Department of Clinical and Experimental Medicine, Psychiatry Section, Linköping University, Linkoping, Sweden.
Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
Scand J Gastroenterol. 2020 Jul;55(7):769-776. doi: 10.1080/00365521.2020.1782464. Epub 2020 Jun 30.
Abdominal pain is a common cause of visits to emergency facilities. It is related to psychiatric disorders in primary care, but it is unclear if this also holds in emergency departments. Is to explore potential differences between diagnostic groups in patients with acute abdominal pain in an emergency ward regarding concurrent somatic-and psychiatric symptoms, 'Length of stay' (LOS) and perceived health. The patients ( = 137) were divided into three groups; organic dyspepsia, specific abdominal diagnoses, and non-specific abdominal pain. The Prime-MD results for extra gastrointestinal symptoms (outside the gastrointestinal tract), psychiatric symptoms, frequency of symptoms, self-reported health, and LOS within the month before admittance were compared between the diagnostic groups.: There was a significant positive correlation between the number of physical extra gastrointestinal and psychiatric symptoms ( < .001), especially regarding anxiety ( < .001) and depression ( = .002). Patients with organic dyspepsia reported significantly more total ( = .016), extragastrointestinal ( = .026) (chest pain; = .017, dizziness; = .004, palpitations; = .005, insomnia; = .005 and worries; = .001), and summarized anxiety and depression symptoms ( = .001-0.002) besides poorer general health ( < .001) compared to other abdominal conditions. Also, organic dyspepsia patients needed longer hospital stay than the non-specific abdominal group ( = .002) but similar to the specific abdominal disorders group. Organic dyspepsia is accompanied by more co-occurring physical, anxiety and depression symptoms as well as poorer perceived health than other abdominal pain conditions and comparably increased LOS. This suggests that psychiatric consultations might be beneficial for diagnosing and treating psychiatric comorbidity in emergency care.
腹痛是急诊就诊的常见原因。它与初级保健中的精神障碍有关，但在急诊部门是否也如此尚不清楚。目的是探讨急诊病房中急性腹痛患者在诊断组之间的躯体和精神症状、“住院时间”（LOS）和感知健康方面是否存在潜在差异。将患者（ = 137）分为三组：器质性消化不良、特定腹部诊断和非特异性腹痛。比较了诊断组之间的 Prime-MD 结果，包括胃肠道外的额外胃肠道症状、精神症状、症状频率、自我报告的健康状况和入院前一个月内的 LOS。结果：身体胃肠道外和精神症状的数量之间存在显著正相关（ < .001），尤其是焦虑（ < .001）和抑郁（ = .002）。有机消化不良患者报告的总症状（ = .016）、胃肠道外症状（ = .026）（胸痛； = .017，头晕； = .004，心悸； = .005，失眠； = .005 和担忧； = .001）以及总结性焦虑和抑郁症状（ = .001-0.002）更多，整体健康状况更差（ < .001），与其他腹部疾病相比。此外，有机消化不良患者的住院时间比非特异性腹痛组长（ = .002），但与特定腹部疾病组相似。与其他腹痛情况相比，有机消化不良患者同时伴有更多的躯体、焦虑和抑郁症状，以及较差的感知健康状况，且 LOS 也相应增加。这表明在急诊护理中，精神科会诊可能有助于诊断和治疗精神共病。
