1
|
Gonçalves-Pinho M, Martins B, Costa A, Ribeiro JP, Freitas A, Azevedo E, Fernandes L. Psychiatric Comorbidities in Neurologic Hospitalizations in Portugal: A Nationwide Retrospective Observational Study. ACTA MEDICA PORT 2024; 37:455-466. [PMID: 38848702 DOI: 10.20344/amp.20969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2023] [Accepted: 03/27/2024] [Indexed: 06/09/2024]
Abstract
INTRODUCTION Psychiatric comorbidities have a significant impact on patients' quality of life and often go undetected in neurologic practice. The aim of this study was to describe and characterize psychiatric comorbidities among patients hospitalized due to a neurologic disorder in mainland Portugal. METHODS A retrospective observational study was performed by analyzing hospitalization with a primary diagnosis of neurologic disorder defined as categories 76, 77, 79 - 85, 95, 109 of the Clinical Classification Software for International Classification of Diseases, Ninth Revision, Clinical Modification, occurring between 2008 and 2015 in adult patients (≥ 18 years of age). Psychiatric comorbidities were determined as the presence of a secondary diagnosis belonging to the Clinical Classification Software categories 650 to 670. RESULTS A total of 294 806 hospitalization episodes with a primary diagnosis of a neurologic disorder were recorded in adult patients between 2008 - 2015 in Portuguese public hospitals. Approximately 26.9% (n = 79 442) of the episodes had a recorded psychiatric comorbidity (22.1%; 32.2%, female versus male hospitalizations). Patients with registered psychiatric comorbidities were younger (66.2 ± 16.2 vs 68.6 ± 17.2 with no psychiatric comorbidities, p < 0.001), presented lower all-cause in-hospital mortality rates, and significantly longer mean hospital stays. 'Delirium, dementia, amnestic and other cognitive disorders' were recorded in 7.4% (n = 21 965) of the hospitalizations, followed by alcohol-related disorders in 6.5% (n = 19 302) and mood disorders in 6.1% (n = 18 079). Epilepsy/seizures were the neurologic disorders with the highest proportion of recorded psychiatric comorbidities (39.9%). CONCLUSION Psychiatric comorbidities were recorded in more than a quarter of the hospitalizations with a primary diagnosis of a Neurologic disorder. Psychiatric comorbidities varied among neurological disorders and were associated with different demographic and clinical features.
Collapse
Affiliation(s)
- Manuel Gonçalves-Pinho
- *Shared first co-authorship. CINTESIS@RISE. Department of Clinical Neurosciences and Mental Health. Faculdade de Medicina. Universidade do Porto. Porto; Department of Psychiatry and Mental Health. Unidade Local de Saúde do Tâmega e Sousa. Penafiel. Portugal
| | - Bárbara Martins
- *Shared first co-authorship. Department of Clinical Neurosciences and Mental Health. Faculdade de Medicina. Universidade do Porto. Porto; Department of Neurology. Unidade Local de Saúde de São João. Porto. Portugal
| | - Andreia Costa
- Department of Clinical Neurosciences and Mental Health. Faculdade de Medicina. Universidade do Porto. Porto; Department of Neurology. Unidade Local de Saúde de São João. Porto. Portugal
| | - João Pedro Ribeiro
- Department of Psychiatry and Mental Health. Unidade Local de Saúde do Tâmega e Sousa. Penafiel. Portugal
| | - Alberto Freitas
- CINTESIS@RISE, MEDCIDS. Faculdade de Medicina. Universidade do Porto. Porto. Portugal
| | - Elsa Azevedo
- Department of Neurology. Unidade Local de Saúde de São João. Porto; UnIC@RISE. Department of Clinical Neurosciences and Mental Health. Faculdade de Medicina. Universidade do Porto. Porto. Portugal
| | - Lia Fernandes
- CINTESIS@RISE. Department of Clinical Neurosciences and Mental Health. Faculdade de Medicina. Universidade do Porto. Porto; Psychiatry Service. Unidade Local de Saúde de São João. Porto. Portugal
| |
Collapse
|
2
|
Cheung J, Chan CY, Cheng HY. The Effectiveness of Interventions on Improving the Mental Health Literacy of Health Care Professionals in General Hospitals: A Systematic Review of Randomized Controlled Trials. J Am Psychiatr Nurses Assoc 2024; 30:465-479. [PMID: 37615199 DOI: 10.1177/10783903231194579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/25/2023]
Abstract
BACKGROUND Suboptimal mental health literacy levels among general hospital health care professionals negatively impact the care coordination of patients with physical-mental comorbidity. AIMS This review is to examine the evidence on the effectiveness of interventions to improve the mental health literacy of general hospital health care professionals. METHODS A systematic search of literature was conducted in 13 electronic databases with manual searching of reference lists from 1980 to 2021. Studies were screened by pre-set eligibility criteria, that is, participants who were general hospital health care professionals taking care of adult patients, the interventions aimed at improving any components of participants' mental health literacy, comparisons were alternative active intervention or no intervention, and the primary outcomes were any aspects of mental health literacy. RESULTS Eight randomized controlled trials (N = 1,732 participants) were included in this review. Evidence indicated that mental health literacy interventions with educational components can improve components of the health care professionals' mental health literacy, in terms of mental health knowledge and mental illness-related attitudes/stigma. In addition, few studies evaluated all components of participants' mental health literacy. CONCLUSIONS Based on the available evidence, educational interventions had a positive effect on components of general hospital health care professionals' mental health literacy. Health care organizations should provide educational programs to enhance general hospital health care professionals' mental health literacy. Further studies are needed to explore interventions that target all components of general hospital staff's mental health literacy and to evaluate its impact on the psychiatric consultation-liaison service utilization in general hospitals, as well as patient outcomes.
Collapse
Affiliation(s)
- Janice Cheung
- Janice Cheung, RN, RN(Psy), BN(Hons), MSc (Mental Health Nursing), The Chinese University of Hong Kong, Hong Kong SAR, China; Tuen Mun Hospital, Hong Kong SAR, China
| | - Cheuk Yin Chan
- Cheuk Yin Chan, RN(Psy), BNM(Hons), MSc(Mental Health Nursing), The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Ho Yu Cheng
- Ho Yu Cheng, RN, RN(Psy), BN(Hons), PgD(Psychiatric/Mental Health Nursing), PhD, The Chinese University of Hong Kong, Hong Kong SAR, China
| |
Collapse
|
3
|
Fernández Trujillo A, López Ortiz C, Cuñat Rodriguez O, Del Hoyo Buxo B, Parrilla FJ, Serrano-Blanco A, Berrade Zubiri JJ. History of mental disorder in an ICU and referrals to psychiatry. Med Intensiva 2022; 46:559-567. [PMID: 35637139 DOI: 10.1016/j.medine.2022.05.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2020] [Revised: 02/15/2021] [Accepted: 03/21/2021] [Indexed: 06/15/2023]
Abstract
OBJECTIVE To describe the prevalence of patients with mental disorders (MD) admitted to the ICU. To compare the clinical characteristics according to the presence of psychiatric history. To review the relevance of the consultations made to Psychiatry. DESIGN Retrospective descriptive study. SETTING ICU of the General Hospital of the Parc Sanitari Sant Joan de Deu, Sant Boi de Llobregat, Barcelona, Spain. PATIENTS Patients admitted between January 2016 and June 2018. INTERVENTIONS None. MAIN VARIABLES OF INTEREST Severity level (APACHE II), reason for admission, days of admission, days of mechanical ventilation, psychiatric history and reason for psychiatric consultation. RESULTS A total of 1,247 patients were included; 194 (15.5%) met MD criteria, their mean age being younger (59 vs 68, P < .001) and with a lower mean score on the APACHE II scale (12 vs 14, P ≤ .003). There were 64 consultations to Psychiatry (5.1% of admissions), 59 of which were in patients with TM (92.1%). Regarding the reasons for the consultation, 22.6% were for attempted suicide, 61.3% for pharmacological adjustment, 11.3% to rule out mental disorder, and 4.8% for competence assessment. The probability of a consultation being carried out while it was indicated was 89.1%, while the probability of not carrying it out when it was not indicated was 99.4%. CONCLUSIONS This study supports the need to expand the specific recommendations for consultation to Psychiatry, beyond the assessment after a suicide attempt, since a large percentage (77.5%) of the pertinent consultations were for other reasons.
Collapse
Affiliation(s)
- A Fernández Trujillo
- Unidad de Cuidados Intensivos, Consorci Corporació Sanitaria Parc Taulí, Sabadell, Barcelona, Spain.
| | - C López Ortiz
- Unidad de Agudos de Psiquiatría, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain
| | - O Cuñat Rodriguez
- MIR Psiquiatría, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain
| | - B Del Hoyo Buxo
- MIR Psiquiatría, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain
| | - F J Parrilla
- Servicio de Medicina Intensiva, Hospital del Mar, Parc de Satlut Mar, GREPAC, IMIM, Barcelona, Spain
| | - A Serrano-Blanco
- Salud Mental, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain; Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain; CIBER de Epidemiología y Salud Pública, Madrid, Spain
| | - J J Berrade Zubiri
- Unidad de Medicina Intensiva, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain
| |
Collapse
|
4
|
Ellison AG, Jansen LAW, Nguyen F, Martina A, Spencer J, Wierdsma AI, Kathol RG, van Schijndel MA. Specialty Psychiatric Services in US Emergency Departments and General Hospitals: Results From a Nationwide Survey. Mayo Clin Proc 2022; 97:862-870. [PMID: 35410751 DOI: 10.1016/j.mayocp.2021.10.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Accepted: 10/26/2021] [Indexed: 10/18/2022]
Abstract
OBJECTIVE To explore the handling of psychiatric patients in medical hospitals and emergency departments (EDs) as well as hospital characteristics associated with the availability of psychiatric services in these settings. METHODS From October 1, 2017, to April 1, 2018, a telephone survey regarding the presence and nature of psychiatric services was attempted among all US registered Medicare hospitals. RESULTS Of the included 4812 US hospitals, 2394 (50%) were surveyed. Of these hospitals, 1108 (46%) have some psychiatric services available, either in medical EDs or through psychiatric consultation on general medical inpatient wards. If medical ED patients with active psychiatric issues need admission, 59% of hospitals transfer the patient to a different hospital and 28% admit the patient to a medical ward. Exploration by logistic regression analysis of the association of selected variables and available psychiatric expertise suggested that larger hospitals, nonprofit services, or hospitals in urban settings were more likely to have psychiatrists on staff or available for consultation. CONCLUSION Despite the growing number of psychiatric patients seeking help in medical EDs and general hospitals, more than 50% of the EDs and general hospitals lack psychiatric services. These results suggest that accessibility to psychiatric care in medical settings requires improvement.
Collapse
Affiliation(s)
- Ashley G Ellison
- Department of Psychiatry, Novant Health, Winston Salem, NC; Department of Internal Medicine and Psychiatry, Tulane University School of Medicine, New Orleans, LA
| | - Luc A W Jansen
- Department of Psychiatry, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands; DC Klinieken, Almere, The Netherlands.
| | - Francis Nguyen
- Department of Psychiatry, Louisiana State University School of Medicine, New Orleans
| | - Andrew Martina
- Department of Psychiatry, University of Rochester Medical College, Rochester, NY
| | - Jordan Spencer
- Department of Internal Medicine and Psychiatry, Medical University of South Carolina, Charleston
| | - André I Wierdsma
- Department of Psychiatry, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands
| | - Roger G Kathol
- Department of Psychiatry, University of Minnesota, Burnsville
| | - Maarten A van Schijndel
- Department of Psychiatry, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands; Department of Psychiatry, Rijnstate Hospital, Arnhem, The Netherlands
| |
Collapse
|
5
|
Huarcaya-Victoria J, Segura V, Cárdenas D, Sardón K, Caqui M, Podestà Á. Analysis of the care provided over a six-month period by the liaison psychiatry unit at a general hospital in Lima, Peru. REVISTA COLOMBIANA DE PSIQUIATRIA (ENGLISH ED.) 2022; 51:105-112. [PMID: 35753981 DOI: 10.1016/j.rcpeng.2022.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/08/2020] [Accepted: 10/05/2020] [Indexed: 06/15/2023]
Abstract
INTRODUCTION Consultation-liaison psychiatry is a branch of clinical psychiatry that enables psychiatrists to carry out a series of activities within a general hospital. The number of liaison psychiatry units around the world has increased significantly, and Peru is no exception. However, this development is heterogeneous and unknown, so recent study reports are required to reveal the characteristics and details of the clinical care services provided by these units. AIM To describe and report the socio-demographic and clinical characteristics of patients evaluated in the Liaison Psychiatry Unit of the Guillermo Almenara Irigoyen National Hospital in Lima, Peru, and to analyse the symptomatic and syndromic nature of the identified conditions. METHODS Cross-sectional descriptive study. Referrals to the Liaison Psychiatry Unit of the Guillermo Almenara Irigoyen National Hospital between May and October 2019 were studied, and a factor analysis of the symptoms was conducted. RESULTS In a total of 400 referrals evaluated, the average age was 58 ± 17.09 years and 61.5% of the patients were women. The rate of psychiatric consultation was 2.73%. Internal medicine (13.9%) was the service that most frequently requested a psychiatric consultation. The disorder most frequently diagnosed was anxiety (44%), and the symptoms most frequently found were depression (45.3%), insomnia (44.5%), and anxiety (41.3%). The most used treatments were antidepressants (44.3%). The exploratory factor analysis of the symptoms showed three syndromic components: delirium, depression, and anxiety. CONCLUSIONS The typical patient of this sample is a woman in her late 50s, suffering from a non-psychiatric medical illness, and with anxiety disorders as the main diagnosis resulting from the psychiatric consultation.
Collapse
Affiliation(s)
- Jeff Huarcaya-Victoria
- Unidad de Psiquiatría de Enlace, Departamento de Psiquiatría, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud, Lima, Peru; Departamento Académico de Psiquiatría, Facultad de Medicina de San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Peru.
| | - Victoria Segura
- Departamento de Psiquiatría, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud, Lima, Peru
| | - Danitza Cárdenas
- Departamento de Psiquiatría, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud, Lima, Peru
| | - Kathia Sardón
- Departamento de Psiquiatría, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud, Lima, Peru
| | - Mónica Caqui
- Departamento de Psiquiatría, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud, Lima, Peru
| | - Ángela Podestà
- Departamento de Psiquiatría, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud, Lima, Peru
| |
Collapse
|
6
|
van Schijndel MA, van Wijngaarden JDH, van de Klundert JJ. Organization and Outcomes of Integrated Inpatient Medical and Psychiatric Care Units: A Systematic Review. Psychiatr Serv 2022; 73:64-76. [PMID: 34407632 DOI: 10.1176/appi.ps.202000416] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE The goal of this review was to assess the relationships among aims, designs, and outcomes of integrated inpatient medical and psychiatric care units (IMPUs) and gather the evidence base on the effectiveness of these units. METHODS Using online searches of Embase, Medline, Web of Science, PsycINFO, Scopus, CINAHL, Cochrane, and Google Scholar, the authors identified and reviewed literature describing the aims and outcomes of specific IMPU designs. RESULTS The search yielded 55 studies, in which the authors identified 39 IMPUs that focused on patients with mood, psychotic, somatic symptom, substance use, organic, and personality disorders and a broad array of medical diagnoses. Most units were psychiatric-medical units and had medium medical and psychiatric acuity capabilities. The studies reviewed provided little information on the cost-effectiveness of various IMPU designs. Although some comparative studies indicated reductions in hospital length of stay (LOS), these studies were generally of low quality and rarely reported other intended outcomes. CONCLUSIONS IMPUs may help shorten LOS. IMPUs should focus care on patients with complex conditions and high acuity to maximize health system value. Implementing compulsory admission facilities; qualified psychiatric, medical, and nursing staff involvement; and cross-disciplinary training may improve IMPUs' capacity to treat high-acuity patients. Future research should relate IMPU designs to intended outcomes.
Collapse
Affiliation(s)
- Maarten A van Schijndel
- Rijnstate Hospital, Arnhem, the Netherlands (van Schijndel); Erasmus MC, University Medical Center, Rotterdam, the Netherlands (van Schijndel); Erasmus School of Health Policy and Management, Rotterdam, the Netherlands (van Wijngaarden, van de Klundert); Prince Mohammed Bin Salman College of Business and Entrepreneurship, King Abdullah Economic City, Saudi Arabia (van de Klundert)
| | - Jeroen D H van Wijngaarden
- Rijnstate Hospital, Arnhem, the Netherlands (van Schijndel); Erasmus MC, University Medical Center, Rotterdam, the Netherlands (van Schijndel); Erasmus School of Health Policy and Management, Rotterdam, the Netherlands (van Wijngaarden, van de Klundert); Prince Mohammed Bin Salman College of Business and Entrepreneurship, King Abdullah Economic City, Saudi Arabia (van de Klundert)
| | - Joris J van de Klundert
- Rijnstate Hospital, Arnhem, the Netherlands (van Schijndel); Erasmus MC, University Medical Center, Rotterdam, the Netherlands (van Schijndel); Erasmus School of Health Policy and Management, Rotterdam, the Netherlands (van Wijngaarden, van de Klundert); Prince Mohammed Bin Salman College of Business and Entrepreneurship, King Abdullah Economic City, Saudi Arabia (van de Klundert)
| |
Collapse
|
7
|
Hui A. Use of a Structured Framework with Novel Outcome Measures to Describe a Consultation-Liaison Psychiatry Service and its Effectiveness. Psychiatr Ann 2021. [DOI: 10.3928/00485713-20210708-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
8
|
Fernández Trujillo A, López Ortiz C, Cuñat Rodriguez O, Del Hoyo Buxo B, Parrilla Gomez FJ, Serrano Blanco A, Berrade Zubiri JJ. History of mental disorder in an ICU and referrals to psychiatry. Med Intensiva 2021; 46:S0210-5691(21)00072-3. [PMID: 33972138 DOI: 10.1016/j.medin.2021.03.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2020] [Revised: 02/15/2021] [Accepted: 03/21/2021] [Indexed: 11/23/2022]
Abstract
OBJECTIVE To describe the prevalence of patients with mental disorders (MD) admitted to the ICU. To compare the clinical characteristics according to the presence of psychiatric history. To review the relevance of the consultations made to Psychiatry. DESIGN Retrospective descriptive study. SETTING ICU of the General Hospital of the Parc Sanitari Sant Joan de Deu, Sant Boi de Llobregat, Barcelona, Spain. PATIENTS Patients admitted between January 2016 and June 2018. INTERVENTIONS None. MAIN VARIABLES OF INTEREST Severity level (APACHEII), reason for admission, days of admission, days of mechanical ventilation, psychiatric history and reason for psychiatric consultation. RESULTS A total of 1,247 patients were included; 194 (15.5%) met MD criteria, their mean age being younger (59 vs 68, P<.001) and with a lower mean score on the APACHEII scale (12 vs 14, P≤.003). There were 64 consultations to Psychiatry (5.1% of admissions), 59 of which were in patients with TM (92.1%). Regarding the reasons for the consultation, 22.6% were for attempted suicide, 61.3% for pharmacological adjustment, 11.3% to rule out mental disorder, and 4.8% for competence assessment. The probability of a consultation being carried out while it was indicated was 89.1%, while the probability of not carrying it out when it was not indicated was 99.4%. CONCLUSIONS This study supports the need to expand the specific recommendations for consultation to Psychiatry, beyond the assessment after a suicide attempt, since a large percentage (77.5%) of the pertinent consultations were for other reasons.
Collapse
Affiliation(s)
- A Fernández Trujillo
- Unidad de Cuidados Intensivos, Consorci Corporació Sanitaria Parc Taulí, Sabadell, Barcelona, España.
| | - C López Ortiz
- Unidad de Agudos de Psiquiatría, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, España
| | - O Cuñat Rodriguez
- MIR Psiquiatría, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, España
| | - B Del Hoyo Buxo
- MIR Psiquiatría, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, España
| | - F J Parrilla Gomez
- Servicio de Medicina Intensiva, Hospital del Mar, Parc de Satlut Mar, GREPAC, IMIM, Barcelona, España
| | - A Serrano Blanco
- Salud Mental, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, España
| | - J J Berrade Zubiri
- Unidad de Medicina Intensiva, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, España
| |
Collapse
|
9
|
Huarcaya-Victoria J, Segura V, Cárdenas D, Sardón K, Caqui M, Podestà Á. Analysis of the Care Provided Over a Six-Month Period by the Liaison Psychiatry Unit at a General Hospital in Lima, Peru. REVISTA COLOMBIANA DE PSIQUIATRIA (ENGLISH ED.) 2021; 51:S0034-7450(20)30089-5. [PMID: 33735026 DOI: 10.1016/j.rcp.2020.10.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/08/2020] [Revised: 07/26/2020] [Accepted: 10/05/2020] [Indexed: 06/12/2023]
Abstract
INTRODUCTION Consultation-liaison psychiatry is a branch of clinical psychiatry that enables psychiatrists to carry out a series of activities within a general hospital. The number of liaison psychiatry units around the world has increased significantly, and Peru is no exception. However, this development is heterogeneous and unknown, so recent study reports are required to reveal the characteristics and details of the clinical care services provided by these units. AIM To describe and report the socio-demographic and clinical characteristics of patients evaluated in the Liaison Psychiatry Unit of the Guillermo Almenara Irigoyen National Hospital in Lima, Peru, and to analyse the symptomatic and syndromic nature of the identified conditions. METHODS Cross-sectional descriptive study. Referrals to the Liaison Psychiatry Unit of the Guillermo Almenara Irigoyen National Hospital between May and October 2019 were studied, and a factor analysis of the symptoms was conducted. RESULTS In a total of 400 referrals evaluated, the average age was 58±17.09 years and 61.5% of the patients were women. The rate of psychiatric consultation was 2.73%. Internal medicine (13.9%) was the service that most frequently requested a psychiatric consultation. The disorder most frequently diagnosed was anxiety (44%), and the symptoms most frequently found were depression (45.3%), insomnia (44.5%), and anxiety (41.3%). The most used treatments were antidepressants (44.3%). The exploratory factor analysis of the symptoms showed three syndromic components: delirium, depression, and anxiety. CONCLUSIONS The typical patient of this sample is a woman in her late 50s, suffering from a non-psychiatric medical illness, and with anxiety disorders as the main diagnosis resulting from the psychiatric consultation.
Collapse
Affiliation(s)
- Jeff Huarcaya-Victoria
- Unidad de Psiquiatría de Enlace, Departamento de Psiquiatría, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud, Lima, Perú; Departamento Académico de Psiquiatría, Facultad de Medicina de San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú.
| | - Victoria Segura
- Departamento de Psiquiatría, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud, Lima, Perú
| | - Danitza Cárdenas
- Departamento de Psiquiatría, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud, Lima, Perú
| | - Kathia Sardón
- Departamento de Psiquiatría, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud, Lima, Perú
| | - Mónica Caqui
- Departamento de Psiquiatría, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud, Lima, Perú
| | - Ángela Podestà
- Departamento de Psiquiatría, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud, Lima, Perú
| |
Collapse
|
10
|
Potts SG. Primed by Prevalence. J R Coll Physicians Edinb 2019; 49:185-187. [DOI: 10.4997/jrcpe.2019.303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Affiliation(s)
- Stephen G Potts
- Consultant in Transplant Psychiatry and Honorary Senior Clinical Lecturer, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, UK
| |
Collapse
|