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RFP Indian Journal of Medical Psychiatry

Volume  6, Issue 1, January-June 2023, Pages 9-14
 

Original Article

Pattern of Psychiatry Referral and Psychiatry Morbidity in Patients Admitted in Intensive Care Unit of Tertiary Care Centre: A Hospital Based Cross-Sectional Study

Vishakh Biradar1, Narayan R Mutalik2

Psychiatry Department, S. Nijalingappa Medical College, HSK Hospital and Research Centre, Bagalkot 587102, Karnataka, India.

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Abstract

Context: The majority of patients hospitalised to intensive care units have psychiatric illness. For a variety of diseases, such as delirium, substance abuse, and other mental illnesses, psychiatry consultations are sought. The majority of research focuses on the psychological. morbidity among general hospital patients who have certain physical diseases. Determining the pattern of psychiatry referral and psychiatric morbidity in patients hospitalised in Intensive care units (ICU) is the goal of this study.

Aim: To determine the Psychiatry Morbidity in patients admitted in Intensive Care Unit (ICU).

Setting And Design: This is a cross sectional observational study conducted in HSK Hospital, Bagalkot. The study included all the consecutive patients referred from different intensive care unit top sychiatry department for consultation during the three months period from January 1, 2022 to 31st march 2022.

Methods and material: Socio demo graphic details of study subjects were collected using a specially designed proforma. ICD-10 was used to diagnose the referred cases. Informed consent was taken from all the patients and/or relatives and also ethical clearance was obtained from the ethical committee of our college.

Statistical Analysis Used: Data was collected and Tabulated using Microsoft excel. Frequency and Percentages were calculated for all qualitative measures. Mean and Standard deviation was calculated for quantitative measures.

Results: Among 64 patients, 73.4% were male [n=47] with a meanage of 41.92 ± 17.5 years, 40.6% had alcohol related disorders, 29.7% belonged to age group between 18 to 30 years, 12.5% of patients had comorbid neurological and gastrointestinal conditions.

Conclusion: Psychiatric morbidity compounds the disability and suffering in medical patients, increases the consumption of medical resources, complicates the treatment and results in poorer outcome.

This study shows that simultaneous treatment of both conditions may help to reduce cost of total treatment, investigations, and possibly prevent complications.


Keywords : Consultation Liaison Psychiatry, Intensive Care Unit, Psychiatry referral, Psychiatry Morbidity.
Corresponding Author : Vishakh Biradar