Catholic University of Louvain, University Hospital Centre of Mont-Godinne, Yvoir, Belgium.
Psychiatr Danub. 2012 Sep;24 Suppl 1:S21-4.
The diagnostic process of syncopes remains an important and complex issue. In spite of everything, it is estimated that 20 to 30% of syncopes remain unexplained. The diagnosis of psychogenic syncope is estimated at 5.5% to 14% of syncopes. A systematic psychiatric evaluation of unexplained syncopes would be strongly recommended. We present here the original care by the "Centre Interdisciplinaire des Malaises Inexpliqués et des Syncopes (Interdisciplinary Centre of Unexplained Faintness and Syncopes.)" set up by the neurology and cardiology departments associated with the ENT department. We describe the place liaison psychiatry has been able to define and its field of action.
After a year of operation, and on the basis of structured interviews with the "Mini International Neuropsychiatric Interview" and on a review of records, we assessed the recruitment in terms of psychiatric monitoring as well as the associated psychiatric diagnoses in patients who consulted for an unexplained syncope.
Of the 91 patients who have consulted the Interdisciplinary Centre of Unexplained Faintness and Syncopes in 2009, 24% have been directed towards a psychiatric evaluation. Among these, 68% suffered from an anxiety disorder, 27% from a major depressive disorder and 22% from a substance-related disorder.
We assess the interesting conditions that the Interdisciplinary Centre of Unexplained Faintness and Syncopes proposes for a liaison psychiatry activity. We note the interest in easier access to psychiatric care for a group that would not have spontaneously approached the Centre.
Other measures of quality of care indices are still to be developed.
晕厥的诊断过程仍然是一个重要且复杂的问题。尽管如此，据估计，20%至 30%的晕厥仍然无法解释。心因性晕厥的诊断估计占晕厥的 5.5%至 14%。强烈建议对不明原因的晕厥进行系统的精神病学评估。我们在此介绍由神经病学和心脏病学部门与耳鼻喉科部门联合设立的“不明原因晕厥和晕厥的跨学科中心（Interdisciplinary Centre of Unexplained Faintness and Syncopes）”所提供的原始护理。我们描述了联络精神病学能够确定的位置及其作用领域。
经过一年的运作，并基于与“迷你国际神经精神病学访谈”的结构化访谈以及病历回顾，我们评估了精神病监测的招募情况以及咨询不明原因晕厥的患者的相关精神病诊断。
在 2009 年咨询不明原因晕厥跨学科中心的 91 名患者中，24%被转介进行精神病评估。其中，68%患有焦虑障碍，27%患有重性抑郁障碍，22%患有物质相关障碍。
我们评估了不明原因晕厥跨学科中心为联络精神病学活动提出的有趣条件。我们注意到，对于一组不会自发接触中心的患者，更容易获得精神病护理的兴趣。
仍需制定其他护理质量指数的衡量标准。
