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Consultation-Liaison Psychiatry in Ramathibodi Hospital |
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| รหัสดีโอไอ | |
| Creator | Pattarabhorn Wisajun |
| Title | Consultation-Liaison Psychiatry in Ramathibodi Hospital |
| Contributor | Manote Lotrakul |
| Publisher | Faculty of Medicine Ramathibodi Hospital, Mahidol University |
| Publication Year | 2561 |
| Journal Title | Ramathibodi Medical Journal |
| Journal Vol. | 41 |
| Journal No. | 4 |
| Page no. | 048-055 |
| Keyword | Consultation-liaison psychiatry, Inpatient, Delirium, Depressive disorder |
| URL Website | https://www.tci-thaijo.org/index.php/ramajournal |
| Website title | Ramathibodi Medical Journal |
| ISSN | 0125-3611 |
| Abstract | Background: Despite of advantages on psychiatric consultation in patients treated in general hospitals, there are still small amount of data on psychiatric consultation in Thailand.Objective: To study the consultation rate for psychiatric problems, including medical diagnoses, reasons for consultation, and psychiatric diagnoses among adult inpatients at Ramathibodi Hospital.Methods: A retrospective descriptive study was conducted on data obtained from consultation forms of the psychiatric department. The samples were 949 inpatients, aged > 18 years, consulted from various departments of the hospital from January 1, 2014, to December 31, 2015.Results: The percentage of inpatients with psychiatric consultation during the study period was 1.2% of 949 cases. Of these, 22.6% were diagnosed with neoplasm. The primary cause of psychiatric consultation was delirium (39.1%), followed by adjustment disorder and depressive disorder, respectively. The kappa value was 0.7 (P < 0.01) indicating a good level of agreement between them.Conclusions: Delirium is a common cause for psychiatric consultation. If the patients are diagnosed promptly the condition can be rapidly resolved. This will help preventing complications and deaths. |
