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KMID : 0607520230310010010
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Korean Journal of Psychosomatic Medicine
2023 Volume.31 No. 1 p.10 ~ p.18
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A Study on the Characteristics and Consultation Type of Inpatients Referred for Delirium and Depressive Disorder
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Lee Seong-Min
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 is to investigate the characteristics of patients referred for delirium and depressive disorder and to find direction of improvement of consultation-liason psychiatry in general hospital.
Methods：We performed a retrospective computed chart review of the 4,966 inpatients hospitalized at Konkuk University Hospital who were referred to the Department of Psychiatry from August 1, 2005 to December 31, 2011.
Results：Depressive disorder shows the order of frequency of consultation type Parallel-Complementary- Mending. Delirium shows the order of frequency of consultation type Mending-Parallel-Complementary. When comparing ‘follow up consultation’ and ‘without follow up consultation’ group within the depressive disorder, the proportion of men in the ‘follow up consultation’ group was higher. In the analysis of the consultation type, the ‘follow up consultation’ group showed the order of consultation type Parallel-Mending- Complementary, and type Parallel-Complementary-Mending in the ‘without follow up consultation’ group. When comparing ‘follow up consultation’ and ‘without follow up consultation’ group within the delirium, the proportion of the surgical field in the ‘follow up consultation’ group was higher. In the analysis of the consultation type, both group showed the order of consultation type Mending-Parallel- Complementary.
Conclusions：Doctors in each department and psychiatrists should pay attention to delirium symptoms that may occur in surgical inpatients and preventive measures should be taken. Screening tests should be conducted in medical patients to properly evaluate coexisting psychiatric diseases. Risk factors of Delirium and Depressive disorder should be identified from the time of hospitalization, and actively discussing treatment plans and early interventions could improve the quality of medical services.
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KEYWORD
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Consultation-liaison psychiatry, Delirium, Depressive disorder, Consultation type, Psychopathological patient evaluation.
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