Older men with bipolar disorder diagnosed in early and later life: Physical health morbidity and general hospital service use

Abstract

Older men with BD experience greater health morbidity than men without BD. Older men with BD access hospital services for the management of physical morbidities earlier and more frequently than men without BD. Age at the time of diagnosis of BD has limited impact on the risk of contact with general medical services, although subtle differences in the physical morbidity of men with EOBD and LOBD warrant further investigation.

Chronic kidney disease and severe mental illness: a scoping review

“…In the control cohort, 671 people (2.4%) had a diagnosis of CKD Schizophrenia was found to be predictive of CKD above all other risk factors that were identified in the regression analysis (OR = 1.62, 95% CI = 1.45–1.82, P < 0.0001). CKD patients with no schizophrenia diagnosis were also significantly more likely to receive kidney transplantation treatment (5.9%) as compared to CKD patients with a schizophrenia diagnosis (1.6%), (OR = 5.43, 95% CI = 2.84–10.38, P < 0.001) Dialysis treatment was more commonly received among patients with CKD who did not have a comorbid schizophrenia diagnosis (11.1%) as compared to CKD patients who did have the diagnosis (8.5%) Patients with schizophrenia are more likely to have comorbid CKD and are less likely to receive dialysis or kidney transplantation than patients without schizophrenia Almeida et al [ 18 ] Journal article Australia, Perth metropolitan region from Australian Electoral roll To examine the cross-sectional and longitudinal associations between age of onset of bipolar disorder and clinical comorbidities, as well as incident dementia and mortality A cross-sectional investigation of the association between diagnosis of older adults living with bipolar disorder and medical morbidities 1996–31/12/2013 N = 38,173 Australian men aged 65–85 Populations of interest were those who were diagnosed with bipolar disorder. Comparisons were made according to onset of bipolar disorder, with late onset bipolar disorder defined by two cut off points—50 years and 60 years 250 men had a diagnosis of bipolar disorder 170 had a recorded onset at or after 50 years Men with BD were as likely to have a diagnosis of cancer or renal disease as men without.…”

COVID‐19 and older adults with bipolar disorder: Problems and solutions

“…At this point in time, it is unclear how the pandemic will affect older adults with BD (OABD), although withholding action until more evidence becomes available is unlikely to be helpful. A high proportion of OABD have concurrent chronic somatic morbidities and cognitive deficits 2 and therefore deserve particular attention as the medical and psychiatric community responds to the pandemic. We anticipate that the impact of the COVID‐19 pandemic on this group will unfold along four overlapping stages (Table 1).…”