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KMID : 0607520050130020075
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Korean Journal of Psychosomatic Medicine
2005 Volume.13 No. 2 p.75 ~ p.84
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The Current Status and Changing Pattern for 5 Years of Psychiatric Consultation in a General Hospital
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Seol Jang-Woo
Kim Do-Hoon
Son Bong-Ki
Lee Sang-Kyu
Lee Sang-Chul
Kim Hyun-Chul
Hong Sang-Eui
Lee Tae-Byoung
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Abstract
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Objectives: This study was conducted to look over the current status of psychiatric consultation in a general hospital.
Methods: We analyzed 664 medical records : 317 in 2002 and 347 in 1997, and compared the records of 1997 and 2002.
Results: 1) The average age of the patients increased from 45.9 years(1997) to 53.2 years of age (2002). Dividing the referred patients into 3 age-brackets as below 40, between 40 and 60, and above 60, the number of patients in the age group above 60 was significantly increased, more prominently in women. 2) Overall consultation rate was 2.29% in 2002 and 2.2% in 1997 .44.2% and 57.1% of the whole referrals were from the department of internal medicine in each year, and the department of rehabilitation medicine was leading in consultation rate in both years. 3) ’Mood disorders’ and ’Substance related disorders’ were the most frequent diagnoses in 2002 and 1997 respectively. 4) Use of psychotropic drugs was the most frequent recommendations of psychiatric consultation, in both years, and the most frequently prescribed drugs were anti-anxiety drugs in both years. The use of SSRI and atypical anti-psychotics were increased, while the use of typical anti-psychotics was decreased significantly in 2002.
Conclusion: In 2002, compared with 1997, the average age of the patients was increased, and the consultation of the patients with the diagnosis of ’mood disorders’ and ’cognitive disorders’ was done more frequently than in 1997. The recommendation to use psychotropic drugs was well accepted, but the concern to diagnostic procedure was relatively low.
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KEYWORD
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Psychiatric consultation, General hospital psychiatry, Consultation rate, Response time
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