Prevalence and clinical correlations of catatonia in older adults referred to a liaison psychiatry service in a general hospital
| Autor: | Jordi Serra-Mestres, Walter Jaimes-Albornoz |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Catatonia Population Research Diagnostic Criteria Psychiatric Department Hospital Hospitals General Lorazepam Prevalence medicine Humans Hypnotics and Sedatives education Psychiatry Aged Aged 80 and over education.field_of_study business.industry Mental Disorders medicine.disease Psychiatry and Mental health Treatment Outcome Concomitant Liaison psychiatry Etiology Delirium Female medicine.symptom business medicine.drug |
| Zdroj: | General Hospital Psychiatry. 35:512-516 |
| ISSN: | 0163-8343 |
| DOI: | 10.1016/j.genhosppsych.2013.04.009 |
| Popis: | Aim To determine the frequency and clinical correlations of catatonia in older patients referred to a liaison psychiatry service in a general hospital. Patients and Methods All patients over 65 years referred to liaison psychiatry were screened for catatonic phenomena with the Bush–Francis Catatonia Screening Instrument (BFCSI) between January and May 2012. Their clinical characteristics and the outcome of treatment were recorded. Results One hundred and twelve patients over 65 years were referred. Ten (8.9%) met research diagnostic criteria for catatonia and 7 (6.3%) Diagnostic and Statistical Manual of Mental Disorders, 4th Edition criteria for catatonia. All patients presented with the inhibited variant and 5 to 12 catatonic signs. Three patients presented concomitant delirium. The etiology of catatonia was multifactorial, and complications and death were frequent (40% and 20%, respectively). Lorazepam achieved full resolution of catatonia in 50% of patients. Conclusions Catatonia in older adults referred to liaison psychiatry in a general hospital is not infrequent and has a multifactorial etiology. The BFCSI is a simple and reliable instrument to detect catatonia in this population. Lorazepam seems to be an effective treatment. |
| Databáze: | OpenAIRE |
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