Evidence map›Paper›PMID 30483306›Full record

ArticleDementia and geriatric cognitive disorders extra

Demographics, Clinical Characteristics, and Therapeutic Approaches among Older Adults Referred to Mobile Psychiatric Crisis Intervention Teams: A Retrospective Study.

Estelle Gillès de Pélichy, Karsten Ebbing, Alcina Matos Queiros, Cécile Hanon, Armin von Gunten, Zaia Sellah, Henk Verloo

Abstract read
In one paragraph

Article in Dementia and geriatric cognitive disorders extra. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Estelle Gillès de PélichyService of Old Age Psychiatry (SUPAA), Lausanne University Hospital, Prilly / Prangins, Switzerland.
Karsten EbbingService of Old Age Psychiatry (SUPAA), Lausanne University Hospital, Prilly / Prangins, Switzerland.
Alcina Matos QueirosAdministration of Health and Social Welfare, Service of Public Health, Lausanne, Switzerland.
Cécile HanonRegional Resource Center of Old Age Psychiatry, Mobile Team for Old Age Psychiatric Subjects - EMPSA 92 South, Paris University Hospitals-West, Corentin-Celton Hospital, Issy-Les-Moulineaux, France.
Armin von GuntenService of Old Age Psychiatry (SUPAA), Lausanne University Hospital, Prilly / Prangins, Switzerland.
Zaia SellahService of Old Age Psychiatry (SUPAA), Lausanne University Hospital, Prilly / Prangins, Switzerland.
Henk VerlooService of Old Age Psychiatry (SUPAA), Lausanne University Hospital, Prilly / Prangins, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND /

aimsThe advent of mobile old age psychiatry intervention teams supports policies maintaining older adults in their habitual living environments, even those who are very old and suffering from acute cognitive and psychiatric impairments. Analyzing sociodemographic data, clinical and health characteristics, reasons for crisis-oriented psychiatric consultations, and other therapeutic suggestions for supporting home- or nursing home-dwelling older adult patients suffering from an onset of a psychiatric crisis.

methodsReviews of the medical records and discharge letters of home- or nursing home-dwelling older adults who had undergone a consultation with the Lausanne region's Mobile Old Age Psychiatry Teams (MOAPTs), between May 2016 and December 2017.

resultsOf 570 older adult patients referred for consultation with MOAPTs, 333 had medical records and discharge letters eligible for retrospective analysis (59%). The majority of these older adult patients were women aged over 80 years suffering from dementia, mood disorders with and without a risk of suicide, and delirium. Challenging behaviors related to different stages of cognitive impairment were the most important clinical reason for crisis consultations. Nonpharmacological and pharmacological treatments were delivered concurrently in 68% of crisis consultations.

conclusionAppropriate responses by dual nurse-psychiatrist teams using crisis-oriented nonpharmacological and pharmacological interventions decreased hospitalization.

Indexed as

Challenging behaviorCrisis-oriented psychiatric interventionsDementiaGeriatric psychiatristLiaison psychiatryMood disordersNonpharmacological treatmentNursePharmacological treatment

Identifiers

PMID30483306
PMCPMC6243965

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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.