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

2019 Klinik Psikiyatri Dergisi  
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
more » ... ere 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 alcoholsubstance 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.
doi:10.5505/kpd.2019.75046 fatcat:phjsm2zhjzaxbgyklnduc3f5am