A Study On In-Patient And Out-Patient Referrals Including Emergencies In General Hospital Psychiatric Unit
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
S.V.R.R hospital is a tertiary referral hospital attached to S.V Medical College, Tirupathi. All psychiatric referrals numbering 866 over a period from 1.1.1996 to 1.6.1996 were studied. Socio-demographic data, source and reason for referral, associated physical illness, diagnosis, treatment advised and mode of disposal were noted. Majority of the referrals were male patients and belonged to the productive age group of 11 years to 40 years. Referrals from General Medicine department were high (25.5%), second Casualty (18%) and third stands neurology (11%). Among in patient referrals 54% came from medicine in contrast, share of surgeons is much less 7%. Most common reason given by the non – psychiatric clinicians for the referral was for treatment advice, and management of abnormal behavior. The commonest psychiatric diagnosis was Depression(36.1%). Most common ICD-10 diagnosis seen in emergencies was in the category of mood disorders (40%). Among them manic excitement was the commonest (56.25%). Need for more dialogue and interaction between the refernng doctor and the psychiatric team member is strongly felt.
Authors and Affiliations
Dr. V. Radhika Reddy M. D (Psy), Dr. G. Vaidyanath M. D (Psy)
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