Background:

The COVID-19 pandemic has led to the risk of common mental illnesses. Consultation liaison psychiatry has been one of the most requested services in the face of this pandemic. We aimed to assess (a) the prevalence of psychiatric illness, (b) different types of psychiatric diagnoses, (c) presenting complaints, (d) reasons for psychiatric referrals, and (e) psychiatric intervention done on COVID-19 positive inpatients referred to consultation liaison psychiatry at tertiary care hospital.

Method:

This was a retrospective study of data collected from April 1, 2020, to September 15, 2020. Total 300 patients were referred and diagnosed with clinical interview and Diagnostic and Statistical Manual for Mental Disorder Fifth Edition criteria. Analysis was done using chi-square test, Kruskal–Wallis test, and fisher exact test.

Results:

Out of 300 patients, 26.7% had no psychiatric illness. Adjustment disorder was the commonest psychiatric diagnosis (43%), followed by delirium (10%). Statistically significant differences were found for parameters like Indian Council of Medical Research Category 4 of the patient, (hospitalized severe acute respiratory infection) (P value < 0.001), medical comorbidity (P value = 0.023), and past history of psychiatric consultation (Fisher exact test statistic value <0.001). Behavioral problem (27.6%) was the commonest reason for psychiatric referral. Worrying thoughts (23.3%) was the most frequent complaint. A total of 192 (64.3%) patients were offered pharmacotherapy.

Conclusions:

Psychiatric morbidity was quite high (73.3%) among them and adjustment disorder was the commonest (43%) psychiatric diagnosis followed by delirium (10%). Pharmacotherapy was prescribed to 64.3% patients and psychosocial management was offered to most of the referred patients.

中文翻译：

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在三级护理医院转诊至咨询联络精神病学的 COVID-19 阳性住院患者的精神病发病率评估

背景：

COVID-19 大流行导致了常见精神疾病的风险。面对这种流行病，咨询联络精神病学一直是最需要的服务之一。我们旨在评估 (a) 精神疾病的患病率，(b) 不同类型的精神疾病诊断，(c) 提出投诉，(d) 精神科转诊的原因，以及 (e) 对转诊的 COVID-19 阳性住院患者进行的精神科干预到三级医院咨询联络精神病学。

方法：

这是一项对 2020 年 4 月 1 日至 2020 年 9 月 15 日收集的数据进行的回顾性研究。共有 300 名患者通过临床访谈和《精神疾病诊断与统计手册》第五版标准进行转诊和诊断。使用卡方检验、Kruskal-Wallis 检验和 Fisher 精确检验进行分析。

结果：

在 300 名患者中，26.7% 没有精神疾病。适应障碍是最常见的精神病诊断（43%），其次是谵妄（10%）。患者的印度医学研究委员会第 4 类参数（住院严重急性呼吸道感染）（P 值 < 0.001）、内科合并症（P 值 = 0.023）和过去的精神病咨询史（Fisher准确的检验统计值 <0.001)。行为问题（27.6%）是精神科转诊的最常见原因。令人担忧的想法（23.3%）是最常见的抱怨。共有 192 名 (64.3%) 患者接受了药物治疗。

结论：

其中精神疾病发病率相当高（73.3%），适应障碍是最常见的精神疾病诊断（43%），其次是谵妄（10%）。64.3% 的患者接受了药物治疗，大多数转诊患者接受了心理社会管理。