Psychiatric Consultation for 5 Years in a University Hospital.
- Author:
Sung Wan KIM
;
Seon Young KIM
;
Sung Jin KIM
;
Jae Min KIM
;
Il Seon SHIN
;
Jin Sang YOON
- Publication Type:Original Article
- Keywords:
Consultation;
Psychiatry;
Delirium;
Depression;
Hospital
- MeSH:
Anxiety;
Delirium;
Depression;
Female;
Hospitals, General;
Humans;
Male;
Referral and Consultation;
Retrospective Studies
- From:Korean Journal of Psychosomatic Medicine
2011;19(1):28-33
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: This study aimed to investigate the pattern of psychiatric consultation-liaison in a new general hospital over a 5-year period. METHOD: Retrospective chart review was conducted for psychiatric consultations performed from May 2004 to December 2008 in a new general hospital in Hwasun, Korea. RESULTS: A total of 1,852 patients who were referred to the Department of Psychiatry for consultation were included in the analysis. The main reasons for psychiatric consultation were changes in mental status(20.5%), depression(16.8%), insomnia(12.8%), and anxiety(7.9%). Psychiatric consultations were conducted with diagnoses of delirium(39.7%), depressive disorder(28.2%), adjustment disorder(7.9%), and anxiety disorder(4.1%). Patients with delirium were significantly older than were those with other psychiatric diagnoses(p<0.001). Delirium was more common in male patients than in female patients(47.1% vs. 29.9%, respectively), and depression was more common in female patients than in male patients(48.3% vs. 33.9%, respectively)(p<0.001). Delirium was more common in patients who underwent surgical operation than those who did not(p=0.010). CONCLUSION: Delirium was the most common diagnosis for psychiatric consultation followed by depression in a university hospital. Delirium was more prevalent in men than in women, while depression was more common in women.
