Admission Rate of Patients with Most Common Psychiatric Disorders in Relation to Seasons and Climatic Factors During 2010/2011

Licanin, Ifeta; Fisekovic, Saida; Babic, Sanina

doi:10.5455/msm.2012.24.94-99

Cited by 18 publications

(16 citation statements)

References 11 publications

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“…The effect of seasonality in the hospital admission rate and LoS has been reported by many studies. [28][29][30][31][32] In our study, there were more admissions during month of March(10.2%) as compared to other months. The length of stay was maximum(21.8 days) in May and minimum(17.7 days) in March and there was significant association of LoS with month of admission.…”

Section: Discussionmentioning

confidence: 43%

Morbidity Pattern in Psychiatric Ward in a Tertiary Care Hospital in Eastern Nepal

Basnet

Sapkota

Limbu

et al. 2018

J Psychiatr Assoc Nepal

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Introduction: Worldwide, the morbidity of psychiatric illnesses is on the rise. Quality in-patient services are a part of quality mental health services provision. Knowledge about the pattern of illness among patients admitted to the ward could help the service providers to plan better and provide better services. This study was undertaken to explore the clinico-demographic profile of patients admitted to psychiatric ward at BPKIHS..Material And Method: This is a hospital based retrospective and cross-sectional study. After ethical approval from the Institutional Review Committee, the data of all patients admitted to Psychiatry Ward from 1st January 2007 to 31st December 2016 were collected from the data-base of Medical Records Section. The diagnoses were made according to the ICD-10 criteria. 3687 admissions were processed for the analysis.Results: Of the 3687 admissions, 2183(59.2%) were male and 1504 (40.8%) were female. The age range was 4-92 years with mean age of 32.4(±12.6) years. The majority of the admissions (62.5%) were from Sunsari (1159,31.4%) and surrounding districts (1147,31.1%). Mood disorders were the commonest diagnoses 1788(48.5%) followed by schizophrenia, schizotypal and delusional disorders 829(22.5%) and psychoactive substance use disorders 813(22.1). 92% of patients admitted were improved on discharge and three cases expired in the ward. Out of 3687 admissions, 957(26%) were readmissions.Conclusion: Mood disorders were the commonest diagnosis among the admitted patients. Outcome of hospital stay was good with 92% discharged in improved condition and only three mortalities in 10 years duration. Address seems to significantly affect the service utilization. J Psychiatrists’ Association of Nepal Vol. 6, No. 2, 2017, Page: 15-21

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Section: Discussionmentioning

confidence: 43%

Morbidity Pattern in Psychiatric Ward in a Tertiary Care Hospital in Eastern Nepal

Basnet

Sapkota

Limbu

et al. 2018

J Psychiatr Assoc Nepal

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“…In our study, deaths attributable to mental and behavioral disorders had the strongest seasonal pattern (37.4% increase in winter), but this grouping contributed only 0.8% of total winter mortality. Previous studies on seasonality of bipolar disorder and depressive disorder showed a clear peak in the winter months [ 29 , 30 , 31 ]. A longitudinal study conducted in Ireland reported the highest levels of depressive symptoms in winter, and those who live in areas with longer daily hours of sunshine experienced lower occurrence rate of depressive symptoms [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Assessing Effect Modification of Excess Winter Death by Causes of Death and Individual Characteristics in Zhejiang Province, China: A Multi-Community Case-Only Analysis

Zhang

Ren

et al. 2018

IJERPH

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Mortality in many parts of the world has a seasonal pattern, with a marked excess of deaths during winter. To date, however, there is very little published evidence on the nature of this wintertime excess in low- and middle-income countries. In this study, we aimed to quantify the extent of the death peak in winter and to assess effect modification on excess winter death (EWD) by individual characteristics and cause of deaths in China. We used a Cosinor model to examine seasonal patterns for specific causes of deaths and a case-only analysis of deaths in winter compared with other seasons to assess effect modification by individual characteristics. A total of 398,529 deaths were investigated between January 2010 and December 2013 in Zhejiang Province, China. Deaths peaked in winter, and overall mortality was around 30% higher in winter than in summer. Although diseases of the respiratory and circulatory systems were highly seasonal, surprisingly we observed that deaths from mental and behavioral disorders exhibited greater fluctuation. Males, the elderly and illiterate individuals suffered high EWD. EWDs were also particularly common in emergency rooms, at home, on the way to hospitals, and in nursing homes/family wards. This study highlighted the high EWD in some previously unreported groups, indicating new information to facilitate the targeting of necessary preventive measures to those at greatest risk in order to mitigate wintertime death burdens.

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“…As to this question has not yet is given a definitive answer, it is hoped that further research, which would take all this into account will give clear answers regarding complex phenomenon of comorbidity of psychiatric disorders (14, 15, 16). …”

Section: Discussionmentioning

confidence: 99%

The Frequency of Depression and the Comorbidity of Psychotic Disorders at Day Hospital of Psychistric Clinic, Clinical Center of Sarajevo University

Cesir

Licanin²,

Fisekovic³

2012

Mater Sociomed

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Introduction:Numerous epidemiological international studies as well as knowledge based on clinical experience show high prevalence and the importance of the psychiatric comorbidity with depressive and anxiety disorders.Goal:The aim of this study is to analyze prevalence of comorbid anxiety disorders and depression in subjects at the Day Hospital of the Psychiatric Clinic, Clinical Center of Sarajevo University (CCUS) and examine the demographic profile of the patients.Material and methods:Study involved 230 randomly selected patients (aged between 18 and 65 years, N=230, who were hospitalized at the Day Hospital of the Psychiatric Clinic of Clinical center of University of Sarajevo from January 1st to December 31st 2011) and who were interviewed by the Structural Clinical Interview (SCID) which generated ICD-X diagnoses and assessment of the comorbidity. Depressive symptoms were assessed by Beck’s Depression Inventory with 28 items. Anxiety symptoms were assessed with Beck’s Anxiety Inventory scale with 21 items. Study is retrospective, clinical and epidemiological.Results:Of the total number of patients (230) it was determined that 107 (46.5%) have depressive episode; 71 (30.9%) anxiety disorder. Comorbidity of these two disorders was found in 14 (6.1%) cases. Anxiety disorders were more represented in women (61.2%), as well as depressive disorders and comorbidity (70.1% and 85.7%). Subjects with depression on average was 52.9±7.4 years old (range 29-64 years), patients with anxious disorders 50±9.5 years (range 22-65 years) while patients with comorbidity of these two entities was at mean age of 54.5±4.5 years. The least common category of education was retired persons and respondents with university education for all three entities. Hospitalization duration for depression, anxiety, and comorbidity of these two disorders is highest for depression (47.1±9.7 days) and shortest in case of comorbidity (45.9±6.9 days).Conclusion:Depression and anxiety often coexist. When they occur in comorbidity, both anxiety and depression appear to be more severe. Severely depressed and anxious patients have reduced capacity to work and as such represents a considerable burden to the family and the community. Overview of depression, anxiety and the comorbidity of these two diagnoses (listed as primary diagnosis) in the baseline sample showed that there was most patients with depression (107 or 46.5%), followed by anxiety (71 or 30.9%) and comorbidity with 14 patients or 6.1%. Effective assessment, evaluation, diagnosis and treatment can lead to better treatment outcomes in primary care and improved quality of life.

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Admission Rate of Patients with Most Common Psychiatric Disorders in Relation to Seasons and Climatic Factors During 2010/2011

Cited by 18 publications

References 11 publications

Morbidity Pattern in Psychiatric Ward in a Tertiary Care Hospital in Eastern Nepal

Morbidity Pattern in Psychiatric Ward in a Tertiary Care Hospital in Eastern Nepal

Assessing Effect Modification of Excess Winter Death by Causes of Death and Individual Characteristics in Zhejiang Province, China: A Multi-Community Case-Only Analysis

The Frequency of Depression and the Comorbidity of Psychotic Disorders at Day Hospital of Psychistric Clinic, Clinical Center of Sarajevo University

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