Distribution of cases and outcome at psychiatry inpatient department of a tertiary care hospital
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 11
Abstract
Introduction: There are many definitions of consultation-liaison psychiatry and there is persisting confusion about the nature of the sub-specialty. Definition may be based on the place of work, the patient group treated and the specialist knowledge and skills of the practitioners. The most common and traditional definition of C-L psychiatrists is defined as a psychiatrist working in a general hospital and it is a branch of Psychiatry that deals mainly with deliberate self-harm, medical/psychiatric co morbidity and medically unexplained illness. Aims and Objective: to study prevalence of various psychiatric illnesses in Psychiatry inpatient department and their outcome. Methodology: This was a cross-sectional, descriptive study of the patients admitted to psychiatry inpatients department at tertiary care hospital during the Jan2014 to Jan 2015 one year study, all the patients admitted to inpatients department were studied, the patients related information was collected by semi-structured questionnaire data presented in the form of percentages and in mean plus or minus standard deviation the statistical test were calculated By Graph Pad Prism 6 for the calculation of unpaired ‘t-test’. Result: Majority of the patients were from the 31-40 years age group i.e. (27.22%) followed by 41-50 i.e. (23.61%), 21-30 i.e. (21.94%), 51-60 i.e. (15.55%), 11-20 i.e. (7.22%) , 61-70 i.e. (2.78%) and 1-10 i.e. (0.5%). Majority of the patients were male i.e.71.11% and Rural in dwelling (68.06%). As per the psychiatric diagnosis the most common illness was Neurotic, stress-related and somatoform disorder (27.22%) followed by Depressive disorders (22.78%) Organic Mental Disorders (22.50%) Disorders due to psychoactive Substance use (18.05%); Mood disorders (6.94%). unpaired t-test was applied to test the significance for Disorders due to psychoactive Substance use ; the value was p<0.0001,t=22.24, df=351; for Schizophrenia and Delusional disorders p< 0.0005,t=3.52,df=293 were significantly higher than other illnesses average hospital stay . for Schizophrenia and Delusional disorders p< 0.0005,t=3.52,df=293 were significantly higher than other illnesses average hospital stay(2.4±1.9). Conclusion: Most common age for the psychiatric illnesses was 31-40 years age group, and was more common in male and rural and population. The hospital stay of the psychiatric illnesses like; Disorders due to psychoactive Substance use and Schizophrenia and Delusional disorders were significantly higher than other psychiatric illnesses.
Authors and Affiliations
Ulhas Yashwant Bendale, Sanjay Pandharinath Patil
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