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http://www.scirp.org/journal/PaperInformation.aspx?PaperID=53500#.VMci6izQrzE
http://www.scirp.org/journal/PaperInformation.aspx?PaperID=53500#.VMci6izQrzE
Author(s)
Isabelle Rouch1,2*, Claude Marescaux3, Catherine Padovan4,5, Thierry D’Amato4,6, Benoit Saitta3, Bernard Laurent1, Romain Rey4, Alexis Lepetit2,4, Jean Michel Dorey4
Affiliation(s)
1Neurology Unit, University Hospital of Saint-Etienne, Saint Etienne, France.
2Geriatrics Unit, Charpennes Hospital, University Hospital of Lyon, Villeurbanne, France.
3Département d’Information Médicale, Vinatier Hospital, Bron, France.
4Memory Center-Gerontopsychiatry Unit, Vinatier Hospital, Bron, France.
5Brain Dynamics and Cognition Team, Lyon Neurosciences Research Center,.
6Université Lyon 1, Lyon, France.
2Geriatrics Unit, Charpennes Hospital, University Hospital of Lyon, Villeurbanne, France.
3Département d’Information Médicale, Vinatier Hospital, Bron, France.
4Memory Center-Gerontopsychiatry Unit, Vinatier Hospital, Bron, France.
5Brain Dynamics and Cognition Team, Lyon Neurosciences Research Center,.
6Université Lyon 1, Lyon, France.
ABSTRACT
Although
Bipolar Disorder (BD) often affects young subjects, the number of
elderly patients suffering from BD is rising as life expectancy
increases. Few studies addressed the hospitalisation characteristics
according to patient age. The goal of this preliminary study was to
compare the hospitalisation characteristics of young and elderly
patients suffering from BD admitted in a psychiatric hospital. The data
were selected from the French nation-wide hospital database for
psychiatry. The study included patients hospitalised in a French
psychiatric hospital from January 2002 to December 2012. The
hospitalisation characteristics were compared between young (YBD) and
elderly bipolar patients (EBD). A total of 1842 patients were
hospitalised during the 11-year period. Among them, 707 (38.4%) were 60
years old and over. The mean length of stay was significantly longer for
the EBD group than for the YBD group (48.1 vs 30.4 days, p <
0.0001). Among the patients first hospitalised in 2002, the readmission
rate was significantly higher for the EBD (67.9%) than for the YBD
(55.2%) group (p = 0.026). In contrast, the rate of compulsory
hospitalisations was higher among the YBD than among the EBD group. Our
findings confirm that BD in old age remains a severe disease requiring
longer hospitalisations than for BD in younger patients. Future
prospective studies are needed to better understand the origin of these
differences.
Cite this paper
References
Rouch,
I. , Marescaux, C. , Padovan, C. , D’Amato, T. , Saitta, B. , Laurent,
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Bipolar Disorder: Comparison between Young and Elderly Patients. Psychology, 6, 126-131. doi: 10.4236/psych.2015.61011.
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