Evaluation of Psychiatric Morbidity in COVID-19-Positive Inpatients Referred to Consultation Liaison Psychiatry in a Tertiary Care Hospital
Background: The COVID-19 pandemic has led to the risk of common mental illnesses. Consultation liaison psychiatry has been one of the most requested services in the face of this pandemic. We aimed to assess (a) the prevalence of psychiatric illness, (b) different types of psychiatric diagnoses, (c)...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2021-07-01
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| Series: | Indian Journal of Psychological Medicine |
| Online Access: | https://doi.org/10.1177/02537176211022146 |
| _version_ | 1818726054715457536 |
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| author | Nisha K. Prajapati Nimesh C. Parikh Nilima D. Shah Vinodkumar M. Darji Heena B. Jariwala Manthan T. Miroliya |
| author_facet | Nisha K. Prajapati Nimesh C. Parikh Nilima D. Shah Vinodkumar M. Darji Heena B. Jariwala Manthan T. Miroliya |
| author_sort | Nisha K. Prajapati |
| collection | DOAJ |
| description | Background: The COVID-19 pandemic has led to the risk of common mental illnesses. Consultation liaison psychiatry has been one of the most requested services in the face of this pandemic. We aimed to assess (a) the prevalence of psychiatric illness, (b) different types of psychiatric diagnoses, (c) presenting complaints, (d) reasons for psychiatric referrals, and (e) psychiatric intervention done on COVID-19 positive inpatients referred to consultation liaison psychiatry at tertiary care hospital. Method: This was a retrospective study of data collected from April 1, 2020, to September 15, 2020. Total 300 patients were referred and diagnosed with clinical interview and Diagnostic and Statistical Manual for Mental Disorder Fifth Edition criteria. Analysis was done using chi-square test, Kruskal–Wallis test, and fisher exact test. Results: Out of 300 patients, 26.7% had no psychiatric illness. Adjustment disorder was the commonest psychiatric diagnosis (43%), followed by delirium (10%). Statistically significant differences were found for parameters like Indian Council of Medical Research Category 4 of the patient, (hospitalized severe acute respiratory infection) (P value < 0.001), medical comorbidity (P value = 0.023), and past history of psychiatric consultation (Fisher exact test statistic value <0.001). Behavioral problem (27.6%) was the commonest reason for psychiatric referral. Worrying thoughts (23.3%) was the most frequent complaint. A total of 192 (64.3%) patients were offered pharmacotherapy. Conclusions: Psychiatric morbidity was quite high (73.3%) among them and adjustment disorder was the commonest (43%) psychiatric diagnosis followed by delirium (10%). Pharmacotherapy was prescribed to 64.3% patients and psychosocial management was offered to most of the referred patients. |
| first_indexed | 2024-12-17T21:52:06Z |
| format | Article |
| id | doaj.art-1396dc7b0d454e65addc50496d39addb |
| institution | Directory Open Access Journal |
| issn | 0253-7176 0975-1564 |
| language | English |
| last_indexed | 2024-12-17T21:52:06Z |
| publishDate | 2021-07-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Indian Journal of Psychological Medicine |
| spelling | doaj.art-1396dc7b0d454e65addc50496d39addb2022-12-21T21:31:14ZengSAGE PublishingIndian Journal of Psychological Medicine0253-71760975-15642021-07-014310.1177/02537176211022146Evaluation of Psychiatric Morbidity in COVID-19-Positive Inpatients Referred to Consultation Liaison Psychiatry in a Tertiary Care HospitalNisha K. Prajapati0Nimesh C. Parikh1Nilima D. Shah2Vinodkumar M. Darji3Heena B. Jariwala4Manthan T. Miroliya5 Department of Psychiatry, Smt NHL Municipal Medical College, Ellis Bridge, Ahmedabad, Gujarat, India. Department of Psychiatry, Smt NHL Municipal Medical College, Ellis Bridge, Ahmedabad, Gujarat, India. Department of Psychiatry, Smt NHL Municipal Medical College, Ellis Bridge, Ahmedabad, Gujarat, India. Department of Psychiatry, Smt NHL Municipal Medical College, Ellis Bridge, Ahmedabad, Gujarat, India. Department of Psychiatry, Smt NHL Municipal Medical College, Ellis Bridge, Ahmedabad, Gujarat, India. Department of Psychiatry, Smt NHL Municipal Medical College, Ellis Bridge, Ahmedabad, Gujarat, India.Background: The COVID-19 pandemic has led to the risk of common mental illnesses. Consultation liaison psychiatry has been one of the most requested services in the face of this pandemic. We aimed to assess (a) the prevalence of psychiatric illness, (b) different types of psychiatric diagnoses, (c) presenting complaints, (d) reasons for psychiatric referrals, and (e) psychiatric intervention done on COVID-19 positive inpatients referred to consultation liaison psychiatry at tertiary care hospital. Method: This was a retrospective study of data collected from April 1, 2020, to September 15, 2020. Total 300 patients were referred and diagnosed with clinical interview and Diagnostic and Statistical Manual for Mental Disorder Fifth Edition criteria. Analysis was done using chi-square test, Kruskal–Wallis test, and fisher exact test. Results: Out of 300 patients, 26.7% had no psychiatric illness. Adjustment disorder was the commonest psychiatric diagnosis (43%), followed by delirium (10%). Statistically significant differences were found for parameters like Indian Council of Medical Research Category 4 of the patient, (hospitalized severe acute respiratory infection) (P value < 0.001), medical comorbidity (P value = 0.023), and past history of psychiatric consultation (Fisher exact test statistic value <0.001). Behavioral problem (27.6%) was the commonest reason for psychiatric referral. Worrying thoughts (23.3%) was the most frequent complaint. A total of 192 (64.3%) patients were offered pharmacotherapy. Conclusions: Psychiatric morbidity was quite high (73.3%) among them and adjustment disorder was the commonest (43%) psychiatric diagnosis followed by delirium (10%). Pharmacotherapy was prescribed to 64.3% patients and psychosocial management was offered to most of the referred patients.https://doi.org/10.1177/02537176211022146 |
| spellingShingle | Nisha K. Prajapati Nimesh C. Parikh Nilima D. Shah Vinodkumar M. Darji Heena B. Jariwala Manthan T. Miroliya Evaluation of Psychiatric Morbidity in COVID-19-Positive Inpatients Referred to Consultation Liaison Psychiatry in a Tertiary Care Hospital Indian Journal of Psychological Medicine |
| title | Evaluation of Psychiatric Morbidity in COVID-19-Positive Inpatients Referred to Consultation Liaison Psychiatry in a Tertiary Care Hospital |
| title_full | Evaluation of Psychiatric Morbidity in COVID-19-Positive Inpatients Referred to Consultation Liaison Psychiatry in a Tertiary Care Hospital |
| title_fullStr | Evaluation of Psychiatric Morbidity in COVID-19-Positive Inpatients Referred to Consultation Liaison Psychiatry in a Tertiary Care Hospital |
| title_full_unstemmed | Evaluation of Psychiatric Morbidity in COVID-19-Positive Inpatients Referred to Consultation Liaison Psychiatry in a Tertiary Care Hospital |
| title_short | Evaluation of Psychiatric Morbidity in COVID-19-Positive Inpatients Referred to Consultation Liaison Psychiatry in a Tertiary Care Hospital |
| title_sort | evaluation of psychiatric morbidity in covid 19 positive inpatients referred to consultation liaison psychiatry in a tertiary care hospital |
| url | https://doi.org/10.1177/02537176211022146 |
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