A CLINICAL AUDIT OF REFERRALS TO THE PSYCHIATRY DEPARTMENT FROM OTHER SPECIALTIES: A STUDY FROM CENTRAL INDIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 13
Abstract
[b]INTRODUCTION: [/b]The rate of psychiatric referrals is reported to be high in hospitalized patients in different studies in developing countries. A high prevalence rate of psychiatric disorders is reported among many outpatient departments. For the quality and effectiveness of the various healthcare services, the active role of the psychiatric services in a general hospital cannot be neglected. [b]OBJECTIVE:[/b] To evaluate the pattern of psychiatric referrals from various specialities and to study different psychological conditions affecting physical disorders.[b] MATERIAL AND METHODS:[/b] The study was conducted at Chirayu medical college and hospital over a period of one year. It was a retrospective evaluation based study. There were 215 referrals recorded, inclusive of inpatient referrals only and diagnosis was made based on ICD-10 classification. [b]RESULTS: [/b]Among the 215 referrals, age range of the subjects was 5-75 years with a mean age of 47±12 years. The most common reasons for referral were disorientation and altered sensorium (34%) followed by irrelevant talks (32%). The most common psychiatric diagnosis made was delirium (30.6%) followed by psychotic spectrum disorders (11.6%). Department wise referrals were mostly from medical units (40%) followed by surgical units (11%). No psychiatric diagnosis was made in 42 cases (20%). [b]CONCLUSION: [/b]Early diagnosis and intervention of psychiatric disorders in those having physical illnesses definitely hastens recovery and reduces morbidity and the period of stay at a hospital.
Authors and Affiliations
Ajagallay R. K, Das S, Salankar H, Chanchlani R
Keywords
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- EP ID EP153742
- DOI 10.14260/jemds/2014/2297
- Views 66
- Downloads 0
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