Frequency and pattern of radiological and laboratory investigations in patients with mental illnesses: A study from North Rajasthan

Gupta, Dhanesh K.; Suthar, Navratan; Singh, Vikram; Bihari, Mitesh; Kumar, Vijay; Verma, Kamal; Sidana, Roop; Sengupta, Somnath; Bhadoriya, Mahender Singh

doi:10.4103/0019-5545.183781

Cited by 4 publications

(2 citation statements)

References 19 publications

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“…Radiological investigations are frequently ordered for psychiatric patients. In one study, CT-head scans were ordered for 44.4% of patients with bipolar disorder, 23% of patients with dissociative disorder, and 21.6% of those with depressive disorder [11]. However, the radiologists may have different opinions and criticism regarding the radiological investigations for psychiatric patients and what to look for in such group of patients.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Radiological Abnormalities Among Psychiatric Inpatients: A Study from the United Arab Emirates

Mufaddel¹,

Hassani²,

Bedwawi³

et al. 2019

AJPN

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Background: This is a cross sectional retrospective study aimed to estimate the prevalence of brain aberrations visible on computed tomography (CT) scan or magnetic resonance imaging (MRI) in psychiatric patients admitted to the main tertiary hospital of Alain city in the United Arab Emirates. Methods: Between January 2011 and December 2013, 1,586 patients were admitted study of patients admitted to the psychiatric ward in Al Ain Hospital. Head CT or brain MRI was requested for 295 (19%) patients. Results: Ninety-four (31.8%) of the 295 patients had abnormalities on the CT or MRI. The most common finding was calcification, detected in 21 (22.3%) patients. The most common site of calcification was the basal ganglia (15 patients, or 16%). Multiple site involvements were also common (16 patients, or 17%). Other types of brain abnormalities included evolutionary changes (dilated ventricles, atrophy and prominent sulci) reported in 13 patients which represent 4.4% of the total sample and 13.8% of those with positive findings. Similar number was reported for patients with findings of vascular lesions (ischemic changes / infarction). Basal ganglia was the most common site of reported involvement occurring in 19 subjects and representing 6.4% of the total sample and 20.2% of those with positive findings. Common age at presentation with positive findings was 30-39y. Conclusions: Radiological abnormalities are common among psychiatric inpatients. Future studies are needed to identify the potential significance of these findings and correlate them with patient's psychopathology.

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Section: Discussionmentioning

confidence: 99%

Prevalence of Radiological Abnormalities Among Psychiatric Inpatients: A Study from the United Arab Emirates

Mufaddel¹,

Hassani²,

Bedwawi³

et al. 2019

AJPN

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“…Medical prescriptions, use of electroconvulsive therapy (ECT), and psychological methods have been studied. [ 10 11 12 13 ]…”

Section: Multiple Treatment Methodsmentioning

confidence: 99%

Psychiatric practice: Some personal observations

Agarwal¹

2020

Indian J Psychiatry

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Frequency and prescription patterns of laboratory investigations in evaluating physical morbidity among psychiatric inpatients – A cross-sectional study

Pushpalal,

Balasundaram,

Subramanian

et al. 2024

Journal of Current Research in Scientific Medicine

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Background: Comorbid physical illnesses worsen the morbidity and mortality in patients with mental illness. There is inadequate consensus regarding the optimal level of laboratory investigations and there is a need to know regarding the assessment of physical morbidity. Our study was conducted to study the frequency of prescription of laboratory investigation in evaluating psychiatric inpatients in a tertiary care center. Materials and Methods: An observational cross-sectional study was conducted in the inpatient psychiatry unit of a tertiary care hospital for one and a half years. Patients diagnosed with any mental illness and required hospitalization were included in the study. Sociodemographic data, illness details, and data regarding frequency and indications of laboratory investigations were recorded using a semistructured pro forma. For inferential analysis, P ≤ 0.05 was considered statistically significant. Results: One hundred and sixty-two participants were included in the study. “Endocrine, nutritional, or metabolic diseases” were the most common preexisting and newly diagnosed group of physical illness. A total of 705 additional tests were ordered for the study sample. Blood biochemistry was the most frequently ordered investigation. The most frequent blood biochemistry test, hematological test, and imaging were the estimation of glycemic indices, complete blood count, and ultrasound abdomen, respectively. One in two additional laboratory tests had abnormal or out-of-reference range (ORR) values in the results. Hematological tests were the most common, with abnormal or ORR values, followed by imaging and blood biochemistry. Clinician judgment was the most frequent reason for ordering an additional investigation. Conclusion: The study revealed that age, gender, the type of psychiatric illness, and the illness course-related characteristics significantly influenced the prescribing frequency of additional investigations and the proportion of abnormal/outside reference range results.

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Frequency and pattern of radiological and laboratory investigations in patients with mental illnesses: A study from North Rajasthan

Cited by 4 publications

References 19 publications

Prevalence of Radiological Abnormalities Among Psychiatric Inpatients: A Study from the United Arab Emirates

Prevalence of Radiological Abnormalities Among Psychiatric Inpatients: A Study from the United Arab Emirates

Psychiatric practice: Some personal observations

Frequency and prescription patterns of laboratory investigations in evaluating physical morbidity among psychiatric inpatients – A cross-sectional study

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