Physical examinations of psychiatric patients who presented at the emergency department of a tertiary-care hospital in Oman
| Autor: | Abdullah Al-Madhani, Hamed Al-Sinawi, Salim Al-Huseini, Afaf Ibrahim Al-Shehhi |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Oman Short Communication Vital signs lcsh:Medicine Physical examination physical examination 03 medical and health sciences 0302 clinical medicine Psychiatric history Medicine Psychiatry medicine.diagnostic_test psychiatric patients business.industry Medical record Psychiatric assessment lcsh:R Emergency Department General Medicine Emergency department Mental health 030227 psychiatry Observational study business mental health 030217 neurology & neurosurgery |
| Zdroj: | Saudi Journal of Medicine and Medical Sciences, Vol 4, Iss 3, Pp 206-211 (2016) Saudi Journal of Medicine & Medical Sciences |
| ISSN: | 1658-631X |
| DOI: | 10.4103/1658-631x.188248 |
| Popis: | The objective of this study was to examine the completeness of physical assessment of patients presenting with psychiatric problems to the Emergency Department (ED).This was to observational study based on a retrospective review of the medical records of patients who attended the ED of Sultan Qaboos University Hospital and referred to the on-duty psychiatrist for assessment over a 12 months period. All patients aged 16 years and above, who presented to the ED with a psychiatric complaint were included in the study. A data collection sheet was designed to gather each patient's demographic data such as age and gender, past psychiatric history, nature of the presenting complaints, thoroughness of physical assessment, medications prescribed by the ED doctor prior to psychiatric assessment, and whether the patient was discharged, admitted to a psychiatry or medical ward.A total of 202 patients met the inclusion criteria. The mean age of the patients was 34.2 years. Females represented 56% of the sample. The majority of the study group (60.4%) were patients with a documented past psychiatric history. Physical examination was conducted in the ED for 61.4% of the patients, while vital signs were recorded for 68.8% of them. Approximately, 31% of the patients required injectable psychotropic medications as tranquillizers in the ED. Patients with an isolated psychiatric complaint coupled with a documented past psychiatric history were more likely to be referred to the on-call psychiatrist without a physical examination by the ED doctors.In our institution, not all patients with psychiatric presentations had a complete physical examination by the ED doctors.ملخص البحث: تهدف هذه الدراسة المبنية على مراجعة الملفات الطبية إلى تقصي معدل إجراء الفحوصات السريرية للمرضى النفسيين عند حضورهم لقسم الطوارئ بمستشفى جامعة السلطان قابوس بمسقط،. شمل البحث 202 مريضا خلال فترة الدراسة . وكانت نسبة السيدات %58. تم إجراء الفحص الإكلينيكي لـ %61.4 منهم بينما تم تسجيل الوظائف الحيوية لـ %68.8. يوصي الباحثون إلى نشر الوعي بين أطباء أقسام الطوارئ إلى ضرورة إجراء الفحص السريري للمرضى النفسيين لتلافي المضاعفات الجانبية للأدوية. |
| Databáze: | OpenAIRE |
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