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Am J Geriatr Psychiatry 9:78-80, February 2001
© 2001 American Association for Geriatric Psychiatry

Clinical and Research Reports

Adverse Outcome With Delay in Identification of Catatonia in Elderly Patients

Conrad Swartz, Ph.D., M.D., and Redentor L. Galang, M.D.

Received November 15, 1999; accepted March 22, 2000. From the Department of Psychiatry, Southern Illinois University School of Medicine, Springfield, Illinois. Address correspondence to Dr. Swartz, Department of Psychiatry, Southern Illinois University, P.O. Box 19642, Springfield, IL 62794-9642. e-mail: ectdoc{at}pol.net

All three patients to show catatonia at a teaching veterans' hospital over a 1-year period were over 60 years old. Each experienced delays of 2–5 months in identification of catatonia and adverse events attributable to the delay (e.g., pulmonary embolus, physical restraint, pneumonia, mislabeling as "advanced dementia," Do Not Resuscitate orders, and death). These outcomes suggest that geriatric patients with unrecognized catatonia are at high risk for major adverse events.

Key Words: Catatonia • Diagnostic Issues • Clinical/Research Reports




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