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© 1994 Oxford University Press

research-article

Detection of Psychiatric Disorders in Elderly Medical Inpatients

CLARE BOWLER, ANN BOYLE, MARGARET BRANFORD, SALLY-ANN COOPER, RUTH HARPER and JAMES LINDESAY

Department of Psychiatry, University of Leicester
Leicester
Kettering

Address correspondence to Professor J. Lindesay, Division of Psychiatry for the Elderly, University of Leicester, Leicester General Hospital, Gwendolen Road, Leicester LE5 4PW

In a psychiatric census of a 196-bed acute inpatient Medicine for the Elderly unit, 76.1% of patients resident during I week were screened and interviewed in a two-stage diagnostic procedure. Of 153 patients studied, 11.1% were delirious, 26.8% were demented, and 9.2% were depressed. Overall, 56.9% of the cases were identified by ward nurses, and 55.5% by the ward doctors; taken together, ward staff identified 75.0% of the cases (K=0.46), indicating that detection of psychiatric disorder in this population might be improved if doctors and nurses pooled their observations on this aspect of patient assessment.

Received December 11, 1993;
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