El Hayek Samer, Kassir Ghida, Zalzale Hussein, Gonzalez-Diaz Jairo M, Bizri Maya
Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, Florida, USA.
Department of Psychiatry, American University of Beirut, Beirut, Lebanon.
Psychiatr Q. 2021 Dec;92(4):1785-1796. doi: 10.1007/s11126-021-09944-5. Epub 2021 Aug 31.
The need for consultation-liaison psychiatry on COVID-19 wards has substantially increased since the start of the pandemic. In this cross-sectional study, we aimed to summarize the characteristics of patients admitted to the post-COVID-19 ward of the American University of Beirut Medical Center who received a psychiatric consultation. We collected relevant sociodemographic and medical data, information about past psychiatric history, psychiatry consultation details, hospital course, and disposition outcome. We also conducted chi-square and binary logistic regression analyses to assess the association between the different variables and disposition outcome. A total of 52 patients (mean age 57.33 years; equal gender distribution) were seen by the psychiatry consult-liaison team. Most had medical comorbidities and 21.2% required intubation. The most prevalent psychiatric diagnoses were delirium (30.8%), major depressive episode (15.4%), and other anxiety disorder (15.4%). Pharmacological management was implemented in 90.4% of cases and mainly included second-generation antipsychotics (36.5%). Non-pharmacological interventions consisted of those related to delirium and therapy for anxiety. Only intubation was significantly associated with disposition outcome (p = 0.004). This study highlights the various psychiatric themes emerging during the acute and post-acute periods of hospitalization for COVID-19. Hospitalized individuals recovering from the infection should be diligently screened and referred to the psychiatry consultation-liaison team to ensure the implementation of appropriate interventions.
自疫情开始以来，新冠病房对会诊联络精神病学的需求大幅增加。在这项横断面研究中，我们旨在总结在贝鲁特美国大学医学中心新冠后病房接受精神科会诊的患者特征。我们收集了相关的社会人口统计学和医学数据、既往精神病史信息、精神科会诊细节、住院过程及出院结局。我们还进行了卡方检验和二元逻辑回归分析，以评估不同变量与出院结局之间的关联。精神科会诊联络团队共诊治了52例患者（平均年龄57.33岁；性别分布均衡）。大多数患者有合并症，21.2%的患者需要插管。最常见的精神科诊断是谵妄（30.8%）、重度抑郁发作（15.4%）和其他焦虑症（15.4%）。90.4%的病例实施了药物治疗，主要包括第二代抗精神病药物（36.5%）。非药物干预包括与谵妄相关的干预和焦虑治疗。只有插管与出院结局显著相关（p = 0.004）。本研究强调了新冠住院急性期和急性后期出现的各种精神科问题。应对从感染中康复的住院患者进行认真筛查，并转介至精神科会诊联络团队，以确保实施适当的干预措施。
