Physical illnesses among psychiatric inpatients in a tertiary care setup

Udey, Bharat; Niranjan, Vijay

doi:10.5958/2394-2061.2020.00003.8

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…A study with the goal of evaluating the prevalence and characteristics of physical diseases among psychiatric hospitalised patients [ 7 ] found that the socio-demographic variables of the sample were similar to previous studies [ 21 ]. In the aforementioned study, the principal psychiatric diagnosis group was schizophrenia together with schizotypal disorders and delusional disorders (F20–29) 45%, followed by mood disorders (F30–39) 33.3%, disorders from substance abuse (F10–19) 19.4%, neurotic disorders, disorders related to stress and somatoform disorders (F40–48) 16.1%.…”

Section: Discussionmentioning

confidence: 57%

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Analysis of hospital costs by morbidity group for patients with severe mental illness

2022

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Section: Discussionmentioning

confidence: 57%

“…One of the main problems with patients with various chronic diseases is the interaction of prescribed medicines, which can have serious effects, both on the health of the patient and the economic cost [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Analysis of hospital costs by morbidity group for patients with severe mental illness

2022

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“…24,25 Various studies have found that 70% of psychiatric patients had co-morbid physical illness. 26,27 The most common co-morbid physical illness in patient with psychiatric disorders include cardiovascular illness, diabetes, metabolic syndrome and problems related to obesity. 28 Similar finding was seen in another study where the most common co-morbid conditions were cardiovascular (40.8%), infections (30.8%) followed by neurological (13%) and endocrine (5.4%).…”

Section: Discussionmentioning

confidence: 99%

Pattern of psychiatric referral in a tertiary care hospital

Paudel,

Koirala,

Upadhyay

et al. 2023

J Psychiatr Assoc Nepal

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Introduction: Global mental health challenges persist amidst a rising trend of patients seeking consultations with non-psychiatric specialists, driven by stigma and a lack of awareness. This study aims to study the demographic profile of patients referred to the Department of Psychiatry and Mental Health from other departments, referral sources, prevalent psychiatric disorders, and explores potential associations with co-existing physical conditions. Material and Method: A six-month descriptive cross-sectional study (October 2022 to March 2023) was done at Birat Medical College Teaching Hospital using total enumeration sampling method. Patients referred to Psychiatry were assessed using the International Classification of Diseases, Tenth Revision, Diagnostic Criteria for Research (ICD-10 DCR). Data were analyzed with SPSS version 25, utilizing mean, standard deviation for continuous data, and frequency, percentage for categorical data. Odds ratios were computed for associations. Results: Among 160 patients, the majority were male (55%), Hindu (90%), married (78.1%), and educated up to secondary level. Department of Medicine accounted for the highest referrals (50%) primarily for fearfulness (21.3%). Neurotic, stress-related and somatoform disorders were most common (33.1%), followed by mood disorders (28.8%). No significant association was found between psychiatric disorders and physical illnesses. Conclusion: The Department of Medicine was the most common referring department, with neurotic stress-related and somatoform disorders being the prevalent diagnosis. Referral to Psychiatry facilitates early recognition and treatment of undiagnosed psychiatric conditions, advocating for routine practice among non-psychiatric specialists. Future research should target barriers and interventions to improve psychiatric service utilization in Consultation-Liaison Psychiatry settings.

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“…Furthermore, it is advised that it is helpful for clinicians to be aware of the possibility of "premature closure," the tendency to stop investigating once you have come upon a diagnostic hypothesis but before that hypothesis has been fully proven [46]. This is an especially easy error to make when a medical condition has a long prodromal period without symptoms that are specific enough to make a clear medical diagnosis [19,[47][48][49].…”

Section: Discussionmentioning

confidence: 99%