ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2013
Comorbidity profile and healthcare utilization in elderly patients with serious mental illnesses.
Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 100 citations in OpenAlex.
- Examining the mental health services among people with mental disorders: a literature review.BMC psychiatry · 2024Pooled it
- The association between community mental health nursing and hospital admissions for people with serious mental illness: a systematic review.Systematic reviews · 2020Pooled it
- Long-term outcomes of a randomized trial of integrated skills training and preventive healthcare for older adults with serious mental illness.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2014Trial
- A Pilot Randomized Trial of a Program to Prevent Falls Among Community-Dwelling Adults Living with Mental Illness Demonstrates Feasibility.Inquiry : a journal of medical care organization, provision and financingTrial
- Evaluation of an Artificial Intelligence and Online Psychotherapy Initiative to Improve Access and Efficiency in an Ambulatory Psychiatric Setting: Évaluation d'une initiative de psychothérapie en ligne basée sur l'intelligence artificielle visant à améliorer l'accès et l'efficacité en milieu psychiatrique ambulatoire.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2026Article
- Using large language models as a scalable mental status evaluation technique.NPP - digital psychiatry and neuroscience · 2025Article
- Supporting older-adult behavioral health: building the first state Center of Excellence for Behavioral Health and Aging.Health affairs scholar · 2025Review
- Does mental illness history affect primary care chronic disease management in older adults? A population-based propensity score-matched study.Age and ageing · 2025Article
- "One Size Doesn't Fit All": Design Considerations for an Exercise Program to Improve Physical Function in Older Veterans with Serious Mental Illness.International journal of environmental research and public health · 2025Article
- Profiles of healthcare use of persons living with dementia: A population-based cohort study.Geriatrics & gerontology international · 2024Article
- Care trajectories around a first dementia diagnosis in patients with serious mental illness.Geriatrics & gerontology international · 2024Article
- Lower odds of successful community discharge after medical hospitalization for Veterans with schizophrenia: A retrospective cohort study of national data.Journal of psychiatric research · 2024Article
- Trajectories of physical function changes for older veterans with serious mental illness in a clinical exercise program.Mental health and physical activity · 2024Article
- Geriatric Psychiatrists' Perspectives on Palliative Care: Results From A National Survey.Journal of geriatric psychiatry and neurology · 2024Article
- Physical Function Assessment of Older Veterans With Serious Mental Illness.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023Article
- Retention of older veterans with serious mental illness in a clinical exercise program.Frontiers in psychiatry · 2023Article
- What Explains Changes in Availability of Specialty Mental Health Services in Organized Settings?The Milbank quarterly · 2022Article
- Falls in community-dwelling women with bipolar disorder: a case-control study.BMC psychiatry · 2022Article
- Psychosocial Syndemics and Multimorbidity in Patients with Heart FailureJournal of psychiatry and brain science · 2021Article
- Association of Mental Health Disorders With Health Care Utilization and Costs Among Adults With Chronic Disease.JAMA network open · 2019Article
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 1 country.
Funding
Abstract
objectivesPatients with serious mental illness are living longer. Yet, there remain few studies that focus on healthcare utilization and its relationship with comorbidities in these elderly mentally ill patients.
designComparative study. Information on demographics, comorbidities, and healthcare utilization was taken from an electronic medical record system.
settingWishard Health Services senior care and community mental health clinics.
participantsPatients age 65 years and older-255 patients with serious mental illness (schizophrenia, major recurrent depression, and bipolar illness) attending a mental health clinic and a representative sample of 533 nondemented patients without serious mental illness attending primary care clinics.
resultsPatients having serious mental illness had significantly higher rates of medical emergency department visits (p = 0.0027) and significantly longer lengths of medical hospitalizations (p <0.0001) than did the primary care control group. The frequency of medical comorbidities such as diabetes, coronary artery disease, congestive heart failure, chronic obstructive pulmonary disease, thyroid disease, and cancer was not significantly different between the groups. Hypertension was lower in the mentally ill group (p <0.0001). Reported falls (p <0.0001), diagnoses of substance abuse (p = 0.02), and alcoholism (p = 0.0016) were higher in the seriously mentally ill. The differences in healthcare utilization between the groups remained significant after adjusting for comorbidity levels, lifestyle factors, and attending primary care.
conclusionsOur findings of higher rates of emergency care, longer hospitalizations, and increased frequency of falls, substance abuse, and alcoholism suggest that seriously mentally ill older adults remain a vulnerable population requiring an integrated model of healthcare.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.