History of mental disorder in an ICU and referrals to psychiatry.

Autor: Fernández Trujillo A; Unidad de Cuidados Intensivos, Consorci Corporació Sanitaria Parc Taulí, Sabadell, Barcelona, España. Electronic address: argenteaft_3@hotmail.com., López Ortiz C; Unidad de Agudos de Psiquiatría, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, España., Cuñat Rodriguez O; MIR Psiquiatría, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, España., Del Hoyo Buxo B; MIR Psiquiatría, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, España., Parrilla Gomez FJ; Servicio de Medicina Intensiva, Hospital del Mar, Parc de Satlut Mar, GREPAC, IMIM, Barcelona, España., Serrano Blanco A; Salud Mental, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, España., Berrade Zubiri JJ; Unidad de Medicina Intensiva, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, España.
Jazyk: English; Spanish; Castilian
Zdroj: Medicina intensiva [Med Intensiva (Engl Ed)] 2021 May 07. Date of Electronic Publication: 2021 May 07.
DOI: 10.1016/j.medin.2021.03.013
Abstrakt: Objective: To describe the prevalence of patients with mental disorders (MD) admitted to the ICU. To compare the clinical characteristics according to the presence of psychiatric history. To review the relevance of the consultations made to Psychiatry.
Design: Retrospective descriptive study.
Setting: ICU of the General Hospital of the Parc Sanitari Sant Joan de Deu, Sant Boi de Llobregat, Barcelona, Spain.
Patients: Patients admitted between January 2016 and June 2018.
Interventions: None.
Main Variables of Interest: Severity level (APACHEII), reason for admission, days of admission, days of mechanical ventilation, psychiatric history and reason for psychiatric consultation.
Results: A total of 1,247 patients were included; 194 (15.5%) met MD criteria, their mean age being younger (59 vs 68, P<.001) and with a lower mean score on the APACHEII scale (12 vs 14, P≤.003). There were 64 consultations to Psychiatry (5.1% of admissions), 59 of which were in patients with TM (92.1%). Regarding the reasons for the consultation, 22.6% were for attempted suicide, 61.3% for pharmacological adjustment, 11.3% to rule out mental disorder, and 4.8% for competence assessment. The probability of a consultation being carried out while it was indicated was 89.1%, while the probability of not carrying it out when it was not indicated was 99.4%.
Conclusions: This study supports the need to expand the specific recommendations for consultation to Psychiatry, beyond the assessment after a suicide attempt, since a large percentage (77.5%) of the pertinent consultations were for other reasons.
(Copyright © 2021 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.)
Databáze: MEDLINE
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