This page was translated automatically from Turkish. Read the original

Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

EV0941

Psychiatric diagnoses among older adults in Paraguay’s public psychiatric emergency services: sociodemographic characteristics and clinical patterns

PSYCHIATRIC DIAGNOSES IN OLDER ADULTS IN PARAGUAY'S PUBLIC PSYCHIATRIC EMERGENCY SERVICES: SOCIODEMOGRAPHIC CHARACTERIZATION AND CLINICAL PATTERNS

Organic and neurocognitive disorders predominate among older adults presenting to psychiatric emergency services, with their prevalence increasing with age and most patients exhibiting functional dependence.

The aim was to describe ICD-10 psychiatric diagnoses among older adults assessed in a public emergency mental health service by age, sex, and place of origin. Anonymized records of 327 patients aged 54 to 94 years assessed between June 2024 and June 2025 were reviewed using a retrospective, descriptive, cross-sectional design; ICD-10 coding and descriptive statistics were performed using PSPP, prevalence estimates were stratified by age group and sex, and chi-square or Fisher’s exact tests were used in bivariate analyses. The mean age of the sample was 65.4 years; 56.3% were women and 59.9% were from the Central Department. Previous psychiatric consultations were reported in 66.4%, previous hospitalization in 30.9% (22.3% in a locked ward), and retrospectively assessed subjective social risk in 26.6%. The most frequent diagnoses were F06 mental disorders due to brain dysfunction (15.3%), F31.x bipolar disorder subtypes as a group (13.2%), F03 unspecified dementia (12.5%), F29 unspecified psychosis (8.9%), F20 schizophrenia (7.3%), F25 schizoaffective disorder (5.8%), and F00 dementia in Alzheimer’s disease (5.8%). In the distribution of diagnoses by age, organic disorders (F00–F09) increased markedly across successive age groups, while psychotic (F20–F29) and mood (F30–F39) diagnoses decreased. In terms of functional status, 26.9% were independent, 38.8% were partially dependent, and 33.9% were fully dependent; referral destinations were outpatient follow-up in 49.5%, intensive outpatient follow-up in 29.7%, and an acute inpatient ward in 17.0%. The findings support the need for differentiated psychogeriatric care pathways that integrate psychiatric, cognitive, functional, and social assessment.

Tüm WCP 2026 özetleri