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Comparative Study
. 2005 Mar;13(3):250-4.
doi: 10.1176/appi.ajgp.13.3.250.

General-medical conditions in older patients with serious mental illness

Amy M Kilbourne  1 , Jack R Cornelius, Xiaoyan Han, Gretchen L Haas, Ihsan Salloum, Joseph Conigliaro, Harold A Pincus
Affiliations
Comparative Study

General-medical conditions in older patients with serious mental illness

Amy M Kilbourne et al. Am J Geriatr Psychiatry. 2005 Mar.

Abstract

Objective: The burden of medical comorbidities was compared between older (> or =60 years) and younger patients with serious mental illness.

Methods: Patients (N=8,083) diagnosed with schizophrenia, schizoaffective disorder, or bipolar disorder in 2001 were identified from VA facilities in the mid-Atlantic region. Medical comorbidities were identified by an ICD-9-based clinical classification algorithm.

Results: Older, versus younger, patients were more likely to be diagnosed with cardiovascular or pulmonary conditions, and less likely to be diagnosed with substance-use disorders or hepatic conditions.

Conclusions: More aggressive detection and management of general-medical comorbidities in older patients with serious mental illness is paramount.

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