Alim ERDEM, Fatih CANAN, Sabri Onur ÇAĞLAR, Osman YILDIRIM

Batı Karadeniz Bölgesindeki akut koroner sendromlu hastalarda psikiyatrik hastalıkların görülme sıklığı

Amaç: Koroner yoğun bakım ünitesine Akut Koroner Sendrom AKS tanısı ile yatırılan hastalardaki yatış öncesi psikiyatrik hastalık sıklığını belirlenmesi amaçlandı. Yöntem: Bu çalışmada Ocak 2011- Nisan 2013 yılları arasında Abant İzzet Baysal Üniversitesi Hastanesine başvurup Koroner yoğun bakım ünitesine AKS tanısı ile yatırılan hastaların retrospektif olarak dosyalar ve bilgisayar ortamındaki hasta bilgileri taranarak bu grup hastalardaki psikiyatrik ilaç kullanımı ve bu hastalara konulan psikiyatrik tanılar saptandı. Bulgular: Bu tarihler arasında koroner yoğun bakıma yatış yapılmış toplam 467 hasta saptandı. Bu hastaların 373 tanesi erkek, 94 tanesi kadın olup, bu hastaların yaş ortalaması 63,2 ± 15.4 yıldı. Bu hastaların %17.5’ünde n=82 psikiyatrik hastalık tanısı mevcuttu. Bu hastaların % 42.2 depresyon, %30.6 anksiyete bozukluğu, %10.5’nin anksiyete bozukluğu+depresyon, %10.2’sindede somatoform bozukluk, %4.8’nin psikotik bozukluk ve %1.7’ninde bipolar bozukluk olduğu saptandı. Psikiyatrik hastalık tanısı alan hastaların %64.6’i kadın n=53 , %35.4’ü erkekti n=29 p

Anahtar Kelimeler:

Akut koroner sendrom, depresyon, psikiyatrik hastalıklar, anksiyete

The frequency of psychiatric disorders in acute coronary syndrome; in west region of black sea.

Objective: The aim of the present study was to investigate the pre-hospitalization prevalence of psychiatric disorders among patients who were admitted to coronary intensive care unit with a diagnosis of Acute Coronary Syndrome ACS . Method: This study included patients with ACS who were admitted to the coronary care unit of Abant İzzet Baysal University Hospital between January 2011 and April 2013. The files of the patients were searched for psychiatric diagnoses and psychotropic medication use retrospectively. Results: Four hundred sixty-seven eligible patients were screened. Of these, 373 were male and 94 were female with a mean age of 63.2 ± 15.4 years. Eighty-two patients 17.5% had a psychiatric diagnosis. In this group, psychiatric diagnoses were as follows: depressive disorder 42.2% , anxiety disorders 10.5% , anxiety disorders and depression 10.5% , somatoform disorders 10.2% , psychotic disorders 4.8% , and bipolar disorder 1.7% . Of the patients with a psychiatric diagnosis, 53 were female %64.6 and 29 were male %35.4 p

Keywords:

Acute coronary syndrome, depression, psychiatric diagnoses, anxiety,

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