Prevalence and clinical correlations of catatonia in older adults referred to a liaison psychiatry service in a general hospital.
Gen Hosp Psychiatry
; 35(5): 512-6, 2013.
Article
em En
| MEDLINE
| ID: mdl-23684045
ABSTRACT
AIM:
To determine the frequency and clinical correlations of catatonia in older patients referred to a liaison psychiatry service in a general hospital. PATIENTS ANDMETHODS:
All patients over 65 years referred to liaison psychiatry were screened for catatonic phenomena with the Bush-Francis Catatonia Screening Instrument (BFCSI) between January and May 2012. Their clinical characteristics and the outcome of treatment were recorded.RESULTS:
One hundred and twelve patients over 65 years were referred. Ten (8.9%) met research diagnostic criteria for catatonia and 7 (6.3%) Diagnostic and Statistical Manual of Mental Disorders, 4th Edition criteria for catatonia. All patients presented with the inhibited variant and 5 to 12 catatonic signs. Three patients presented concomitant delirium. The etiology of catatonia was multifactorial, and complications and death were frequent (40% and 20%, respectively). Lorazepam achieved full resolution of catatonia in 50% of patients.CONCLUSIONS:
Catatonia in older adults referred to liaison psychiatry in a general hospital is not infrequent and has a multifactorial etiology. The BFCSI is a simple and reliable instrument to detect catatonia in this population. Lorazepam seems to be an effective treatment.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Catatonia
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article