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19世紀,ダーリングハーストのレセプションハウスに高齢者が入院した
Brian Draper1,2
1Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of NSW, Sydney, NSW, Australia.
まとめ
ダーリングハースト・レセプション・ハウス (1868年−1900年) に入院した高齢者は,主に認知障害があり,しばしば入院に至った. アルコールの使用は,若い人と比較して,この年齢層ではあまり一般的ではありませんでした.
科学分野:
- 医学史 医学史 医学史
- 高齢者精神医学は,高齢者の精神医学である.
- 公衆衛生は公衆衛生である.
背景:
- 精神科医院入院の歴史的分析.
- 高齢患者の臨床的特徴とアウトカムを理解する.
研究 の 目的:
- ダーリングハースト・レセプション・ハウス (1868年−1900年) に入院した60歳以上の個人の臨床プレゼンテーションとアウトカムを詳細に説明する.
- 高齢者対若い患者コホートにおけるアウトカムとアルコール関与を比較するために.
主な方法:
- 医療事件簿や入院/退院登録簿から遡及的にデータを抽出する.
- ニューサウスウェールズ州ダーリングハースト受付館の12,745人の受付者の分析. 州立アーカイブ.
主要な成果:
- 911人の入院者 (7.1%) は60歳以上の人々でした.
- 認知症状 (54%) が最も一般的であり,行動問題 (32.3%) と精神病 (19.6%) が続いた.
- 認知症は50%以上で診断され,アルコールは高齢者の入院の14.2%と若者の22.5%に関連しています.
結論:
- 入院した高齢者は,主に認知障害を呈しており,精神病院への移送をしばしば引き起こしています.
- 高齢患者のアウトカムには,79.1%の入院,19.5%の退院,1.3%の死亡率が含まれていました.
- アルコールは,若いコホートと比較して,より古い入院においてより少ない役割を果たし,異なる排出パターンが観察されました.
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