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

Basnet, Madhur; Sapkota, Nidesh; Limbu, Suren; Dd, Baral; Rai, Nitesh

doi:10.3126/jpan.v6i2.21752

Cited by 3 publications

(8 citation statements)

References 13 publications

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“…However, participants discharged without improvement should not be overlooked because this group of patients is at higher risk of early readmission and subsequent progression of a chronic condition. This finding is similar to studies from Ethiopia (90.3%) [ 12 ] and Nepal (92.2%) [ 15 ]. However, it’s higher than the reports of another study done in Ethiopia (74.9%) [ 17 ].…”

Section: Discussionsupporting

confidence: 91%

“…Data was collected through patient interviews and a review of medical records using a questionnaire developed after reviewing relevant literature [12,[15][16][17]. For patient interviews, the questionnaire was translated into the most common local languages (Afan Oromo and Amharic).…”

Section: Data Collection Instrument and Processingmentioning

confidence: 99%

“…In general, there are only limited studies on the discharge outcomes of patients with psychiatric disorders. According to the available research, a high proportion of discharges results in a better outcome [15,16]. For instance, in one retrospective cross-sectional study from Nepal involving 3687 patients with psychiatric disorders, improved discharge outcomes were recorded in 92% of the patients, and three patients died in the ward [15].…”

Section: Introductionmentioning

confidence: 99%

“…According to the available research, a high proportion of discharges results in a better outcome [15,16]. For instance, in one retrospective cross-sectional study from Nepal involving 3687 patients with psychiatric disorders, improved discharge outcomes were recorded in 92% of the patients, and three patients died in the ward [15]. In another retrospective study carried out in Malawi, including 417 hospitalized patients with psychiatric illness, it was reported that 283 (68.03%) of patients were stabilized and discharged home, 81 (19.47%) patients were transferred to another hospital, 34 (8.17%) patients were discharged against medical advice, and 14 (3.37%) of the patients absconded.…”

Section: Introductionmentioning

confidence: 99%

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Management practice and discharge outcome of patients with psychiatric disorder admitted to psychiatry wards of selected specialized settings in Ethiopia

Semman,

Dadi,

Ijigu

et al. 2023

BMC Psychiatry

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Background Evidence on treatment practice, discharge outcomes, and associated factors in patients with psychiatric disorders are rarely discussed in Ethiopia. Results from the available studies are also seldom consistent and miss important factors, including treatment-related variables. Therefore, this study intended to describe management practice and discharge outcome among adult psychiatric patients admitted to psychiatry wards of selected specialized settings in Ethiopia. By pointing out associated factors, this study will also provide insight on targets to improve discharge outcomes. Patients and methods A cross-sectional study was conducted involving 278 adult psychiatry patients admitted to the psychiatry wards of Jimma Medical Center and St. Amanuel Mental Specialized Hospital in the study period from December 2021 to June 2022. The data was analyzed using STATA V.16. Descriptive statistics and logistic regression analysis were performed to present patient characteristics and identify factors associated with discharge outcome, respectively. In all the analysis, p value < 0.05 was used to declare statistical significance. Results Schizophrenia (125, 44.96%) and bipolar disorders (98, 35.25%) were the top two psychiatric disorders diagnosed at admission. A greater share of patients with schizophrenia were treated with the combination of diazepam, haloperidol, and risperidone than with diazepam and risperidone, 14 (5.04%) each. Patients with bipolar disorder were being treated primarily with the combination of diazepam, risperidone, and sodium valproate, or risperidone and sodium valproate, 14 (5.04%) each. Overall, 232 (83.4%) patients were on psychiatric polypharmacy. In this study, 29 (10.43%) patients were discharged unimproved, and this risk was significantly higher in those patients with a khat chewing habit (AOR = 3.59, 95% CI = 1.21–10.65, P = 0.021) than non-chewers. Conclusion Psychiatric polypharmacy was found to be a common treatment approach in patients with psychiatric disorders. In the study, a little more than one-tenth of patients with psychiatric disorders were discharged without improvement. Hence, interventions targeting risk factors, especially khat use, should be undertaken to improve discharge outcomes in this population.

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Section: Discussionsupporting

confidence: 91%

Section: Data Collection Instrument and Processingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Management practice and discharge outcome of patients with psychiatric disorder admitted to psychiatry wards of selected specialized settings in Ethiopia

Semman,

Dadi,

Ijigu

et al. 2023

BMC Psychiatry

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“…This finding is consistent with the study conducted in the eastern part of Nepal, which revealed the majority of the admitted patients in the psychiatric ward were in the age group of 20-59 years. 5 We have found that male subjects outnumbered female subjects by almost triple, which might be due to the existing gender bias in Nepalese society, where male problems are paid more attention by family members. This finding is in accordance with different studies from Asian countries, where the majority of the patients were male.…”

Section: Discussionmentioning

confidence: 76%

Morbidity Pattern in Psychiatry Ward in a Tertiary Care Hospital

Rai,

Sharma,

Chettri

et al. 2023

J Psychiatr Assoc Nepal

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Background: Worldwide mental health conditions are in increasing trend. South Asian countries report the highest prevalence of common mental disorders globally, which accounts for 8.8% to 16.6% of the total burden of disease. In Nepal, the prevalence of mental disorders among adults and children is 13.2% and 11.2%, respectively. In Nepal, there is limited data on the pattern of morbidity in inpatient psychiatric wards. Hence, the need is felt to carry out this study to monitor the psychiatric morbidity patterns of patients admitted to the psychiatric ward. Methods: This is a retrospective, cross- sectional study conducted in Kist Medical College. After ethical approval from Institutional Review committee, the data of all patients admitted to Psychiatry Ward of Kist Medical College Teaching Hospital from 14 th April, 2022 to 13 th April, 2023 were collected from Record section. We used ICD-10 and CDDG criteria for the diagnosis of mental and behavioral disorders. Data was analyzed using SPSS version 16. Results: Out of 285 patients 70.40% patients belonged to age group 25-54 years .The mean age with standard deviation was 55.4±72.3 years. Most of the patients were Male (72.60%) and Janajati (44.80%). The most common diagnosis was Alcohol Dependence Syndrome. The duration of hospital stay of most (46.90%) of the patient was 1-2 weeks. Conclusion: The most common diagnosis for which admission was made in Kist Medical College was Alcohol Dependence Syndrome. This indicate that the alcohol related disorder may have important implications for care and planning in the community. The overall outcome was satisfactory.

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Psychiatric morbidities among old people of a city of Eastern Nepal

Shakya,

Maskey

2022

J Psychiatr Assoc Nepal

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Introduction: The data regarding prevalence of overall and common psychiatric disorders among community elderly people are scarce in Nepalese context. Objective: To measure the prevalence of mental problems among old people in a community setting. Methodology: All people of age ≥ 60 years from ‘Urlabari’, a city in eastern Nepal, being members of a local old-age committee were called to participate in this study. A total of 140 old people attended a health-camp and with informed written consent and authority approval, the response to the GHQ-12 and demographic information were collected. The GHQ-12 score ≥2 was adopted for ‘psychiatric caseness’ analysis. However, people with scores ≥4 were assessed by a psychiatrist for further evaluation and management. Diagnoses were made according the ICD-10. Results: Majority (87%) were in age groups of (61-70) and (71-80) years. Many (44%) had stressors, common being: dispute with family, illness and death of close person. Many old people had health complaints; mainly physical/ somatic, mood and anxiety symptoms. About 2/5th subjects 55 (39.29%) had GHQ-12 score ≥2 and 26.43% had ≥3; i.e. ‘psychiatric caseness’. Among the subjects with score ≥4 (23) assessed for psychiatric diagnosis, 21 (91.30%) had some ICD-10 diagnosis. Depression, adjustment and anxiety disorders were common diagnoses, and 2% had suicidality. Conclusion: A remarkable proportion of old people had current ‘psychiatric caseness’. Common mental disorders were depression, adjustment and anxiety disorders among elder people.

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

Cited by 3 publications

References 13 publications

Management practice and discharge outcome of patients with psychiatric disorder admitted to psychiatry wards of selected specialized settings in Ethiopia

Management practice and discharge outcome of patients with psychiatric disorder admitted to psychiatry wards of selected specialized settings in Ethiopia

Morbidity Pattern in Psychiatry Ward in a Tertiary Care Hospital

Psychiatric morbidities among old people of a city of Eastern Nepal

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