Background: To investigate significant association between various clinical and extra-clinical factors brought out the activities of Consultation-Liaison Service.Methos: Data from all psychiatric consultations for patients admitted to the Perugia General Hospital and carried out over a 1-year period (from july the 1st 2009 to jume the 30th 2010) were collected by a structured clinical report including: socio-demographic features, features of referrals, features of back-referrals. T-test, Mann-Whitney U-test, Chi quadro test and Fisher's were statistically used.Results: 1098 consultation were performed. The consultations carried out the Emergency Unit were excluded from the study. The type and the reasons for the referrals were discussed such as the ICD-10 diagnosis and the liaison interventions too. Significant associations emerged between gender and: social statud ans occupation (p<0.05 and p<0.01 respectively). Clinical sector related with reason for referral (p<0.01), type of consultation (p<0.01), liaison investigations (p<0.01) and long-term treatment plan after hospital discharge (p<0.01). The ICD-10 psychiatric diagnosis (Schizophrenia, Affective Syndrome and Neurotic-StressSomatoform Syndrome) was associated with social status (p<0.01), social conditions (p<0.01), consultation type (p<0.01), advice (p<0.01) and reason for consultation (p<0.01). Conclusion: The need for better physical and psychological investigation is confirmed in order to promote not only disease remision but overall wellbeing.
Consultation-liaison psychiatry-from theory to clinical practice: an observational study in a general hospital
QUARTESAN, Roberto;SCIARMA, Tiziana;FERRANTI, LAURA;MORETTI, Patrizia;
2015
Abstract
Background: To investigate significant association between various clinical and extra-clinical factors brought out the activities of Consultation-Liaison Service.Methos: Data from all psychiatric consultations for patients admitted to the Perugia General Hospital and carried out over a 1-year period (from july the 1st 2009 to jume the 30th 2010) were collected by a structured clinical report including: socio-demographic features, features of referrals, features of back-referrals. T-test, Mann-Whitney U-test, Chi quadro test and Fisher's were statistically used.Results: 1098 consultation were performed. The consultations carried out the Emergency Unit were excluded from the study. The type and the reasons for the referrals were discussed such as the ICD-10 diagnosis and the liaison interventions too. Significant associations emerged between gender and: social statud ans occupation (p<0.05 and p<0.01 respectively). Clinical sector related with reason for referral (p<0.01), type of consultation (p<0.01), liaison investigations (p<0.01) and long-term treatment plan after hospital discharge (p<0.01). The ICD-10 psychiatric diagnosis (Schizophrenia, Affective Syndrome and Neurotic-StressSomatoform Syndrome) was associated with social status (p<0.01), social conditions (p<0.01), consultation type (p<0.01), advice (p<0.01) and reason for consultation (p<0.01). Conclusion: The need for better physical and psychological investigation is confirmed in order to promote not only disease remision but overall wellbeing.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
