[7-year-follow-up investigations of the geriatric psychiatric inpatient service in a separated care at a state hospital (obligatory service) and an integrated care at a university hospital in Goettingen, Germany -- I. Type of patients].
OBJECTIVE
7 years after our first investigation we were interested in the stability versus (trends of) change in geriatric psychiatric inpatients while the structure of services was mainly unchanged.


METHODS
We performed standardised chart reviews of randomly selected groups of geriatric psychiatric inpatients who had been treated in 1998 and 1999 in the Psychiatric University Hospital (PUK; n = 104) or the Psychiatric State Hospital (LKH; n = 100), which together treat all psychiatric inpatients in the region. With regard to age, the PUK provides integrated and the LKH separated care.


RESULTS
Mean patients' age decreased. Compulsory admissions according to state laws decreased significantly. Specialist treatment before admission decreased. Premedication showed a dramatic decrease of antidementia drug treatment and a nearly unchanged high rate of prescriptions of antipsychotics and benzodiazepines.


CONCLUSIONS
With a lower age and lower rate of specialist treatment we could not find signs of a better outpatient care preceding hospital admission during follow-up.
Psychiatrische Universitätsklinik Basel. gabriela.stoppe@pukbasel.ch
Gabriela
G
Stoppe
André
A
Otto
Manfred
M
Koller
Jürgen
J
Staedt
D000368:Aged; D000544:Alzheimer Disease / Q000628:therapy*; D000553:Ambulatory Care / Q000639:trends; D003131:Combined Modality Therapy; D019033:Delivery of Health Care, Integrated; D004363:Drug Utilization / Q000639:trends; D005260:Female; D005544:Forecasting; D005858:Germany; D006778:Hospitals, Psychiatric; D006783:Hospitals, State; D006785:Hospitals, University; D006801:Humans; D007902:Length of Stay / Q000639:trends; D008297:Male; D010043:Outcome and Process Assessment, Health Care; D010343:Patient Admission; D010348:Patient Care Team / Q000639:trends; D011619:Psychotropic Drugs / Q000627:therapeutic use; D019233:Retreatment / Q000639:trends; D012189:Retrospective Studies; D012959:Socioeconomic Factors
D011619:Psychotropic Drugs