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Published Online: September 1963

A STUDY OF 138 ELDERLY FIRST ADMISSIONS

J. MARTIN MYERS, DANA SHELDON, and S. SUE ROBINSONAuthors Info & Affiliations

Publication: American Journal of Psychiatry

Volume 120, Number 3

https://doi.org/10.1176/ajp.120.3.244

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Abstract

From the data presented, we have drawn the following conclusions:

1. The first hospitalization is very useful for most mental patients over 65 years. The median stay was 42 days.

2. One year post admission, 19% were dead, 48% were home, and 39% were able to care for themselves physically.

3. Total follow-up, ranging from 2 years, 2 months, to 7 years, found 42% dead, 39% at home, 33% able to care for themselves.

4. Physical impairment was related to the admission directly in 50%, indirectly in 11%, and was unrelated in 37%. The medical impairment status on admission correlated with the final outcome in terms of mortality.

5. There is a marked discrepancy in diagnostic categories between patients from this hospital and state hospital systems. Some of this is due to differences in social class, but not all. The percentage of affective reactions is especially striking—45%.

6. The single most important factor in decreased mortality is treatment of the patient as a total psychobiologic unit. The intermingling of elderly patients with the total patient group may be important therapeutically.

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Information & Authors

Information

Published In

American Journal of Psychiatry

Volume 120 • Number 3 • September 1963

Pages: 244 - 249

PubMed: 13936961

History

Published in print: September 1963

Published online: 1 April 2006

Authors

Affiliations

J. MARTIN MYERS

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DANA SHELDON

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S. SUE ROBINSON

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Medical Director, Institute of the Pennsylvania Hospital, Philadelphia, Pa.

Staff Psychiatrist, Institute of the Pennsylvania Hospital, Philadelphia, Pa.

Social Worker, Institute of the Pennsylvania Hospital, Philadelphia, Pa.

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A STUDY OF 138 ELDERLY FIRST ADMISSIONS

Abstract

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