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Information Journal Paper

Title

CHANGES IN PSYCHIATRIC CONSULTATIONS OVER THREE YEARS IN RASOUL AKRAM HOSPITAL

Pages

 Start Page 335 | End Page 335

Abstract

 Objectives: Psychiatric C-L services have been well established in North America & Europe for more than 30 years and in these countries some studies heve been done to review changes in the pattern of PSYCHIATRIC CONSULTATIONS, over 3-year to 10- year periods, but in our country there is no study to review these changes. The aim of present study was to assess the characteristics of PSYCHIATRIC CONSULTATIONS and their changes over a 3 years period. Method: using descriptive tests, consultation’s characteristics were evaluated, and the data for consultations during January 2007 was compared to data for March 2010 using Pearson’s c2 analysis or matched-pairs t-tests. Results: During the study period, a psychiatric consultation was requested for % 1.09 of inpatients. Most of the referrals were from internal medicine department. Current psychiatric symptoms (55%) and unexplained physical symptoms (16%) were the most reasons for referral and DEPRESSION (27.7%), delirium (11.8%) and substance dependency (10.2%) were the most common psychiatric diagnoses. The mean time between referral and consultation was 1.39±1.088 days. Rate of referrals, referring clinical service, gender and lag time did not statistically differ between the two periods although the rate of referrals from some departments such as neurology had significantly increased (p<0.05). Reasons for referral were different between the two periods (P>0.05). DEPRESSION was the most common psychiatric diagnosis in both periods, but substance dependency had significantly increased in 2010 coparing the last three years (p>0.001). Discussion: The increasing rate of substance dependency may reflect the increasing incidence of substance abuse in community or maybe it is due to the icreasing likelihood of diagnosis and treatment in these patients. Further studies considering more variables in a longer period of time can be helpful.

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