Fatma KARTAL SARIOĞLU, LALE GÖNENİR ERBAY

Sociodemographic and clinical characteristics of patients admitted to the consultationliaison psychiatry clinic in a university hospital

Consultation-liaison psychiatry is an area of psychiatry researching the links between general medicine and psychosocial situations, and deals with the diagnosis, treatment and monitoring of psychiatric disorders and psychosocial problems accompanying physical diseases. The aim of this study is to review the sociodemographic data and treatment approaches for patients admitted to the consultation-liaison psychiatry unit of a university hospital within one year. The sociodemographic and clinical information for patients admitted to the consultation-liaison psychiatry unit of our hospital’s psychiatry ward from August 2015 to November 2016 were obtained by retrospectively investigating the hospital database and patient files and uploading the information to a structured form. Patients in the psychiatry ward were admitted by transfer with 64.9% from the clinic, 16.2% from the emergency service and 10.8% from other wards. The most common physical disease diagnosis of patients was neurologic diseases for 51.4%, endocrinologic diseases for 16.2% and other disease groups for 21.6%. The incidence of psychiatric diagnoses placed according to DSM-V were identified, in order, as psychotic disorders (18.9%), depressive disorders (16.2%), mental retardation (13.5%), somatic symptom disorders (13.5%), bipolar disorder (10.8%), personality disorders (8.1%), oppositional disorder (5.4%), anxiety disorders (5.4%), impulse control and behavior disorders (5.4%) and neurocognitive disorders (2.7%). A total of 10.8% of patients had suicidal thoughts, with 8.1% passive and 2.7% active. Inpatients admitted to our CLP unit, a high rate of 10.8% was identified to have suicidal thoughts. The association of increased suicide risk with many medical diseases shows the necessity of enquiring about suicidal thoughts for each patient. Cooperation between other clinics and CLP will be helpful in increasing the quality of service and offering a more holistic approach to these patients. It appears there is a need for broader cooperation in the area of consultation liaison. This data is considered to form a basis for future studies.

PDF

___

Sertöz ÖÖ, Doğanavşargil GÖ, Noyan MA, ve ark. Bir üniversite hastanesi konsültasyon liyezon servisinde psikiyatrik hastalıkların psikiyatri dışı hekimlerce doğru tanınma oranları. Klinik Psikofarmakoloji Bulteni. 2008;18:288-95.

Fulop G, Strain JJ, Fahs MC, et al. A prospective study of the impact of psychiatric comorbidity on length of hospital stays of elderly medicalsurgical inpatients. Psychosomatics. 1998;39:273-80.

Andreoli PB, Citero V de A, Mari J de J. A systematic review of studies of the cost-effectiveness of mental health consultationliaison interventions in general hospitals. Psychosomatics. 2003;44:499-507.

Wiss M, Lenoir P, Malvy J, et al. Child consultation-liaison psychiatry within the hospital: a prospective study. Arch Pediatr. 2004;11:1-3.

JHochlehnert A, Niehoff D, Herzog W, et al. Elevated costs of treatment in medical inpatients with psychiatric comorbidity are not reflected in the German DRG-system. Psychother Psychosom Med Psychol. 2007;57:705.

Rothenhausler HB, Ehrentraut S, Kapfhammer HP. Changes in patterns of psychiatric referral in a German general hospital: results of a comparison of two 1- year surveys 8 years apart. Gen Hosp Psychiatry. 2001;23:20514.

Boztas MH, Arisoy O. Tibbi hastaliklarda depresyon: tanisal sorunlar. Psikiyatride Guncel Yaklasimlar. 2010;2:318-32.

Koroglu A, Celik FH, Arslan M, Hocaoglu C. Bir egitim hastanesinde psikiyatri konsultasyon hizmetlerinin degerlendirilmesi. Klinik Psikiyatri. 2011;14:44-50.

Mayda H. The Evaluation of Psychiatry Consultation Requested in a University Hospital. J Clin Analytical Med. 2016;6:177-80.

Onur E, Yemez B, Polat S, ve ark. Konsültasyon Liyezon Psikiyatrisi Uygulamalari ve Farmakoterapi Tercihlerindeki Degisim. Klinik Psikofarmakoloji Bulteni. 2007;17:167-73.

Juurlink, DN, Herrmann, N, Szalaj JP, et al. Medical illness and the risk of suicide in the elderly. Archiv Inter Med. 2004;164:1179-84.