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KMID : 0389520180250020068
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Sleep Medicine.Psychophysiology
2018 Volume.25 No. 2 p.68 ~ p.73
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The Characteristics and Types of Psychiatric Consultation for Insomnia Symptom in Hospitalized Patients
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Jeon Han-Sol
Ryu Seung-Ho
Ha Jee-Hyun
Jeon Hong-Jun
Park Doo-Heum
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Abstract
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Objectives: The purpose of this study was to explore insomniac demographic characteristics and the type of consultation provided to hospitalized patients asked to the Department of Psychiatry for insomnia and to compare patient insomnia charac- teristics by consultation type.
Methods: We performed a retrospective chart review of 4,966 patients who were hospitalized from August 1, 2005 to Decem- ber 31, 2011 that received consultation in the Department of Psychiatry. Among them, 236 patients were referred for insomnia. We compared the differences in demographic characteristics and types of consultation between the insomnia patient group and other patient group. We also compared the difference between demographic characteristics and type of consultation by dividing total subjects into ‘with reconsultation’ and ‘without reconsultation’ groups.
Results: Our results came from the analysis of 9,689 consecutive consultation requests. There were 4,966 patients that partici- pated in the study over 6 years and 6 months. The overall consultation rate was 3.3% of all admissions and insomnia patients comprised 4.8% of those. The ratio of re-consultation for insomnia was 27.5%. There was no signi cant difference in mean age between the insomnia ‘with reconsultation group’ and the insomnia ‘without reconsultation group’, but the ‘with reconsultation’ group had signi cantly more male patients and medical patients than the ‘without re-consultation’ group. For insomnia patients, consultation types were in the order of Mending request (51.3%), Paralle request (36.6%), Complementary request (9.0%) and this composition differed from that of total admission patients.
Conclusion: Hospitalized patients referred for insomnia showed a higher proportion of male patients, lower rates of re-consul- tation compared with other patients, and most of these were for secondary insomnia. Each doctor should be aware of the possibility of inpatient insomnia, conduct positive assessments and referrals as necessary, and psychiatrists who might be asked for consultation need to prepare an active intervention with initial diagnosis and treatment, as well as recommendations for the timing of reconsultation.
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KEYWORD
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Consultation-liaison psychiatry, Consultation type, Insomnia, Reconsultation
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