Research Article

Consultation-Liaison Psychiatry (CLP): Examition of the Psychiatric Consultations for Inpatients and from the Emergency Medicine in a University Hospital

Volume: 15 Number: 4 October 1, 2024
EN

Consultation-Liaison Psychiatry (CLP): Examition of the Psychiatric Consultations for Inpatients and from the Emergency Medicine in a University Hospital

Abstract

Objective: Consultation liaison psychiatry (CLP) manages the psychiatric care of patients admitted to a general hospital for somatic reasons. Improvements in CLP ensure that the treatment process is effective. Methods and Methods: In two years, 1398 patients consulted from inpatient services were included in the psychiatry service. In the study, descriptive statistical analysis showed the number of patients in inpatient services, the reasons for consulting the psychiatry clinic of these patients, the results of psychiatrist evaluations, and the quantitative and qualitative characteristics of interdepartmental psychiatric consultations. Results: According to the number of inpatients, it was determined that psychiatry consultation requests were more frequent in intensive care units (5.60%), internal services (3.36%), and surgical services (1.23%). The most common consultation result was delirium (21.1%). As a result of the consultation evaluation, the diagnoses were determined as delirium, depression, and anxiety disorder, respectively; It was found that all three diagnoses were made in patients in the internal medicine service. Conclusion: A lower rate of mental illness was detected in the general hospital sample compared to epidemiology studies. This situation is experienced in the process of recognizing and defining a psychiatric disorder; It may be due to features such as the primary treatment department of the patient, the nature of the patient's primary disease, and the presentation of the mental disorder. With the study, awareness of CLP was raised, and descriptive features were emphasized.

Keywords

References

  1. 1. Lipowski Z. Current trends in consultation-liaison psychiatry. Can J Psychiatry 1983;28(5):329-38.
  2. 2. Lipowski Z. Review of consultation psychiatry and psychosomatic medicine: I. General principles. Psychosom Med1967;29(2):153-71.
  3. 3. Lipowski Z. Review of consultation psychiatry and psychosomatic medicine: II. Clinical aspects. Psychosom Med 1967;29(3):201-24.
  4. 4. Lipowski Z. Consultation-liaison psychiatry in general hospital. Compr Psychiatry 1971;12(5):461-5.
  5. 5. Bourgeois JA, Kremen WS, Servis ME, Wegelin JA, Hales RE. The impact of psychiatric diagnosis on length of stay in a university medical center in the managed care era. Psychosom 2005;46(5):431-9.
  6. 6. Briskman I, Bar G, Boaz M, Shargorodsky M. Impact of co-morbid mental illness on the diagnosis and management of patients hospitalized for medical conditions in a general hospital. Int J Psychiatry Med2012;43(4):339-48.
  7. 7. Jeeva F, Dickens C, Coventry P, Bundy C, Davies L. Is treatment of depression cost-effective in people with diabetes? A systematic review of the economic evidence.IJTAHC 2013;29(4):384-91.
  8. 8. Palacios J, Khondoker M, Mann A, Tylee A, Hotopf M. Depression and anxiety symptom trajectories in coronary heart disease: Associations with measures of disability and impact on 3-year health care costs. J Psychosom Res 2018;104:1-8.

Details

Primary Language

English

Subjects

Psychiatry

Journal Section

Research Article

Early Pub Date

September 17, 2024

Publication Date

October 1, 2024

Submission Date

November 1, 2023

Acceptance Date

August 6, 2024

Published in Issue

Year 2024 Volume: 15 Number: 4

EndNote
Aydın S, Savaş AE, Güneysu İ (October 1, 2024) Consultation-Liaison Psychiatry (CLP): Examition of the Psychiatric Consultations for Inpatients and from the Emergency Medicine in a University Hospital. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 15 4 403–410.