General-medical conditions in older patients with serious mental illness

Amy M. Kilbourne, Jack R. Cornelius, Xiaoyan Han, Gretchen L. Haas, Ihsan Salloum, Joseph Conigliaro, Harold A. Pincus

Research output: Contribution to journalArticlepeer-review

73 Scopus citations


Objective: The burden of medical comorbidities was compared between older (≥ 60 years) and younger patients with serious mental illness. Methods: Patients (N = 8,083) diagnosed with schizophrenia, schizoaffective disorder, or bipolar disorder in 2001 were identified from VA facilities in the mid-Atlantic region. Medical comorbidities were identified by an ICD-9-based clinical classification algorithm. Results: Older, versus younger, patients were more likely to be diagnosed with cardiovascular or pulmonary conditions, and less likely to be diagnosed with substance-use disorders or hepatic conditions. Conclusions: More aggressive detection and management of general-medical comorbidities in older patients with serious mental illness is paramount.

Original languageEnglish (US)
Pages (from-to)250-254
Number of pages5
JournalAmerican Journal of Geriatric Psychiatry
Issue number3
StatePublished - Mar 2005
Externally publishedYes

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health


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