Kapici Yaşar, Tekin Atilla
Adıyaman University, Faculty of Medicine, Psychiatry Department, 02040 Adıyaman, Turkey,
Psychiatr Danub. 2022 Spring;34(1):157-163. doi: 10.24869/psyd.2022.157.
The aim of this study was to compare of psychiatric symptoms in patients with COVID-19 hospitalized in intensive care units and non-intensive care units.
3351 hospitalized patients due to COVID-19 were retrospectively scanned, and 130 of patients were checked by attending consultation psychiatrists.
The mean age of the patients with COVID-19 hospitalized in ICU (75±11.3) was higher than those hospitalized in non-ICU (57.9±14) (p<0.001). The rate of patients aged 65 and over was higher in patients with COVID-19 hospitalized ICU (86.3%) than those hopitalized in non-ICU (40.5%) (p<0.001). The frequency of psychiatric consultations due to delirium was higher in the patients hospitalized in ICU than those hospitalized in non-ICU (p<0.001). Haloperidol and SSRIs were preferred more frequently by psychiatrists in the patients hospitalized in ICU than those hospitalized in non-ICU (p<0.001 and p=0.041, respectively).
Insomnia and delirium are the most frequent psychiatric manifestations in hospitalized COVID-19 patients, and delirium and anxiety are more common in the COVID-19 patients who are hospitalized in ICU.
本研究旨在比较入住重症监护病房和非重症监护病房的新冠肺炎患者的精神症状。
对3351例因新冠肺炎住院的患者进行回顾性扫描，并由会诊精神科医生对130例患者进行检查。
入住重症监护病房的新冠肺炎患者的平均年龄（75±11.3）高于入住非重症监护病房的患者（57.9±14）（p<0.001）。入住重症监护病房的新冠肺炎患者中65岁及以上患者的比例（86.3%）高于入住非重症监护病房的患者（40.5%）（p<0.001）。入住重症监护病房的患者因谵妄进行精神科会诊的频率高于入住非重症监护病房的患者（p<0.001）。与入住非重症监护病房的患者相比，精神科医生在入住重症监护病房的患者中更频繁地使用氟哌啶醇和选择性5-羟色胺再摄取抑制剂（分别为p<0.001和p=0.041）。
失眠和谵妄是新冠肺炎住院患者最常见的精神表现，谵妄和焦虑在入住重症监护病房的新冠肺炎患者中更为常见。
