Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-16T17:17:11.949Z Has data issue: false hasContentIssue false
  • English
  • Français

Psychiatric Morbidity in Elderly Surgical Patients

Published online by Cambridge University Press:  29 January 2018

Henry R. Millar
Henry R. Millar*
Affiliation:
Division of Psychological Medicine, Southern General Hospital, Glasgow G51 4TF
Get access Rights & Permissions [Opens in a new window]

Summary

One hundred patients aged 65 and over were psychiatrically assessed before and in the first week after elective surgery. Thirteen were psychiatrically ill before operation and 21 developed post-operative illness. Post-operative confusional states (14 patients) were associated with physical complications but not with environmental or pre-operative psychiatric variables. Affective disorders either improved following successful surgery (5 patients) persisted or developed after operation in association with continuing physical illness (6 patients).

Type
Research Article
Information
The British Journal of Psychiatry , Volume 138 , Issue 1 , January 1981 , pp. 17 - 20
Copyright
Copyright © The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abram, H. S. & Gill, B. F. (1961) Predictions of post-operative psychiatric complications. New England Journal of Medicine, 265, 1120–1128.Google Scholar
Goldberg, D. P. Cooper, B. Eastwood, M. R. Kedward, H. B. & Shepherd, M. (1970) A standardized psychiatric interview for use in community surveys. British Journal of Preventive and Social Medicine, 24, 18–23.Google Scholar
Heller, S. S. Frank, K. A. Malm, J. R. Bowman, F. O. Harris, P. D. Charlton, M. H. & Kornfeld, D. S. (1970) Psychiatric complications of open-heart surgery: a re-examination. New England Journal of Medicine, 283, 1015–1020.CrossRefGoogle ScholarPubMed
Kimball, C. P. (1972) The experience of open heart surgery. III: Toward a definition and understanding of postcardiotomy delirium. Archives of General Psychiatry, 27, 57–63.Google Scholar
Knox, S. J. (1961) Severe psychiatric disturbances in the post-operative period—a five-year survey of Belfast hospitals. Journal of Mental Science, 107, 1078–1096.Google Scholar
Layne, O. L. & Yudofsky, M. D. (1977) Post-operative psychosis in cardiotomy patients. New England Journal of Medicine, 284, 518–520.Google Scholar
Morse, R. M. (1976) Psychiatry and surgical delirium. In: Modern Perspectives in the Psychiatric Aspects of Surgery (ed. Howells, J. G.). New York: Brunner Mazel.Google Scholar
Office of Population Censuses and Surveys (1969) Classification of Surgical Operations. 2nd Revision. H.M.S.O. Google Scholar
Qureshi, K. N. & Hodkinson, H. M. (1974) Evaluation of a ten-question mental test in the institutionalized elderly. Age and Ageing, 3, 152–157.CrossRefGoogle ScholarPubMed
Titchener, J. L. Zwerling, I. Gottschalk, L. Levine, M. Culbertson, W. Cohen, S. & Silver, H. (1956) Psychosis in surgical patients. Surgery, Gynecology and Obstetrics, 102, 59–65.Google Scholar
Wilson, L. M. (1972) Intensive care delirium. The effect of outside deprivation in a windowless unit. Archives of Internal Medicine, 130, 225–226.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.