者进行了更详细的检查。校正筛查不准确因素后，估计该患者群体中精神疾病的发生率为30.2%，其中9.1%患有器质性脑综合征，21.1%患有功能性精神障碍。与相同背景人群的现场研究数据相比，住院患者出现精神障碍的风险更高。一年后的随访显示，即使在根据年龄和初始身体损伤严重程度进行匹配后，患有器质性精神障碍的患者在死亡率、入住长期护理机构以及对他人的依赖方面的结局最差。功能性精神疾病在依赖方面也与相对较差的结局相关。老年内科患者的精神状态似乎对预后很重要。
