title: [Schizophrenia spectrum disorders in elderly patients : Analysis of reasons for admission to a department of geriatric psychiatry].
abstract: OBJECTIVE
  The aim of this study was to analyze the possible reasons for acute admission to a department for geriatric psychiatry. The reasons for hospitalization, the psychiatric and somatic comorbidities of the patients over 65 years old with schizophrenia, schizoaffective disorder and delusional disorder were examined to identify patterns and risk profiles.
  
  
  METHODS
  A retrospective analysis was carried out using paper and electronic patient records of a department of acute care for geriatric psychiatry and psychotherapy. During the assessment period 206 successive patients over 65 years old were included in the study. The patient cohort included 64 patients with schizophrenia according to the international classification of diseases 10 (ICD-10, category F20), 78 patients with persistent delusional disorder (ICD-10, F22) and 64 patients with schizoaffective disorder (ICD-10, F25).
  
  
  RESULTS
  The reason for admission for one third of the patients in all three groups was aggressive behavior, whereas delusions and hallucinations were more frequent in the groups of F20 and F22 patients than in patients with schizoaffective disorders (F25). Somatic comorbidities were seen significantly more often in the group of F22 patients than in the other two groups.
  
  
  CONCLUSIONS
  Acute admission was essentially due to acute psychiatric symptoms. Additional somatic comorbidities and psychosocial influencing factors played only a minor role in this study. The patients examined in this study constituted a special group within the acute treatment of inpatient psychiatry because they showed distinctive psychopathological productive symptoms but were relatively healthy from a somatic point of view. Patients with the diagnosis of schizophrenia (F20) or schizoaffective disorder (F25) were significantly different from patients classified into the group of delusional disorders (F22).
authors.affiliation: Abteilung für Alterspsychiatrie und Alterspsychotherapie, Landeskrankenhaus (LKH) Graz Süd-West, Wagner-Jauregg-Platz 1, 8053, Graz, Österreich. christian.jagsch@kages.at.
authors.forename: C
authors.initials: C
authors.lastname: Jagsch
authors.affiliation: Psychosoziale Beratungsstelle des GFSG, Hartberg, Österreich.
authors.forename: G
authors.initials: G
authors.lastname: Dietmaier
authors.affiliation: FH Technikum, Wien, Österreich.
authors.forename: M
authors.initials: M
authors.lastname: Jagsch
authors.affiliation: Abteilung für Interne Medizin/Geriatrie, Medizinische Universität Graz, Graz, Österreich.
authors.forename: R E
authors.initials: RE
authors.lastname: Roller
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000374:Aggression / Q000523:psychology; D001317:Austria; D015897:Comorbidity; D003430:Cross-Sectional Studies; D005260:Female; D006212:Hallucinations / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D006801:Humans; D008297:Male; D010343:Patient Admission / Q000706:statistics & numerical data*; D011567:Psychiatric Department, Hospital / Q000706:statistics & numerical data*; D011618:Psychotic Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D012189:Retrospective Studies; D012307:Risk Factors; D012559:Schizophrenia / Q000175:diagnosis / Q000453:epidemiology*; D012563:Schizophrenia, Paranoid / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D012565:Schizophrenic Psychology
keywords: Acute admission; Comorbidities; Delusional disorder; Schizoaffective disorder; Schizophrenia