Assessment of psychiatric consultations in an educational-research hospital and accuracy rates of recognition of psychiatric diseases


EKMEKCİ ERTEK İ. , Ozturk H. M.

KLINIK PSIKIYATRI DERGISI-TURKISH JOURNAL OF CLINICAL PSYCHIATRY, vol.22, no.3, pp.338-346, 2019 (Journal Indexed in ESCI) identifier

  • Publication Type: Article / Article
  • Volume: 22 Issue: 3
  • Publication Date: 2019
  • Doi Number: 10.5505/kpd.2019.75046
  • Title of Journal : KLINIK PSIKIYATRI DERGISI-TURKISH JOURNAL OF CLINICAL PSYCHIATRY
  • Page Numbers: pp.338-346

Abstract

Objective: In this study, it was aimed to evaluate the psychiatric consultations required for inpatients in an education-research hospital and to examine the correct recognition rates of psychiatric diseases by other physicians. Method: Psychiatric consultations for patients who were hospitalized at Ankara Numune Training and Research Hospital except psychiatry and emergency department had been retrospectively screened between 01/04/2016 - 01/10/2016. Results: During this period, 27457 patients were hospitalized in Ankara Numune Hospital apart from the emergency department and psychiatric services, and a total of 544 (1.9%) psychiatric consultations were requested. Psychiatric consultations were most frequently requested with the reason of agitation (17.5%); 16.9% did not specify any reason. Anxiety (8.3%), drug treatment regulation (6.1%), delirium (5.5%), sleep problems(5.3%) and pre-transplant evaluation (4.4%) are other common causes of consultation. The highest rate of psychiatric consultation was in the bone marrow transplant unit (21.0%) followed by infectious diseases (9.6%), intensive care (9.5%) and physical medicine and rehabilitation (9.0%). There was no psychiatric disease in 29.4% of the requested consultations. 149 patients (27.4%), were diagnosed with anxiety disorder,70 patients (12.9%) with delirium, 37 patients (6.8%) with depression, 22 patients (3.7%) with alcohol / substance use disorder, 20 (3.7%) patients with psychotic disorder, 15 patients (2.8%) with trauma related disorders, and 2 patients (0.4%) were diagnosed with somatization disorder. Delirium had the highest rate of recognition by primary medical care providers (89.5%), followed by anxiety disorders (55.6) and alcohol-substance use disorders (53.3%). Discussion: In this study, psychiatric consultation rates were found to be low, psychotic disorders and somatization disorders are not well recognized even though delirium is well known by primary medical care providers.