Chakravarty Suresh, Nandi Siddhartha, Bhandari Samrat Singh, Das Shyamanta
Department of Psychiatry, Gauhati Medical College Hospital, Guwahati, Assam, India.
Department of Psychiatry, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India.
J Evol Med Dent Sci. 2020 Aug;9(31):2217-2222.
Consultation-liaison psychiatry holds a special place, especially in general hospital setting. We wanted to study the socio-demographic variables, reasons for referral, and clinical correlates of psychiatric referrals from different wards in a tertiary care hospital.
This was a retrospective chart-review study carried out in the Gauhati Medical College Hospital, Guwahati, for a period of one month (May 2019). Demographic data of the participants was collected. Their primary medical / surgical diagnoses were noted along with the department where they were admitted. The reason for psychiatric consultation as well as the psychiatric diagnoses were analysed by descriptive statistics with the use of GraphPad InStat.
Most of the sample was men (men: women: 106:72), mostly between 11 to 30 years (44.38%) and Hindus (Hindu: Muslim: 140:38). Majority of the consultations was from the Department of Medicine (47.19%), followed by Orthopaedics (15.17%) and Surgery (14.61%). Among the surgical/medical illnesses, most of them had fractures (ten), closely followed by neurological conditions like cerebrovascular accident (five) and head injury (four). Deliberate self-harm was the most common reason for psychiatric liaison (56), that constituted a high number with poisoning (45) as well as hanging (six) and cut neck (five). Psychiatric consultation was asked for use of alcohol in a substantial number of patients (45).
Addressing the psychiatric comorbidity while continuing treatment for the surgical/medical illnesses gives a holistic approach towards our patients that can influence not only the course but also the quality of life of them.
会诊联络精神病学具有特殊地位，尤其是在综合医院环境中。我们希望研究一家三级护理医院不同病房精神科转诊的社会人口统计学变量、转诊原因及临床相关因素。
这是一项在古瓦哈蒂高哈蒂医学院医院进行的为期一个月（2019年5月）的回顾性病历审查研究。收集了参与者的人口统计学数据。记录了他们的主要内科/外科诊断以及他们入住的科室。使用GraphPad InStat通过描述性统计分析精神科会诊原因以及精神科诊断。
大多数样本为男性（男：女 = 106：72），年龄大多在11至30岁之间（44.38%），且多为印度教徒（印度教徒：穆斯林 = 140：38）。大多数会诊来自内科（47.19%），其次是骨科（15.17%）和外科（14.61%）。在内科/外科疾病中，大多数患有骨折（10例），其次是脑血管意外（5例）和头部损伤（4例）等神经系统疾病。蓄意自伤是精神科联络的最常见原因（56例），其中中毒（45例）、上吊（6例）和割颈（5例）的数量也较多。相当数量的患者（45例）因饮酒问题寻求精神科会诊。
在继续治疗内科/外科疾病的同时处理精神科合并症，为我们的患者提供了一种整体治疗方法，这不仅可以影响治疗过程，还可以影响他们的生活质量。
