Bir Eğitim Hastanesinde İstenen Psikiyatri Konsültasyonlarının Değerlendirilmesi

Kuloğlu, Murat; Çaykölü, Ali; Akyol, Esra Soydaş; Ibiloğlu, Aslıhan; Yılmaz, Elif

doi:10.1501/kriz_0000000279

Cited by 7 publications

(12 citation statements)

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“…On the other hand, Göktaş et al (2006) recommended antidepressants to 65.4% of the patients consulted, antipsychotic to 9.8%, and benzodiazepine to 3.7%; and 19.4% of the patients were recommended with unmedicated follow-up (50) . Similarly, Köroğlu et al (2011) initiated antidepressants in 65.4%, antipsychotics in 10.8%, and benzodiazepines in 6.7% of their patients (51) . When the distribution of psychotropic drugs initiated in our study as a result of psychiatry consultation was examined, it was found that antidepressants were used in 45.3%, benzodiazepines in 30.8%, and antipsychotics in 58.1% of the patients.…”

Section: Discussionmentioning

confidence: 96%

Psychiatric Disorders, Delirium and Mortality in Patients Referred for Consultation in a Burn Center: A Four-Year Retrospective Study

Erdoğan¹,

Delibaş²

2020

BMJ

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Objective: The aim of this study was to examine psychiatric disorders after burn trauma and burn-related features in adults. Method: The records of the cases who were hospitalized in the burn center between January 2015 and January 2019 and for whom psychiatric consultation was requested were retrospectively reviewed. Sociodemographic characteristics, burn-related features, psychiatric diagnoses, and treatments of the patients were examined. Results: The mean rate of psychiatric consultations requested in a burn center within a four-year period was 34.05% and 49 (28.5%) of these consulted cases had a work-related accident. Mean hospitalization time was 37.2±24 days and the most common burn type was a fire/flame injury. In the majority of the study sample (63.4%) the total body surface area burnt was more than 20%. Nineteen (11%) cases had a history of psychiatric disorder. The most common psychiatric diagnosis before burn injury was alcohol-drug addiction (n=14, 73.7%). The most common diagnosis after psychiatric consultation was adjustment disorder (31.9%). Among psychotropic drugs the initial treatment was started most frequently treatment with benzodiazepines (30.8%) and antipsychotics (58.1%). In 33 deceased cases, the most common psychiatric diagnosis was delirium with a rate of 42.4%. Conclusion: The incidence of psychiatric disorders before and after burn injury was found to be high in the individuals. Conditions with a high risk of morbidity and mortality, such as delirium, should be diagnosed and treated priorly. Due to the early and long-term effects of burn trauma, a multidisciplinary approach should be developed and psychiatrists should be included in the management of treatment.

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Section: Discussionmentioning

confidence: 96%

Psychiatric Disorders, Delirium and Mortality in Patients Referred for Consultation in a Burn Center: A Four-Year Retrospective Study

Erdoğan¹,

Delibaş²

2020

BMJ

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“…Çalışmamızda, dahili bölümlerden (%61.6) istenen konsültasyonların, cerrahi bölümlerden (%38.4) daha fazla olduğu bulunmuştur. Bu bulgu ülkemizde yapılan iki çalışmada da benzerdir (22,26). Dahili bölümlerde yatış süresinin uzun olması, hastalıkların kronik seyir göstermesi, uygulanan tedavilerin psikiyatrik belirti ortaya çıkarma potansiyelleri ya da psikiyatrik hastalığa sahip kişilerde fiziksel komorbiditelerin sık görülmesi (27), cerrahi bölümlerden daha fazla psikiyatri konsültasyonu istenmesine yol açmış olabilir.…”

Section: Discussionunclassified

“…Bunu depresif yakınmalar (%15.2), intihar girişimi (%14), anksiyete yakınmaları (%7.2) takip etmiştir. Ülkemizde yapılan iki çalışmada ise bizim çalışmamıza benzer şekilde en sık konsültasyon istenme nedenlerini ajitasyon ve depresif yakınmalar olduğu belirtilmiştir (26,31 (34). Bizim çalışmamızdaki deliryum tanısının diğer çalışmalara oranla sık görülmesinin nedeni yoğun bakımdan gelen konsültasyon oranlarının fazla olması ile açıklanabilir.…”

Section: Discussionunclassified

Assessment of psychiatric consultations in an educational-research hospital and accuracy rates of recognition of psychiatric diseases

2019

J Clin Psy

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Objective: In this study, it was aimed to evaluate the psychiatric consultations required for inpatients in an education-research hospital and to examine the correct recognition rates of psychiatric diseases by other physicians. Method: Psychiatric consultations for patients who were hospitalized at Ankara Numune Training and Research Hospital except psychiatry and emergency department had been retrospectively screened between 01/04/2016 -01/10/2016. Results: During this period, 27457 patients were hospitalized in Ankara Numune Hospital apart from the emergency department and psychiatric services, and a total of 544 (1.9%) psychiatric consultations were requested. Psychiatric consultations were most frequently requested with the reason of agitation (17.5%); 16.9% did not specify any reason. Anxiety (8.3%), drug treatment regulation (6.1%), delirium (5.5%), sleep problems(5.3%) and pre-transplant evaluation (4.4%) are other common causes of consultation. The highest rate of psychiatric consultation was in the bone marrow transplant unit (21.0%) followed by infectious diseases (9.6%), intensive care (9.5%) and physical medicine and rehabilitation (9.0%). There was no psychiatric disease in 29.4% of the requested consultations. 149 patients (27.4%), were diagnosed with anxiety disorder,70 patients (12.9%) with delirium, 37 patients (6.8%) with depression, 22 patients (3.7%) with alcohol / substance use disorder, 20 (3.7%) patients with psychotic disorder, 15 patients (2.8%) with trauma related disorders, and 2 patients (0.4%) were diagnosed with somatization disorder. Delirium had the highest rate of recognition by primary medical care providers (89.5%), followed by anxiety disorders (55.6) and alcoholsubstance use disorders (53.3%). Discussion: In this study, psychiatric consultation rates were found to be low, psychotic disorders and somatization disorders are not well recognized even though delirium is well known by primary medical care providers.

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“…Ülkemizde bu alanda yapýlan araþtýrmalarda bu oran %75.8 ila %95.8 arasýnda deðiþiklik göstermektedir (Canan ve ark. 2008, Kuloðlu ve ark. 2008.…”

Section: Gereç Ve Yöntemunclassified

“…Bu alandaki araþtýrmalarda konsültasyon sonucu konulan tanýlarýn daðýlýmýnda farklýlýklar dikkat çekicidir. Ülkemizde yapýlan bir araþtýrmada (Kuloðlu ve ark. 2008) öne çýkan tanýlar sýrasýyla anksiyete bozukluklarý, depresif bozukluklar ve uyum bozukluklarýyken bir baþka çalýþmada (Gala ve ark.…”

Section: Gereç Ve Yöntemunclassified

Psychiatric Disorders in Medically Ill Inpatients Referred for Consultation in a University Hospital

Kılıç¹,

Çınar²,

Sönmez³

et al. 2016

J Clin Psy

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Objective: The distribution of psychiatric consultations in a university hospital according to the socio-demographical attributes of the patients, the clinics from which the consultations were asked, the psychiatric diseases that were diagnosed and the psychiatric treatments were analyzed in this trial. Method:The consultation forms of the patients aged 18 or more that were being treated in hospital from 1st Janurary to 31th December, 2011 and consulted to the psychiatry clinic were analyzed retrospectively. The diagnoses were made according to DSM-IV-TR diagnostic criteria. The statistical analysis were done with SPSS 20.0 and the results were given as percentage values. Results: 422 female (54.5%), 353 male (45.5%) totally 755 patients who were under treatment in hospital except psychiatry clinic and conculted to psychiatry were included in this trial. The mean age of the patients were 50.4±15.5. The most common consulting clinics were internal medicine (%35.2), pysical therapy and rehabilitation (%15.2) and general surgery (%9.7). The consulting reasons were depressive complaints (%24.5), psychiatric assesment asking without any reason (%24.3), agitation (%13.4) and as a result of prior psychiatric illness history (%10.1). Pyschiatric illnesses that were diagnosed were adjustment disorder (%19), delirium (%18.1) and depression (%17.4). There were no psychological disease that were providing diagnostic criteria in 23.7% of the patients. 35.2% of the patients were advised treatment with antidepressants, 22.6% with antipsychotics, 9% with benzodiazepines, 1.2% with mood stabilizers but 32 % were not advised any medical treatment. Conclusion: The results of our investigation emphasizes the importance of consultation liaison psychiatry unit. By collaboration with other clinics, global assesment but not only physical wellness also psychological assesment of the patients will be evaluated.

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Bir Eğitim Hastanesinde İstenen Psikiyatri Konsültasyonlarının Değerlendirilmesi

Cited by 7 publications

References 0 publications

Psychiatric Disorders, Delirium and Mortality in Patients Referred for Consultation in a Burn Center: A Four-Year Retrospective Study

Psychiatric Disorders, Delirium and Mortality in Patients Referred for Consultation in a Burn Center: A Four-Year Retrospective Study

Assessment of psychiatric consultations in an educational-research hospital and accuracy rates of recognition of psychiatric diseases

Psychiatric Disorders in Medically Ill Inpatients Referred for Consultation in a University Hospital

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