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首页> 外文期刊>Journal of geriatric psychiatry and neurology >Characteristics associated with inpatient versus outpatient status in older adults with bipolar disorder
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Characteristics associated with inpatient versus outpatient status in older adults with bipolar disorder

机译：老年躁郁症患者住院与门诊状态相关的特征

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Objectives: This is an exploratory analysis of ambulatory and inpatient services utilization by older persons with type I bipolar disorder experiencing elevated mood. The association between type of treatment setting and the person's characteristics is explored within a framework that focuses upon predisposing, enhancing, and need characteristics. Method: Baseline assessments were conducted with the first 51 inpatients and 49 outpatients 60 years of age and older, meeting criteria for type I bipolar disorder, manic, hypomanic, or mixed episode enrolled in the geriatric bipolar disorder study (GERI-BD) study. We compared participants recruited from inpatient versus outpatient settings in regard to the patients' predisposing, enabling, and need characteristics. Results: Being treated in an inpatient rather than an outpatient setting was associated with the predisposing characteristic of being non-Hispanic caucasian (odds ratio [OR]: 0.1; P =.005) and past history of treatment with first-generation antipsychotics (OR: 6.5; P <.001), and the need characteristic reflected in having psychotic symptoms present in the current episode (OR: 126.08; P <.001). Conclusion: Ethnicity, past pharmacologic treatment, and current symptom severity are closely associated with treatment in inpatient settings. Clinicians and researchers should investigate whether closer monitoring of persons with well-validated predisposing and need characteristics can lead to their being treated in less costly but equally effective ambulatory rather than inpatient settings.
机译：目的：这是对患有情绪升高的I型双相情感障碍老年人的门诊和住院服务利用的探索性分析。在着重于倾向，增强和需要特征的框架内探索治疗环境类型与人的特征之间的关联。方法：对年龄≥60岁的前51名住院患者和49名门诊患者进行基线评估，符合老年双相情感障碍研究（GERI-BD）研究的I型双相情感障碍，躁狂，躁狂或混合发作的标准。我们比较了从住院患者和门诊患者招募的参与者的诱因，能力和需求特征。结果：在住院而不是门诊接受治疗与非西班牙裔白种人的易感特征（优势比[OR]：0.1; P = .005）以及第一代抗精神病药（OR）的治疗史有关：6.5; P <.001），而需求特征反映为当前发作中存在精神病症状（OR：126.08; P <.001）。结论：种族，过去的药物治疗以及当前症状的严重程度与住院患者的治疗密切相关。临床医生和研究人员应调查是否对具有易确证的易患病者和需要特征的人进行更密切的监视是否会导致他们在成本较低但同样有效的门诊而非住院环境中接受治疗。

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