Psychiatric Clinical Profiles and Pharmacological Interactions in COVID-19 Inpatients Referred to a Consultation Liaison Psychiatry Unit: a Cross-Sectional Study

Arbelo, Néstor; López‐Pelayo, Hugo; Sagué, M.; Madero, Santiago; Pinzón‐Espinosa, Justo; Gomes‐da‐Costa, Susana; Ilzarbe, L.; Anmella, Gerard; Llach, Cristian-Daniel; Imaz, M.L.; Cámara, María-Mercé; Pintor, Luís

doi:10.1007/s11126-020-09868-6

Cited by 19 publications

(21 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this study, 16.2% of patients had newly diagnosed delirium. Similarly, in the study by Arbeloet al, 11 12.6% of COVID-19 patients had newly diagnosed delirium.…”

Section: Types Of Different Newly Diagnosed Psychiatric Illnessmentioning

confidence: 63%

“…Pharmacological intervention was offered to 64.3% of patients in our study. Similarly, in the study by Arbelo et al, 11 63.4% COVID patients received psychiatric medications. The antianxiety agents/ sedatives, antidepressants, and antipsychotic medications were prescribed to 65.8%, 36.7%, and 17% patients, respectively, in our study and 35%, 42%, and 23%, respectively, in the study by Arbeloet al 11 Benjelloun et al 10 prescribed psychotropic medications for 55.5% of patients, which was slightly less than our study and consisted of anxiolytics/ hypnotics for 95% and antipsychotic for 5% of patients.…”

Section: Psychiatric Intervention Donementioning

confidence: 69%

“…In this study, the median age of COVID-19 patients was 55 years (IQR 66–38). In the study by Arbeloet al, 11 the median age was 64 years (IQR 54–73). In this study, majority of the patients were male (61.6%), which was similar to the study by Iqbal et al 9 (96% male) and contrary to the study by Benjelloun et al where 55.5% were female.…”

Section: Discussionmentioning

confidence: 95%

“…Similarly, in the study by Arbelo et al, severe somatic comorbidities were significantly associated with delirium, severe mental illness, and nonsevere mental illness. 11…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, in the study by Arbelo et al, severe somatic comorbidities were significantly associated with delirium, severe mental illness, and nonsevere mental illness. 11 Past history of psychiatric illness was also significantly associated with psychiatric illness at present (Fisher exact test statistic value < 0.001). Everyone who had a history of psychiatric illness or consultation in the past had a relapse of preexisting illness or onset of the new psychiatric syndrome.…”

Section: Clinical Parameters' Correlation With Psychiatric Illnessmentioning

confidence: 98%

See 4 more Smart Citations

Evaluation of Psychiatric Morbidity in COVID-19-Positive Inpatients Referred to Consultation Liaison Psychiatry in a Tertiary Care Hospital

Prajapati

Parikh

Shah

et al. 2021

Indian Journal of Psychological Medicine

View full text Add to dashboard Cite

Background: The COVID-19 pandemic has led to the risk of common mental illnesses. Consultation liaison psychiatry has been one of the most requested services in the face of this pandemic. We aimed to assess (a) the prevalence of psychiatric illness, (b) different types of psychiatric diagnoses, (c) presenting complaints, (d) reasons for psychiatric referrals, and (e) psychiatric intervention done on COVID-19 positive inpatients referred to consultation liaison psychiatry at tertiary care hospital. Method: This was a retrospective study of data collected from April 1, 2020, to September 15, 2020. Total 300 patients were referred and diagnosed with clinical interview and Diagnostic and Statistical Manual for Mental Disorder Fifth Edition criteria. Analysis was done using chi-square test, Kruskal–Wallis test, and fisher exact test. Results: Out of 300 patients, 26.7% had no psychiatric illness. Adjustment disorder was the commonest psychiatric diagnosis (43%), followed by delirium (10%). Statistically significant differences were found for parameters like Indian Council of Medical Research Category 4 of the patient, (hospitalized severe acute respiratory infection) (P value < 0.001), medical comorbidity (P value = 0.023), and past history of psychiatric consultation (Fisher exact test statistic value <0.001). Behavioral problem (27.6%) was the commonest reason for psychiatric referral. Worrying thoughts (23.3%) was the most frequent complaint. A total of 192 (64.3%) patients were offered pharmacotherapy. Conclusions: Psychiatric morbidity was quite high (73.3%) among them and adjustment disorder was the commonest (43%) psychiatric diagnosis followed by delirium (10%). Pharmacotherapy was prescribed to 64.3% patients and psychosocial management was offered to most of the referred patients.

show abstract

“…In this study, 16.2% of patients had newly diagnosed delirium. Similarly, in the study by Arbeloet al, 11 12.6% of COVID-19 patients had newly diagnosed delirium.…”

Section: Types Of Different Newly Diagnosed Psychiatric Illnessmentioning

confidence: 63%

Section: Psychiatric Intervention Donementioning

confidence: 69%

Section: Discussionmentioning

confidence: 95%

“…Similarly, in the study by Arbelo et al, severe somatic comorbidities were significantly associated with delirium, severe mental illness, and nonsevere mental illness. 11…”

Section: Discussionmentioning

confidence: 99%

Section: Clinical Parameters' Correlation With Psychiatric Illnessmentioning

confidence: 98%

See 3 more Smart Citations

Evaluation of Psychiatric Morbidity in COVID-19-Positive Inpatients Referred to Consultation Liaison Psychiatry in a Tertiary Care Hospital

Prajapati

Parikh

Shah

et al. 2021

Indian Journal of Psychological Medicine

View full text Add to dashboard Cite

show abstract

Emerging Psychiatric Themes in Post-COVID-19 Patients on a Psychiatry Consultation-liaison Service

et al. 2021

View full text Add to dashboard Cite

The need for consultation-liaison psychiatry on COVID-19 wards has substantially increased since the start of the pandemic. In this cross-sectional study, we aimed to summarize the characteristics of patients admitted to the post-COVID-19 ward of the American University of Beirut Medical Center who received a psychiatric consultation. We collected relevant sociodemographic and medical data, information about past psychiatric history, psychiatry consultation details, hospital course, and disposition outcome. We also conducted chi-square and binary logistic regression analyses to assess the association between the different variables and disposition outcome. A total of 52 patients (mean age 57.33 years; equal gender distribution) were seen by the psychiatry consult-liaison team. Most had medical comorbidities and 21.2% required intubation. The most prevalent psychiatric diagnoses were delirium (30.8%), major depressive episode (15.4%), and other anxiety disorder (15.4%). Pharmacological management was implemented in 90.4% of cases and mainly included second-generation antipsychotics (36.5%). Non-pharmacological interventions consisted of those related to delirium and therapy for anxiety. Only intubation was significantly associated with disposition outcome ( p = 0.004). This study highlights the various psychiatric themes emerging during the acute and post-acute periods of hospitalization for COVID-19. Hospitalized individuals recovering from the infection should be diligently screened and referred to the psychiatry consultation-liaison team to ensure the implementation of appropriate interventions.

show abstract

Multiple drugs

2022

Reactions Weekly

View full text Add to dashboard Cite

Psychiatric Clinical Profiles and Pharmacological Interactions in COVID-19 Inpatients Referred to a Consultation Liaison Psychiatry Unit: a Cross-Sectional Study

Cited by 19 publications

References 23 publications

Evaluation of Psychiatric Morbidity in COVID-19-Positive Inpatients Referred to Consultation Liaison Psychiatry in a Tertiary Care Hospital

Evaluation of Psychiatric Morbidity in COVID-19-Positive Inpatients Referred to Consultation Liaison Psychiatry in a Tertiary Care Hospital

Emerging Psychiatric Themes in Post-COVID-19 Patients on a Psychiatry Consultation-liaison Service

Multiple drugs

Contact Info

Product

Resources

About