Study of referrals to department of psychiatry in tertiary care general hospital setting

Abstract Background Prevalence and incidence of hepatitis caused by HEV infection are usually higher in developing countries. This study demonstrated the HEV seroprevalence and incidence of HEV infection in patients with clinical hepatitis in a tertiary hospital in Thailand. Methods A laboratory-based cross-sectional study was conducted using 1106 serum samples from patients suspected of HEV infection sent to the Serology laboratory, Siriraj Hospital, for detecting HEV antibodies during 2015–2018. Prevalence of anti-HEV IgG and IgM antibodies in general patients, including organ transplant recipients and pregnant women in a hospital setting, were determined using indirect enzyme-linked immunosorbent assay (ELISA) kits. Comparison of laboratory data between groups with different HEV serological statuses was performed. Results HEV IgG antibodies were detected in 40.82% of 904 serum samples, while HEV IgM antibodies were detected in 11.75% of 1081 serum samples. Similar IgG and IgM antibody detection rates were found in pregnant women. Interestingly, anti-HEV IgM antibodies were detected in 38.5% of patients who underwent organ transplantation. Patients who tested positive for anti-HEV IgM antibodies had higher alanine aminotransferase levels than those who had not. In contrast, patients who tested positive for anti-HEV IgG had more elevated levels of total bilirubin than those who tested negative. Conclusions HEV seroprevalence and incidence in patients with clinical hepatitis were relatively high in the Thai population, including the pregnancy and organ transplant subgroups. The results potentially benefit the clinicians in decision-making to investigate HEV antibodies and facilitating proper management for patients.

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Evaluating a bereavement support group

Palliative & Supportive Care ◽

10.1017/s1478951508000072 ◽

2008 ◽

Vol 6 (1) ◽

pp. 43-49 ◽

Cited By ~ 7

Author(s):

Nancy C. Maruyama ◽

Clarisa V. Atencio

Keyword(s):

General Hospital ◽

Support Group ◽

Negative Emotions ◽

Hospital Setting ◽

Bereavement Support ◽

Men And Women ◽

Before And After ◽

Bereavement Support Group

ABSTRACTObjective:To assess the feasibility of an 8-week bereavement support group in a general hospital setting.Methods:We assessed grief and mood before and after an 8-week bereavement support group and compared dropouts to completers. Forty-seven participants filled out mood and grief questionnaires. Scores were compared with norms, then baseline and follow-up scores were analyzed by paired t tests. Fifteen dropouts' scores were compared with completers' baseline scores.Results:Participants' grief improved, as did depression in women but not men. Women dropouts scored significantly higher on Anger, Tension/Anxiety.Significance of results:Findings suggest men and women respond differently to bereavement groups. Bereaved individuals with high anger and tension may require interventions addressing their particular needs, with a focus on acceptance of negative emotions.

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First- and second-line pharmacological treatment for delirium in general hospital setting—Retrospective analysis

Asian Journal of Psychiatry ◽

10.1016/j.ajp.2017.11.028 ◽

2018 ◽

Vol 32 ◽

pp. 50-53 ◽

Cited By ~ 4

Author(s):

Ken Wada ◽

Yukitaka Morita ◽

Takashi Iwamoto ◽

Yoshihiro Mifune ◽

Shinji Nojima

Keyword(s):

Retrospective Analysis ◽

General Hospital ◽

Pharmacological Treatment ◽

Hospital Setting ◽

Second Line

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Prevalence of Depression and Anxiety amongst Cancer Patients in a Hospital Setting: A Cross-Sectional Study

Psychiatry Journal ◽

10.1155/2016/3964806 ◽

2016 ◽

Vol 2016 ◽

pp. 1-6 ◽

Cited By ~ 5

Author(s):

Anish Khalil ◽

Muhammad Faheem ◽

Ammad Fahim ◽

Haran Innocent ◽

Zainab Mansoor ◽

...

Keyword(s):

Cancer Patients ◽

Tertiary Care ◽

Hospital Setting ◽

Depression Scale ◽

Cross Sectional Study ◽

Mental Wellbeing ◽

Anxiety And Depression ◽

Depression And Anxiety ◽

Sectional Study ◽

Cross Sectional

Background. The biomedical care for cancer has not been complemented by psychosocial progressions in cancer care.Objectives. To find the prevalence of anxiety and depression amongst cancer patients in a hospital setting.Design and Setting. This cross-sectional study was conducted at the tertiary care hospitals Shifa International Hospital Islamabad and Nuclear Medicine, Oncology, and Radiotherapy Institute [NORI].Patients and Methods. 300 patients were interviewed from both the outpatient and inpatient department using The Aga Khan University Anxiety and Depression Scale (AKUADS).Main Outcome Measures. Using a score of 20 and above on the AKUADS, 146 (48.7%) patients were suffering from anxiety and depression.Results. When cross tabulation was done between different factors and the cancer patients with anxiety and depression, the following factors were found out to be significant with associatedpvalue < 0.05: education of the patient, presence of cancer in the family, the severity of pain, and the patient’s awareness of his anxiety and depression. Out of 143 (47.7%) uneducated patients, 85 (59.4%) were depressed, hence making it the highest educational category suffering from depression and anxiety.Conclusion. The prevalence of anxiety and depression amongst cancer patients was high showing that importance should be given to screening and counseling cancer patients for anxiety and depression, to help them cope with cancer as a disease and its impact on their mental wellbeing.Limitations. The frequency of female patients in our research was higher than those of male patients.

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Early intervention for hazardous drinking in the general hospital setting

Australian Drug and Alcohol Review ◽

10.1080/09595238880000621 ◽

1988 ◽

Vol 7 (3) ◽

pp. 339-343 ◽

Cited By ~ 4

Author(s):

Jonathan Chick

Keyword(s):

Early Intervention ◽

General Hospital ◽

Hospital Setting ◽

Hazardous Drinking

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The workload of stroke thrombolysis: A prospective study in a district general hospital setting

Acute Medicine Journal ◽

10.52964/amja.0443 ◽

2011 ◽

Vol 10 (1) ◽

pp. 10-12

Author(s):

Seán J Slaght ◽

◽

Nic U Weir ◽

Joanna K Lovett ◽

◽

...

Keyword(s):

Prospective Study ◽

General Hospital ◽

Hospital Setting ◽

District General Hospital ◽

Service Planning ◽

Stroke Severity ◽

Southampton General Hospital ◽

Stroke Thrombolysis ◽

Few Data ◽

A Prospective Study

Many hospitals are still setting up acute stroke thrombolysis services, often delayed by fears over workload. However, there are few data on how many patients require urgent assessment before one is treated. We prospectively studied all referrals to the 24-hour stroke thrombolysis service, February 2009 – January 2010, in Southampton General Hospital. 128 patients were referred to the thrombolysis team and 20 received thrombolysis. The most common reasons for treatment exclusion were: stroke severity (37%), time from onset (26%) or CT findings (15%). Approximately six patients required urgent assessment by the thrombolysis team for every one treated. These data are crucial to inform service planning.

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Pattern of psychiatric morbidity among referred inpatients in a tertiary care hospital of Bangladesh

Bangladesh Journal of Psychiatry ◽

10.3329/bjpsy.v31i2.45373 ◽

2020 ◽

Vol 31 (2) ◽

pp. 38-42

Author(s):

Nasim Jahan ◽

Mohammad Muntasir Maruf ◽

Sharmin Kauser ◽

Mekhala Sarkar ◽

Md Masud Rana Sarker ◽

...

Keyword(s):

General Hospital ◽

Tertiary Care ◽

Psychiatric Morbidity ◽

Care Hospital ◽

Psychiatric Consultation ◽

Liaison Psychiatry ◽

Major Depressive ◽

Consultation Liaison Psychiatry ◽

The Mean ◽

Inpatient Units

There is a dearth of studies related to consultation-liaison psychiatry in Bangladesh. The psychiatric referral rates in this country are very low, considering the higher rates of psychiatric morbidity in patients who attend various departments of a general hospital. This was a descriptive study consisting of all the cases referred for psychiatric consultation from inpatient units of various departments of BIRDEM General Hospital, Dhaka from July 2017 to June 2018. Patients of any age and of either gender were included. A total of 673 patients (1.97% of total admission) were referred from different departments of the hospital for psychiatric consultation within the study period. Majority of the respondents were female. The mean age of the respondents was 59.47 (±1.98) years. Among the referred, Generalized anxiety disorder (GAD) was the diagnosis in 24.96%, followed by Major depressive disorder (MDD) in 9.95% cases. Referral from the department of Medicine and allied was 92.86 %, followed by department of Surgery and allied (6.38%) & department of Obstetrics and Gynaecology (0.74%). Frequency of referral was the lowest in the months of November to January. There is a need to encourage multi-disciplinary interaction in the management of patients who attend general hospitals, so as to better identify the psychiatric morbidity. Bang J Psychiatry December 2017; 31(2): 38-42

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