Cognitive-disorder diagnoses in inpatient psychosomatic-medicine consultations: associations with age and length of stay.
Authors reviewed consecutive charts of 155 cognitive-disorder patients from a psychosomatic medicine service in 2001, analyzing factors of age, cognitive-disorder diagnosis, and length of stay. Mean length of stay for this cohort exceeded the typical hospital length of stay, and decreased with age. Increased age was associated with a decreased probability of a delirium-only diagnosis, and was strongly associated with an increased probability of a dementia diagnosis. Among those with dementia, the probability of having an additional diagnosis of delirium was unrelated to age. The case-mix of cognitive disorders differs with age, whereas cognitive disorders are associated with increased length of stay for adult patients of all ages.
Bourgeois
James A
JA
Deparment of Psychiatry and Behavioral Sciences, University of California, Davis Medical Center, 2230 Stockton Blvd., Sacramento, CA 95817, USA. james.bourgeois@ucdmc.ucdavis.edu
Hilty
Donald M
DM
Wegelin
Jacob A
JA
Hales
Robert E
RE
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002140:California / Q000453:epidemiology; D003072:Cognition Disorders / Q000175:diagnosis* / Q000453:epidemiology*; D015331:Cohort Studies; D015897:Comorbidity; D003693:Delirium / Q000175:diagnosis / Q000453:epidemiology; D003704:Dementia / Q000175:diagnosis / Q000453:epidemiology; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D007902:Length of Stay / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D011611:Psychosomatic Medicine / Q000379:methods*; D012017:Referral and Consultation; D012737:Sex Factors