Friedrich Fabian, Litvan Zsuzsa, Freidl Marion
Klinische Abteilung für Sozialpsychiatrie, Univ. Klinik für Psychiatrie und Psychotherapie, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich,
Neuropsychiatr. 2015;29(2):71-6. doi: 10.1007/s40211-015-0135-0. Epub 2015 Feb 13.
This study intended to analyze the prevalence of physical diagnoses at psychiatric inpatient hospital wards.
For this purpose we used partially aggregated administrative data from routine diagnostic documentation of Austrian hospitals. All psychiatric and physical main and secondary diagnoses according to ICD-10 of all psychiatric inpatient units in Austria of the years 2007 were used.
Of 79,027 psychiatric hospital admissions 75,224 received a psychiatric and 3803 a somatic main diagnosis at discharge. Diseases of the vascular system (20 %) were the most frequent somatic diagnoses, followed by endocrine and metabolic diseases (16.4 %) and neurological diseases (14.4 %). Among patients suffering from schizophrenia, the most frequent physical diagnoses were endocrine and metabolic diseases. Among those with affective disorders, vascular diseases as well as endocrine and metabolic diseases were found most often.
Physical diagnoses are very common among psychiatric inpatients. Mass screening and specialized prevention programs should be evaluated regarding their effectiveness for this population.
本研究旨在分析精神科住院病房躯体诊断的患病率。
为此，我们使用了来自奥地利医院常规诊断记录的部分汇总管理数据。采用了2007年奥地利所有精神科住院单元根据国际疾病分类第10版（ICD - 10）确定的所有精神科和躯体科主要及次要诊断。
在79027例精神科住院病例中，75224例在出院时接受了精神科主要诊断，3803例接受了躯体科主要诊断。血管系统疾病（20%）是最常见的躯体诊断，其次是内分泌和代谢疾病（16.4%）以及神经系统疾病（14.4%）。在精神分裂症患者中，最常见的躯体诊断是内分泌和代谢疾病。在情感障碍患者中，血管疾病以及内分泌和代谢疾病最为常见。
躯体诊断在精神科住院患者中非常普遍。应评估大规模筛查和专门预防项目对该人群的有效性。
