Research Article
Year 2024,
, 403 - 410, 01.10.2024
Abstract
References
- 1. Lipowski Z. Current trends in consultation-liaison psychiatry. Can J Psychiatry 1983;28(5):329-38.
- 2. Lipowski Z. Review of consultation psychiatry and psychosomatic medicine: I. General principles. Psychosom Med1967;29(2):153-71.
- 3. Lipowski Z. Review of consultation psychiatry and psychosomatic medicine: II. Clinical aspects. Psychosom Med 1967;29(3):201-24.
- 4. Lipowski Z. Consultation-liaison psychiatry in general hospital. Compr Psychiatry 1971;12(5):461-5.
- 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. 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. 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. 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.
- 9. Creed F, Morgan R, Fiddler M, Marshall S, Guthrie E, House A. Depression and anxiety impair health-related quality of life and are associated with increased costs in general medical inpatient. Psychosom. 2002;43(4):302-9.
- 10. Arolt V, Driessen M, Dilling H. The Lübeck general hospital study. I: Prevalence of psychiatric disorders in medical and surgical inpatients. J Psychiatry Clin Pract.1997;1(3):207-16.
- 11. Wood R, Wand AP. The effectiveness of consultation-liaison psychiatry in the general hospital setting: a systematic review. J Psychosom Res 2014;76(3):175-92.
- 12. Aktepe E, Kocaman O, Işık A, Eroğlu FÖ. Bir üniversite hastanesinde istenen çocuk ve ergen psikiyatrisi konsültasyon hizmetlerinin değerlendirilmesi. TAF Prev Med Bull.2013;12(5).
- 13. Oldham MA, Desan PH, Lee HB, Bourgeois JA, Shah SB, Hurley PJ, et al. Proactive consultation-liaison psychiatry: American psychiatric association resource document. JACLP 2021;62(2):169-85.
- 14. Karşıdağ Ç, Aksoy UM, Yüksel G, Alpay N, Uysal A. Yataklı tedavi hizmeti sunan psikiyatri kliniklerinde ektanılar. KPD 2013;16(1):47-52.
- 15. Bellomo A, Altamura M, Ventriglio A, Rella A, Quartesan R, Elisei S. Psychological factors affecting medical conditions in consultation-liaison psychiatry. PFAOMC 2007;28:127-40.
- 16. Aboraya A, Rankin E, France C, El-Missiry A, John C. The reliability of psychiatric diagnosis revisited: The clinician's guide to improve the reliability of psychiatric diagnosis. Psychiatry (Edgmont). 2006;3(1):41.
- 17. Ertek İE, Öztürk HM. Bir eğitim-araştırma hastanesinde istenen psikiyatri konsültasyonlarının değerlendirilmesi ve psikiyatrik hastalıkların doğru tanınma oranları. KPD 2019;22(3).
- 18. Sertöz ÖÖ, Doğanavşargil GÖ, Noyan MA, Altıntoprak E, Elbi H. Bir üniversite hastanesi konsültasyon liyezon servisinde psikiyatrik hastalıkların psikiyatri dışı hekimlerce doğru tanınma oranları. Klinik Psikofarmakoloji Bulteni. 2008;18(4).
- 19. Marchi M, Magarini FM, Mattei G, Pingani L, Moscara M, Galeazzi GM, et al. Diagnostic agreement between physicians and a consultation–liaison psychiatry team at a general hospital: An exploratory study across 20 years of referrals. IJERPH 2021;18(2):749.
- 20. Otani V, Otani T, Freirias A, Calfat E, Aoki P, Cross S, et al. Predictors of disagreement between diagnoses from consult requesters and consultation-liaison Psychiatry J Nerv Ment.2019;207(12):1019-24.
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.
References
- 1. Lipowski Z. Current trends in consultation-liaison psychiatry. Can J Psychiatry 1983;28(5):329-38.
- 2. Lipowski Z. Review of consultation psychiatry and psychosomatic medicine: I. General principles. Psychosom Med1967;29(2):153-71.
- 3. Lipowski Z. Review of consultation psychiatry and psychosomatic medicine: II. Clinical aspects. Psychosom Med 1967;29(3):201-24.
- 4. Lipowski Z. Consultation-liaison psychiatry in general hospital. Compr Psychiatry 1971;12(5):461-5.
- 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. 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. 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. 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.
- 9. Creed F, Morgan R, Fiddler M, Marshall S, Guthrie E, House A. Depression and anxiety impair health-related quality of life and are associated with increased costs in general medical inpatient. Psychosom. 2002;43(4):302-9.
- 10. Arolt V, Driessen M, Dilling H. The Lübeck general hospital study. I: Prevalence of psychiatric disorders in medical and surgical inpatients. J Psychiatry Clin Pract.1997;1(3):207-16.
- 11. Wood R, Wand AP. The effectiveness of consultation-liaison psychiatry in the general hospital setting: a systematic review. J Psychosom Res 2014;76(3):175-92.
- 12. Aktepe E, Kocaman O, Işık A, Eroğlu FÖ. Bir üniversite hastanesinde istenen çocuk ve ergen psikiyatrisi konsültasyon hizmetlerinin değerlendirilmesi. TAF Prev Med Bull.2013;12(5).
- 13. Oldham MA, Desan PH, Lee HB, Bourgeois JA, Shah SB, Hurley PJ, et al. Proactive consultation-liaison psychiatry: American psychiatric association resource document. JACLP 2021;62(2):169-85.
- 14. Karşıdağ Ç, Aksoy UM, Yüksel G, Alpay N, Uysal A. Yataklı tedavi hizmeti sunan psikiyatri kliniklerinde ektanılar. KPD 2013;16(1):47-52.
- 15. Bellomo A, Altamura M, Ventriglio A, Rella A, Quartesan R, Elisei S. Psychological factors affecting medical conditions in consultation-liaison psychiatry. PFAOMC 2007;28:127-40.
- 16. Aboraya A, Rankin E, France C, El-Missiry A, John C. The reliability of psychiatric diagnosis revisited: The clinician's guide to improve the reliability of psychiatric diagnosis. Psychiatry (Edgmont). 2006;3(1):41.
- 17. Ertek İE, Öztürk HM. Bir eğitim-araştırma hastanesinde istenen psikiyatri konsültasyonlarının değerlendirilmesi ve psikiyatrik hastalıkların doğru tanınma oranları. KPD 2019;22(3).
- 18. Sertöz ÖÖ, Doğanavşargil GÖ, Noyan MA, Altıntoprak E, Elbi H. Bir üniversite hastanesi konsültasyon liyezon servisinde psikiyatrik hastalıkların psikiyatri dışı hekimlerce doğru tanınma oranları. Klinik Psikofarmakoloji Bulteni. 2008;18(4).
- 19. Marchi M, Magarini FM, Mattei G, Pingani L, Moscara M, Galeazzi GM, et al. Diagnostic agreement between physicians and a consultation–liaison psychiatry team at a general hospital: An exploratory study across 20 years of referrals. IJERPH 2021;18(2):749.
- 20. Otani V, Otani T, Freirias A, Calfat E, Aoki P, Cross S, et al. Predictors of disagreement between diagnoses from consult requesters and consultation-liaison Psychiatry J Nerv Ment.2019;207(12):1019-24.
There are 20 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Psychiatry |
| Journal Section | Research Articles |
| Authors | |
| 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 |