Psychiatric hospital admission and long-term care in patients with very-late-onset schizophrenia-like psychosis
Objective In this register‐based study the rates and durations of psychiatric hospitalizations were compared between patients with very‐late‐onset schizophrenia‐like psychosis (VLOSLP, n = 918) and elderly patients with illness onset before 60 years (n = 6142). The proportion of patients ending up i...
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| Veröffentlicht in: | International journal of geriatric psychiatry 2016-04, Vol.31 (4), p.355-360 |
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| container_title | International journal of geriatric psychiatry |
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| creator | Talaslahti, Tiina Alanen, Hanna-Mari Hakko, Helinä Isohanni, Matti Kampman, Olli Häkkinen, Unto Leinonen, Esa |
| description | Objective
In this register‐based study the rates and durations of psychiatric hospitalizations were compared between patients with very‐late‐onset schizophrenia‐like psychosis (VLOSLP, n = 918) and elderly patients with illness onset before 60 years (n = 6142). The proportion of patients ending up in long‐term care (LTC) or long‐lasting psychiatric hospital care (LLP) was also studied.
Methods
A sample of patients with schizophrenia aged 65 or over was collected from the Finnish Hospital Discharge Register. Psychiatric hospitalizations were calculated per year, and logistic regression was used to compare onset groups and factors associated with ending up in LTC/LLP.
Results
Between 1999 and 2003, 27% of patients with VLOSLP and 23% of patients with earlier onset had at least one psychiatric hospitalization (p = 0.020). When the rates of patients' stays in psychiatric hospital per year were compared, the only difference was that in the first year 14% (141/918) and 11% (679/6142) had at least one day in psychiatric hospital (p |
| doi_str_mv | 10.1002/gps.4333 |
| format | Article |
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In this register‐based study the rates and durations of psychiatric hospitalizations were compared between patients with very‐late‐onset schizophrenia‐like psychosis (VLOSLP, n = 918) and elderly patients with illness onset before 60 years (n = 6142). The proportion of patients ending up in long‐term care (LTC) or long‐lasting psychiatric hospital care (LLP) was also studied.
Methods
A sample of patients with schizophrenia aged 65 or over was collected from the Finnish Hospital Discharge Register. Psychiatric hospitalizations were calculated per year, and logistic regression was used to compare onset groups and factors associated with ending up in LTC/LLP.
Results
Between 1999 and 2003, 27% of patients with VLOSLP and 23% of patients with earlier onset had at least one psychiatric hospitalization (p = 0.020). When the rates of patients' stays in psychiatric hospital per year were compared, the only difference was that in the first year 14% (141/918) and 11% (679/6142) had at least one day in psychiatric hospital (p < 0.001) respectively. In logistic regression onset group of schizophrenia was not associated with LTC/LLP, except weakly the VLOSLP group in women (p = 0.042, OR 1.23). Patients having any cardiovascular disease (p < 0.001, OR 0.63) or a respiratory disease (p = 0.008, OR 0.73) were less likely to end up in LTC/LLP.
Conclusion
The patients with VLOSLP needed more psychiatric hospital care than those with earlier illness onset. Ending up in LTC/LLP was equally common in both onset groups, but some physical diseases, such as cardiovascular and respiratory, diminished the likelihood of this. Copyright © 2015 John Wiley & Sons, Ltd.</description><identifier>ISSN: 0885-6230</identifier><identifier>EISSN: 1099-1166</identifier><identifier>DOI: 10.1002/gps.4333</identifier><identifier>PMID: 26223648</identifier><identifier>CODEN: IJGPES</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Age of Onset ; Aged ; elderly ; Female ; Finland - epidemiology ; Geriatric psychiatry ; Geriatric psychology ; Hospitalization - statistics & numerical data ; Hospitals, Psychiatric - statistics & numerical data ; Humans ; Logistic Models ; Long term health care ; long-term care ; Long-Term Care - statistics & numerical data ; Male ; Mental disorders ; Mental institutions ; Middle Aged ; psychiatric hospital care ; Psychotic Disorders - epidemiology ; Psychotic Disorders - therapy ; schizophrenia ; Schizophrenia - therapy ; very-late-onset schizophrenia-like psychosis</subject><ispartof>International journal of geriatric psychiatry, 2016-04, Vol.31 (4), p.355-360</ispartof><rights>Copyright © 2015 John Wiley & Sons, Ltd.</rights><rights>Copyright © 2016 John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3873-1e04c3ecda5225b766478a45dcbad3736ccf7d411a6ea25a704014243ef11e053</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fgps.4333$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fgps.4333$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26223648$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Talaslahti, Tiina</creatorcontrib><creatorcontrib>Alanen, Hanna-Mari</creatorcontrib><creatorcontrib>Hakko, Helinä</creatorcontrib><creatorcontrib>Isohanni, Matti</creatorcontrib><creatorcontrib>Kampman, Olli</creatorcontrib><creatorcontrib>Häkkinen, Unto</creatorcontrib><creatorcontrib>Leinonen, Esa</creatorcontrib><title>Psychiatric hospital admission and long-term care in patients with very-late-onset schizophrenia-like psychosis</title><title>International journal of geriatric psychiatry</title><addtitle>Int J Geriatr Psychiatry</addtitle><description>Objective
In this register‐based study the rates and durations of psychiatric hospitalizations were compared between patients with very‐late‐onset schizophrenia‐like psychosis (VLOSLP, n = 918) and elderly patients with illness onset before 60 years (n = 6142). The proportion of patients ending up in long‐term care (LTC) or long‐lasting psychiatric hospital care (LLP) was also studied.
Methods
A sample of patients with schizophrenia aged 65 or over was collected from the Finnish Hospital Discharge Register. Psychiatric hospitalizations were calculated per year, and logistic regression was used to compare onset groups and factors associated with ending up in LTC/LLP.
Results
Between 1999 and 2003, 27% of patients with VLOSLP and 23% of patients with earlier onset had at least one psychiatric hospitalization (p = 0.020). When the rates of patients' stays in psychiatric hospital per year were compared, the only difference was that in the first year 14% (141/918) and 11% (679/6142) had at least one day in psychiatric hospital (p < 0.001) respectively. In logistic regression onset group of schizophrenia was not associated with LTC/LLP, except weakly the VLOSLP group in women (p = 0.042, OR 1.23). Patients having any cardiovascular disease (p < 0.001, OR 0.63) or a respiratory disease (p = 0.008, OR 0.73) were less likely to end up in LTC/LLP.
Conclusion
The patients with VLOSLP needed more psychiatric hospital care than those with earlier illness onset. Ending up in LTC/LLP was equally common in both onset groups, but some physical diseases, such as cardiovascular and respiratory, diminished the likelihood of this. Copyright © 2015 John Wiley & Sons, Ltd.</description><subject>Age of Onset</subject><subject>Aged</subject><subject>elderly</subject><subject>Female</subject><subject>Finland - epidemiology</subject><subject>Geriatric psychiatry</subject><subject>Geriatric psychology</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Hospitals, Psychiatric - statistics & numerical data</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Long term health care</subject><subject>long-term care</subject><subject>Long-Term Care - statistics & numerical data</subject><subject>Male</subject><subject>Mental disorders</subject><subject>Mental institutions</subject><subject>Middle Aged</subject><subject>psychiatric hospital care</subject><subject>Psychotic Disorders - epidemiology</subject><subject>Psychotic Disorders - therapy</subject><subject>schizophrenia</subject><subject>Schizophrenia - therapy</subject><subject>very-late-onset schizophrenia-like psychosis</subject><issn>0885-6230</issn><issn>1099-1166</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0U1vEzEQBmALgWhakPgFyBIXLm7t9WeONKIpooJIBHG0HO-kcbtZb22nbfj1eNUPJE6c5jCPX2tmEHrH6DGjtDm5HPKx4Jy_QBNGp1PCmFIv0YQaI4lqOD1AhzlfUVp7zLxGB41qGq6EmaC4yHu_Ca6k4PEm5iEU12HXbkPOIfbY9S3uYn9JCqQt9i4BDj0eXAnQl4zvQtngW0h70rkCJPYZCs418HccNgn64EgXrgEP4y8xh_wGvVq7LsPbx3qEfp59Xs7OycX3-ZfZpwviudGcMKDCc_Ctk00jV1opoY0TsvUr13LNlfdr3QrGnALXSKepoEw0gsOa1beSH6GPD7lDijc7yMXWiTx0nesh7rJlumYqKYX-H0qNUlMz0g__0Ku4S30dpKoquNRiWtX7R7VbbaG1Qwpbl_b2aesVkAdwFzrYP_cZteM1bb2mHa9p54sfY_3rQy5w_-xdurZKcy3tr29za76eLmfL03O74H8AGZyhCw</recordid><startdate>201604</startdate><enddate>201604</enddate><creator>Talaslahti, Tiina</creator><creator>Alanen, Hanna-Mari</creator><creator>Hakko, Helinä</creator><creator>Isohanni, Matti</creator><creator>Kampman, Olli</creator><creator>Häkkinen, Unto</creator><creator>Leinonen, Esa</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201604</creationdate><title>Psychiatric hospital admission and long-term care in patients with very-late-onset schizophrenia-like psychosis</title><author>Talaslahti, Tiina ; Alanen, Hanna-Mari ; Hakko, Helinä ; Isohanni, Matti ; Kampman, Olli ; Häkkinen, Unto ; Leinonen, Esa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3873-1e04c3ecda5225b766478a45dcbad3736ccf7d411a6ea25a704014243ef11e053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Age of Onset</topic><topic>Aged</topic><topic>elderly</topic><topic>Female</topic><topic>Finland - epidemiology</topic><topic>Geriatric psychiatry</topic><topic>Geriatric psychology</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Hospitals, Psychiatric - statistics & numerical data</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Long term health care</topic><topic>long-term care</topic><topic>Long-Term Care - statistics & numerical data</topic><topic>Male</topic><topic>Mental disorders</topic><topic>Mental institutions</topic><topic>Middle Aged</topic><topic>psychiatric hospital care</topic><topic>Psychotic Disorders - epidemiology</topic><topic>Psychotic Disorders - therapy</topic><topic>schizophrenia</topic><topic>Schizophrenia - therapy</topic><topic>very-late-onset schizophrenia-like psychosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Talaslahti, Tiina</creatorcontrib><creatorcontrib>Alanen, Hanna-Mari</creatorcontrib><creatorcontrib>Hakko, Helinä</creatorcontrib><creatorcontrib>Isohanni, Matti</creatorcontrib><creatorcontrib>Kampman, Olli</creatorcontrib><creatorcontrib>Häkkinen, Unto</creatorcontrib><creatorcontrib>Leinonen, Esa</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of geriatric psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Talaslahti, Tiina</au><au>Alanen, Hanna-Mari</au><au>Hakko, Helinä</au><au>Isohanni, Matti</au><au>Kampman, Olli</au><au>Häkkinen, Unto</au><au>Leinonen, Esa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychiatric hospital admission and long-term care in patients with very-late-onset schizophrenia-like psychosis</atitle><jtitle>International journal of geriatric psychiatry</jtitle><addtitle>Int J Geriatr Psychiatry</addtitle><date>2016-04</date><risdate>2016</risdate><volume>31</volume><issue>4</issue><spage>355</spage><epage>360</epage><pages>355-360</pages><issn>0885-6230</issn><eissn>1099-1166</eissn><coden>IJGPES</coden><abstract>Objective
In this register‐based study the rates and durations of psychiatric hospitalizations were compared between patients with very‐late‐onset schizophrenia‐like psychosis (VLOSLP, n = 918) and elderly patients with illness onset before 60 years (n = 6142). The proportion of patients ending up in long‐term care (LTC) or long‐lasting psychiatric hospital care (LLP) was also studied.
Methods
A sample of patients with schizophrenia aged 65 or over was collected from the Finnish Hospital Discharge Register. Psychiatric hospitalizations were calculated per year, and logistic regression was used to compare onset groups and factors associated with ending up in LTC/LLP.
Results
Between 1999 and 2003, 27% of patients with VLOSLP and 23% of patients with earlier onset had at least one psychiatric hospitalization (p = 0.020). When the rates of patients' stays in psychiatric hospital per year were compared, the only difference was that in the first year 14% (141/918) and 11% (679/6142) had at least one day in psychiatric hospital (p < 0.001) respectively. In logistic regression onset group of schizophrenia was not associated with LTC/LLP, except weakly the VLOSLP group in women (p = 0.042, OR 1.23). Patients having any cardiovascular disease (p < 0.001, OR 0.63) or a respiratory disease (p = 0.008, OR 0.73) were less likely to end up in LTC/LLP.
Conclusion
The patients with VLOSLP needed more psychiatric hospital care than those with earlier illness onset. Ending up in LTC/LLP was equally common in both onset groups, but some physical diseases, such as cardiovascular and respiratory, diminished the likelihood of this. Copyright © 2015 John Wiley & Sons, Ltd.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>26223648</pmid><doi>10.1002/gps.4333</doi><tpages>6</tpages></addata></record> |
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| ispartof | International journal of geriatric psychiatry, 2016-04, Vol.31 (4), p.355-360 |
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| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Age of Onset Aged elderly Female Finland - epidemiology Geriatric psychiatry Geriatric psychology Hospitalization - statistics & numerical data Hospitals, Psychiatric - statistics & numerical data Humans Logistic Models Long term health care long-term care Long-Term Care - statistics & numerical data Male Mental disorders Mental institutions Middle Aged psychiatric hospital care Psychotic Disorders - epidemiology Psychotic Disorders - therapy schizophrenia Schizophrenia - therapy very-late-onset schizophrenia-like psychosis |
| title | Psychiatric hospital admission and long-term care in patients with very-late-onset schizophrenia-like psychosis |
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