Common Medical Problems in Inpatient Psychiatric Care Clinics

Abstract

Objectives: Recently, many treatment and rehabilitationprograms have been developed to increase life quality ofpsychiatric patients. Nevertheless, comorbid medicalproblems of psychiatric patients are still being neglected.This may lead to unpredictable complications or exacerbation of the existing psychiatric disorder of the patient.Consultations of all psychiatric patients treated in a psychiatric hospital were examined. We aimed to pay attention to the comorbidity in the psychiatric inpatients.Method: Patients hospitalized to psychiatry services ofthe mental hospital between January 2007 andDecember 2009 were enrolled in the study. With thisobject in mind, we screened 6334 consultation requestrecorded in our hospital's automation system. Age, gender, inpatient psychiatry clinic, number of hospitalizeddays, specialty from which a consultation is required andthe discharge diagnostics of the patients were investigated. Results: Although the number of hospitalizedpatients has decreased the power of the study, size ofthe case number increased it. The evaluation of the diagnosis based on the requested specialties revealed that23.7% of the cases were requested from neurology. Itwas followed by respiratory system diseases (15.5%),musculoskeletal system diseases (14.4%), endocrine andmetabolic diseases (13.3%) and cardiovascular diseases(11.3%) respectively. Conclusion: Comorbid diseases willexacerbate the clinical manifestation of the psychiatricdiseases and on the other hand this will increase theseverity of the existing medical condition. Therefore,general medical condition of the psychiatric patientsmust not be neglected. It is obvious that psychiatristsshould update their general medical knowledge in thisrespect.

Özet

Amaç: Son yyllarda psikiyatrik hastalaryn ya?amkalitesinin arttyrylmasyna yönelik birçok tedavi ve rehabilitasyon programlary geli?tirilmi?tir. Ancak ek tany psikiyatri hastalarynda halen ihmal edilmektedir. Bu durum dahastada öngörülemeyen komplikasyonlara veya var olanpsikiyatrik bozuklu?un ?iddetinin artmasyna neden olabilmektedir. Bu amaçla bir psikiyatri hastanesine yatantüm hastalardan istenen konsültasyonlar incelenmi? veyatan psikiyatrik hastalaryn e? tanylaryna dikkat çekilmesihedeflenmi?tir. Yöntem: Ocak 2007 - Aralyk 2009 tarihleri arasynda hastanenin psikiyatri kliniklerine yatanhastalar çaly?maya alynmy?tyr. Bu amaçla hastanemizotomasyon sistemine kayytly 6334 konsültasyon iste?itaranmy?tyr. Bu hastalaryn ya?, cinsiyet, yatty?y psikiyatriklini?i, yatty?y gün sayysy, konsültasyon istenen bran? vehastanyn çyky? tanylary incelenmi?tir. Bulgular: Konsültasyon isteyen servislerin da?ylymyna bakyldy?ynda en fazlaakut psikiyatri servislerinden (n=5158, %81.4), sonra daadli servislerden (n=674, %10.6) hastaya konsültasyonistendi?i belirlenmi?tir. Ystenen bran?lara göre konulantanylar incelendi?inde merkezi sinir sitemi ile ilgili öntanylar olgularyn %23.7'sini olu?turmaktadyr. Bunu solunum sistemi hastalyklary (%15.5), kas-iskelet sistemihastalyklary (%14.4), endokrin ve metabolizma hastalyklary (%13.3) izlemektedir. Sonuç: Ek tanylar hem psikiyatrik tablonun a?yrla?masyna hem de mevcut tybbihastaly?yn normalden daha ?iddetli ya?anmasyna nedenolmaktadyr. Bu nedenle psikiyatri hastalarynyn genel tybbidurumlary göz ardy edilmemeli, ayryca psikiyatri hekimlerinin de genel tybbi bilgilerinin güncellenme gere?iunutulmamalydyr.