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Factors associated with psychiatric hospitalization of individuals diagnosed with dementia and comorbid bipolar disorder.

机译:与诊断为痴呆和合并症的躁郁症患者的精神病院住院相关的因素。

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摘要

The objective was to determine risk factors of psychiatric hospitalization among a Veterans Administration database of patients with dementia and comorbid bipolar disorder (D+BD). Patients with D+BD had a greater prevalence of psychiatric hospitalization (28% vs 4%). The strongest predictor of psychiatric hospitalization was the presence of an alcohol use disorder (51% risk); patients without alcohol use disorders but under the age of 70 had the next highest risk (33% risk). However, patients with an alcohol use disorder had shorter psychiatric hospitalizations than those without. Compared with patients without BD, D+BD patients were more likely to have alcohol use disorders (15% vs 3%) and any other substance use problem (10% vs 1%). In patients diagnosed with dementia and bipolar disorder, the strongest risk factor for psychiatric hospitalization was an alcohol abuse disorder. These findings suggest that disorders with increased frequency in BD affect the course of dementia.
机译:目的是在退伍军人管理局的痴呆症和合并症双相情感障碍(D + BD)患者数据库中确定精神病住院的危险因素。 D + BD患者的精神病住院率更高(28%对4%)。精神病住院的最强预测因子是饮酒障碍的发生(51%的风险);没有酒精使用障碍但年龄在70岁以下的患者次高风险(33%风险)。但是,与没有酒精滥用障碍的患者相比,精神病患者的住院时间较短。与没有BD的患者相比,D + BD患者更容易出现饮酒障碍(15%vs 3%)和其他任何物质使用问题(10%vs 1%)。在被诊断为痴呆和躁郁症的患者中,精神病住院的最大危险因素是酗酒症。这些发现表明,BD频率增加的疾病会影响痴呆症的病程。

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