Two years of psychogeriatric consultations in a nursing home: reasons for referral compared to psychiatrists' assessment
2006

Psychogeriatric Consultations in Nursing Homes

Sample size: 112 publication 10 minutes Evidence: moderate

Author Information

Author(s): Callegari Camilla MT, Menchetti Marco, Croci Giovanni, Beraldo Scilla, Costantini Chiara, Baranzini Federico

Primary Institution: Università degli Studi dell'Insubria

Hypothesis

The study aims to evaluate the appropriateness of psychiatric referrals in nursing homes.

Conclusion

The main reason for psychiatric consultation requests is agitation, which is often difficult to interpret and can mask other serious issues.

Supporting Evidence

  • 14.5% of residents were referred for psychiatric consultation.
  • Agitation was the most common reason for referral at 34.8%.
  • Only 1.8% of cases had no psychiatric diagnosis, indicating high sensitivity in referrals.

Takeaway

Elderly people in nursing homes often show signs of agitation, which can mean they need help, but it's hard to tell what the real problem is.

Methodology

Data were collected over two years from a nursing home, focusing on reasons for psychiatric referrals and diagnoses.

Potential Biases

Potential bias in referral practices by medical staff who may underestimate psychiatric symptoms.

Limitations

The study may not capture all psychiatric needs due to underreporting of symptoms like depression.

Participant Demographics

The sample consisted of 112 residents, predominantly elderly, with 72.8% female and 27.2% male.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1472-6963-6-73

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