Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · Oct 1996
[Diagnosis and discharge destination of patients admitted for mental dysfunctioning in a geriatric department].
To determine the prevalence of psychiatric and somatic disorders and to evaluate functional status and discharge destinations of patients with impairment of mental functioning admitted to a geriatric unit of a general hospital. ⋯ Most patients suffered from delirium (65%). In 23 patients (53%) dementia was diagnosed, mostly for the first time. Improvement of the somatic condition was significantly related to improvement of the psychiatric condition. Patients admitted with recent impairment of mental functioning are at greater risk to be placed in a nursing home than admitted geriatric patients in general.
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To determine the effect of preoperative patient evaluation by the anaesthesist instead of the surgeon on the requests for additional specialist consultation and investigation and on the costs involved. ⋯ Preoperative outpatient anaesthetic evaluation reduces the number of investigations and consultations and can result in a significant decrease in costs.