J Korean Geriatr Psychiatry.  2000 Jun;4(1):80-90.

A Clinical Study of Psychiatric Consultation for the Inpatients above 65 in a General Hospital

Affiliations
  • 1Department of Psychiatry, Eulji University, School of Medicine, Nowon Eulji Hospital, Seoul, Korea. jej1303@eulji.or.kr
  • 2Department of Psychiatry, Eulji University, School of Medicine, Eulji University Hospital, Daejon, Korea.

Abstract


OBJECTIVE
This clinical study investigates the current status of geropsychiatric consultation in Korea, as the geriatric population and the needs for geropsychiatric consultation increase. METHOD: Hospital records of all geriatiric patients (> or =65) consulted to psychiatric department during hospital stay in a general hospital for 18 months (1998. 9. 1-2000. 2. 1) were reviewed retrospectively. Data on somatic illness, psychiatric illness and patterns of consultation were collected and analyzed. RESULT: Total number of patients was 136 (M 50, F 86) and mean age was 72.5 years old. Psychiatric consultation rate for patients above 65 was 2.5%, it was 29.5% among the whole psychiatric consultations. 65.4% was consulted by the Internal Medicine, Orthopedic surgery was the second most frequent referral department. Nonpsychiatric consultations were frequent, a geriatric patient was consulted to 2.7 other different departments on average, during the same period of hospital stay. Sleep disturbance, depressive mood, anxiety/agitation, somatization with normal laboratory findings were the main reasons of psychiatric consultation. 40% of these cases were tried to manage psychiatric problems by consultee. 50% of patients were suffered from depression, followed by delirium and dementia in frequency. Mean lagtime for consultation was 8.4 days, drug compliance was 90.5%. 54.4% of consultations has been followed up more than twice, 7.4% of consultations has required to be followed up more than 5 times. Compliance for consultation follow up during hospital stay was 78.7% and complicance for OPD follow up after discharge was 52.4%. Mean number of drugs being used on the day of consultation was 7.8, among them, 0.9 were psychiatric drugs. psychiatric drugs were prescribed for 51.5% of patients before psychiatric consultation. 2.2 drugs were prescribed by consultant. Disorientation was shown at 33.8%, visual hallucination was shown at 18.4%, sleep disturbance was prevalent at 64.0% of patients. Disorientation found to be associated with age, sleep disturbance, number of nonpsychiatric consultations, number of psychiatric follow up consultations.
CONCLUSION
Clinical Variables on geropsychiatric consultation at a general hospital were investigated. Further studies are warranted on geropsychiatric consultation in Korea.

Keyword

Geropsychiatry; Psychiatric consultation; Consultation; Geriatric patients; Disorientation
Full Text Links
  • JKGP
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2020 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr