Consultation-Liaison Psychiatry in Ramathibodi Hospital
DOI:
https://doi.org/10.14456/rmj.2018.41Keywords:
Consultation-liaison psychiatry, Inpatient, Delirium, Depressive disorderAbstract
Background: Despite of advantages on psychiatric consultation in patients treated in general hospitals, there are still small amount of data on psychiatric consultation in Thailand.
Objective: To study the consultation rate for psychiatric problems, including medical diagnoses, reasons for consultation, and psychiatric diagnoses among adult inpatients at Ramathibodi Hospital.
Methods: A retrospective descriptive study was conducted on data obtained from consultation forms of the psychiatric department. The samples were 949 inpatients, aged 18 years, consulted from various departments of the hospital from January 1, 2014, to December 31, 2015.
Results: The percentage of inpatients with psychiatric consultation during the study period was 1.2% of 949 cases. Of these, 22.6% were diagnosed with neoplasm. The primary cause of psychiatric consultation was delirium (39.1%), followed by adjustment disorder and depressive disorder, respectively. The kappa value was 0.7 (P < 0.01) indicating a good level of agreement between them.
Conclusions: Delirium is a common cause for psychiatric consultation. If the patients are diagnosed promptly the condition can be rapidly resolved. This will help preventing complications and deaths.
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