Psychiatric presentations and factors associated with suspected organicity in elderly attending a tertiary care facility in South India
Objectives: The objectives were to determine the proportion of elderly among the new psychiatry outpatient attendees, identify their sociodemographic profile and clinical presentations, and determine risk factors associated with suspected organic conditions in patients presenting with acute onset an...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of the Indian Academy of Geriatrics |
| Subjects: | |
| Online Access: | http://www.jiag.in/article.asp?issn=0974-3405;year=2023;volume=19;issue=1;spage=47;epage=53;aulast=Srisudha |
| _version_ | 1797775557699567616 |
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| author | B Srisudha Munaf Babajan Nandyal Naveen Kolloju Rachna George Joseph Reka Karuppusami Suja Kurian |
| author_facet | B Srisudha Munaf Babajan Nandyal Naveen Kolloju Rachna George Joseph Reka Karuppusami Suja Kurian |
| author_sort | B Srisudha |
| collection | DOAJ |
| description | Objectives: The objectives were to determine the proportion of elderly among the new psychiatry outpatient attendees, identify their sociodemographic profile and clinical presentations, and determine risk factors associated with suspected organic conditions in patients presenting with acute onset and chronic presentations. Methodology: This retrospective cross-sectional study focused on the elderly presenting with psychiatric symptoms to a psychiatric setting. The onset of symptoms at presentation was divided into acute and chronic conditions. Clinical symptom clusters and the risk factors associated with organic conditions were identified. The Chi-square and Fisher's exact test were used to find an association between factors and outcome (organic/functional). Results: Elderly seeking consultation constituted < 10% of total new case registration. Acute onset was seen in one-third and chronic presentation constituted nearly two-thirds of the group. The common clinical presentations with acute onset were acute psychosis, altered sensorium, and psychosis due to an organic etiology. The most common clinical presentation with chronic course was chronic psychosis. Nearly 40% had suspected organicity. Increasing age, structural abnormality in brain imaging, and the presence of stressors were risk factors for the onset of psychiatric presentation in the elderly (P = 0.001). Conclusion: Early detection of the clinical syndrome, identification of organic conditions, and appropriate and prompt referral to the general physician should be the rule for the care of the elderly presenting to a psychiatric facility. |
| first_indexed | 2024-03-12T22:37:22Z |
| format | Article |
| id | doaj.art-68810e5622cc42d1ba5d7508db15ff0f |
| institution | Directory Open Access Journal |
| issn | 0974-3405 0974-2484 |
| language | English |
| last_indexed | 2024-03-12T22:37:22Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of the Indian Academy of Geriatrics |
| spelling | doaj.art-68810e5622cc42d1ba5d7508db15ff0f2023-07-21T11:37:30ZengWolters Kluwer Medknow PublicationsJournal of the Indian Academy of Geriatrics0974-34050974-24842023-01-01191475310.4103/jiag.jiag_5_23Psychiatric presentations and factors associated with suspected organicity in elderly attending a tertiary care facility in South IndiaB SrisudhaMunaf Babajan NandyalNaveen KollojuRachna George JosephReka KaruppusamiSuja KurianObjectives: The objectives were to determine the proportion of elderly among the new psychiatry outpatient attendees, identify their sociodemographic profile and clinical presentations, and determine risk factors associated with suspected organic conditions in patients presenting with acute onset and chronic presentations. Methodology: This retrospective cross-sectional study focused on the elderly presenting with psychiatric symptoms to a psychiatric setting. The onset of symptoms at presentation was divided into acute and chronic conditions. Clinical symptom clusters and the risk factors associated with organic conditions were identified. The Chi-square and Fisher's exact test were used to find an association between factors and outcome (organic/functional). Results: Elderly seeking consultation constituted < 10% of total new case registration. Acute onset was seen in one-third and chronic presentation constituted nearly two-thirds of the group. The common clinical presentations with acute onset were acute psychosis, altered sensorium, and psychosis due to an organic etiology. The most common clinical presentation with chronic course was chronic psychosis. Nearly 40% had suspected organicity. Increasing age, structural abnormality in brain imaging, and the presence of stressors were risk factors for the onset of psychiatric presentation in the elderly (P = 0.001). Conclusion: Early detection of the clinical syndrome, identification of organic conditions, and appropriate and prompt referral to the general physician should be the rule for the care of the elderly presenting to a psychiatric facility.http://www.jiag.in/article.asp?issn=0974-3405;year=2023;volume=19;issue=1;spage=47;epage=53;aulast=Srisudhaelderlyorganicitypsychiatric presentationrisk factors |
| spellingShingle | B Srisudha Munaf Babajan Nandyal Naveen Kolloju Rachna George Joseph Reka Karuppusami Suja Kurian Psychiatric presentations and factors associated with suspected organicity in elderly attending a tertiary care facility in South India Journal of the Indian Academy of Geriatrics elderly organicity psychiatric presentation risk factors |
| title | Psychiatric presentations and factors associated with suspected organicity in elderly attending a tertiary care facility in South India |
| title_full | Psychiatric presentations and factors associated with suspected organicity in elderly attending a tertiary care facility in South India |
| title_fullStr | Psychiatric presentations and factors associated with suspected organicity in elderly attending a tertiary care facility in South India |
| title_full_unstemmed | Psychiatric presentations and factors associated with suspected organicity in elderly attending a tertiary care facility in South India |
| title_short | Psychiatric presentations and factors associated with suspected organicity in elderly attending a tertiary care facility in South India |
| title_sort | psychiatric presentations and factors associated with suspected organicity in elderly attending a tertiary care facility in south india |
| topic | elderly organicity psychiatric presentation risk factors |
| url | http://www.jiag.in/article.asp?issn=0974-3405;year=2023;volume=19;issue=1;spage=47;epage=53;aulast=Srisudha |
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