PL EN
ARTICLE
Analysis of psychiatric consultations in the department of neurology and stroke unit: diagnosis and therapy
 
More details
Hide details
1
Śląski Uniwersytet Medyczny, Wydział Nauk Medycznych w Katowicach, Katedra i Klinika Neurologii
 
2
Uniwersyteckie Centrum Kliniczne w Katowicach, Oddział Neurologii i Oddział Udarowy
 
3
Śląski Uniwersytet Medyczny w Katowicach, Wydział Zdrowia Publicznego w Bytomiu, Katedra i Zakład Podstawowych Nauk Medycznych; Wojewódzki Szpital Specjalistyczny im. Św. Jadwigi w Opolu, Oddział Neurologii
 
4
Śląski Uniwersytet Medyczny w Katowicach, Wydział Nauk Medycznych, Klinika Psychiatrii i Psychoterapii
 
5
Śląski Uniwersytet Medyczny, Wydział Nauk Medycznych w Katowicach, Klinika Neurorehabilitacji
 
 
Submission date: 2019-10-23
 
 
Acceptance date: 2020-01-07
 
 
Online publication date: 2021-10-31
 
 
Publication date: 2021-10-31
 
 
Corresponding author
Tomasz Chmiela   

Katedra i Klinika Neurologii, Wydział Nauk Medycznych Śląskiego Uniwersytetu Medycznego w Katowicach, Oddział Neurologii i Oddział Udarowy Uniwersyteckiego Centrum Klinicznego w Katowicach
 
 
Psychiatr Pol 2021;55(5):989-1000
 
KEYWORDS
TOPICS
ABSTRACT
Objectives:
The aim of this study was to analyze psychiatric consultations of patients hospitalized in the Department of Neurology and Stroke Unit (DN/SU) of University Clinical Center in Katowice from 2017 to 2018.

Methods:
A retrospective analysis of psychiatric consultations, psychiatric diagnoses (according to the ICD-10) and treatment recommendations was done.

Results:
719 psychiatric consultations were performed in all hospital departments in the analyzed period. 488 (67.87%) consultations were conducted in the Department of Neurology and Stroke Unit. Most patients who required psychiatric consultations were diagnosed with Huntington’s disease (n = 25; 37.31%), Parkinson’s disease (n = 60; 23.9%) and epilepsy (n=40; 22.73%). The most commonpsychiatric diagnoses included organic mental disorders (n=229; 55.85%), particularly organic mood disorders (n =73; 14.96%) and organic anxiety disorders (n =32;6.56%) whereas in thecase of vascular diseases themost common diagnoses included disturbances of consciousness associated with delirium (n =30; 40.54%). The majority of consultations (n = 388; 79.51%) resulted in the onset or modification of pharmacological treatment. The most frequently prescribed drugs were: neuroleptics (n =174; 35.66%), mostly atypical (n = 152; 87,36%), and antidepressants (n = 230; 47.13%), mostly SSRIs (n = 216; 93.91%). In patients > 60 years of age organic disorders were more prevalent (n =179; 66.30% vs. n = 49; 35.0%) and neuroleptics were more frequently prescribed (n = 131; 42.12% vs. n= 44; 24.86%) compared to patients < 60 years.

Conclusions:
Patients in the department of neurology and stroke unit underwent a psychiatric consultation most frequently. Optimizing the care of aneurological patient is related to close cooperation of a neurologist and a psychiatrist, as well as developing and updating common positions for the management of selected disease entities.

eISSN:2391-5854
ISSN:0033-2674
Journals System - logo
Scroll to top