Functional Disability Among Patients With Depressive Disorder Associated With Cognitive Impairment at King Abdulaziz Hospital- Makkah.

Alsalem., MoayyadSuliman

doi:10.21474/ijar01/5993

Cited by 1 publication

(1 citation statement)

References 23 publications

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“…[ 21 ] Similarly, in depression, symptoms of cognitive impairment are very common complaints and considered a core symptom of acute major depressive episode (MDE). [ 22 , 23 ] Studies have demonstrated that delirium is associated with a high mortality rate, increased costs and length of hospital stays, and increased likelihood of nursing home placement. [ 24 – 29 ] Further, delirium is of great distress not just for patients but also for their caregivers, including the treating team, nurses, and patient's families.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of initial psychiatric diagnoses given by nonpsychiatric physicians

Alsalem

Alharbi²,

Badeghiesh³

et al. 2020

Medicine

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Despite the increased morbidity and mortality associated with psychiatric illnesses, there remains a substantial level of inaccuracy of the initial psychiatric diagnoses given by nonpsychiatric physicians. This study examines the accuracy of initial psychiatric diagnoses by non-psychiatric physicians at the McGill University Health Center (MUHC). We conducted a retrospective chart review for all consultations requested from the consultation-liaison psychiatry service at MUHC. We included all the consultations from January 1, 2018, to December 30, 2018, and excluded patient data with established psychiatric diagnoses. In all requested consults, each diagnosis of a referring physician was compared with the final diagnosis given by the C-L psychiatry team. Conformity between the 2 was validated as accurate. Of the 980 referred inpatients, 875 were enrolled. Patients ranged in age and those older than 70 years constituted the largest group: 54.4% were male. For 467 patients (55.20%), the initial diagnostic impression given by the referring physicians agreed with the final diagnosis made by the C-L psychiatry team, while in 379 patients (44.80%), the initial diagnostic impression was not consistent with the final diagnosis made by the C-L team. Diagnostic impressions of neurocognitive and substance use disorders were highly accurate, but this was not the case when the referring physicians suspected depression or bipolar, personality, or psychotic disorders. This study shows that around half of the referrals were accurately diagnosed, which evinces that nonpsychiatric physicians’ knowledge regarding psychiatric conditions is not optimal and that might negatively impact screening and treating these conditions.

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