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Cognitive Decline in Patients on an Acute Geropsychiatric Unit

Received November 22, 1996; revised May 9, 1997; accepted May 19, 1997. From the Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, and Houston Veterans Affairs Medical Center, Houston, Texas. Address correspondence to Dr. Orengo, Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030.

The authors compared patients in a geropsychiatric unit who showed marked cognitive decline during hospitalization with those who did not. Patients who declined in cognitive function were older, were more likely to have a diagnosis of dementia, and were more anergic on admission. These patients were also discharged to more restrictive living environments. The subgroup of demented patients who declined in cognitive function were also older and improved less on anxiety and depression.

Key Words: Geriatrics • Cognitive Decline • Inpatients

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