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KMID : 0607520110190010028
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Korean Journal of Psychosomatic Medicine
2011 Volume.19 No. 1 p.28 ~ p.33
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Psychiatric Consultation for 5 Years in a University Hospital
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Kim Sung-Wan
Kim Seon-Young
Kim Sung-Jin
Kim Jae-Min
Shin Il-Seon
Yoon Jin-Sang
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Abstract
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Objective :This study aimed to investigate the pattern of psychiatric consultation-liaison in a new general hospital over a 5-year period.
Method:Retrospective chart review was conducted for psychiatric consultations performed from May 2004 to December 2008 in a new general hospital in Hwasun, Korea.
Results:A total of 1,852 patients who were referred to the Department of Psychiatry for consultation were included in the analysis. The main reasons for psychiatric consultation were changes in mental status(20.5%), depression(16.8%), insomnia(12.8%), and anxiety(7.9%). Psychiatric consultations were conducted with diagnoses of delirium(39.7%), depressive disorder(28.2%), adjustment disorder(7.9%), and anxiety disorder(4.1%). Patients with delirium were significantly older than were those with other psychiatric diagnoses(p<0.001). Delirium was more common in male patients than in female patients(47.1% vs. 29.9%, respectively), and depression was more common in female patients than in male patients(48.3% vs. 33.9%, respectively)(p<0.001). Delirium was more common in patients who underwent surgical operation than those who did not(p=0.010).
Conclusion:Delirium was the most common diagnosis for psychiatric consultation followed by depression in a university hospital. Delirium was more prevalent in men than in women, while depression was more common in women.
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KEYWORD
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Consultation, Psychiatry, Delirium, Depression, Hospital
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