Waxman H M, Dubin W, Klein M, Weiss K J, Carner E A
J Am Geriatr Soc. 1984 May;32(5):343-9. doi: 10.1111/j.1532-5415.1984.tb02037.x.
The records of a hospital psychiatric emergency department were reviewed for elderly and middle-aged patients who were diagnosed with organic brain syndrome (OBS) or psychiatric disorder. These records were then compared with those of elderly patients from the medical emergency department. While elderly medical patients received routine physical evaluations and laboratory testing, elderly psychiatric patients with behavioral symptoms were often referred to psychiatry before they received tests necessary to differentiate physical disorders from functional psychiatric disorders. When tests were administered to psychiatric patients, many abnormal results were apparent, indicating the possible presence of physical disease. It is recommended that all elderly patients with psychiatric symptoms undergo adequate medical evaluations to screen for physical causes of the psychiatric symptoms.
对一家医院精神科急诊科记录进行了审查，涉及被诊断患有器质性脑综合征（OBS）或精神障碍的老年和中年患者。然后将这些记录与内科急诊科老年患者的记录进行比较。虽然老年内科患者接受了常规身体评估和实验室检查，但有行为症状的老年精神科患者在接受区分躯体疾病和功能性精神障碍所需的检查之前，往往就被转诊至精神科。当对精神科患者进行检查时，许多异常结果显现出来，表明可能存在躯体疾病。建议所有有精神症状的老年患者接受充分的医学评估，以筛查精神症状的躯体原因。
