Akademik Veri Yönetim Sistemi
29th European Congress of Psychiatry, Florence, İtalya, 1 - 30 Nisan 2021, cilt.64, ss.652
Introduction: Patients with severe mental illness die 10-20 younger
from general population. In addition to suicide, preventable physical
diseases cause most deaths. The mental illness itself and stigma
keep the patients from adequate treatment for physical ilnesses.
Objectives: We aimed to investigate medical consultations for
inpatients with severe mental illnes.
Methods: We retrospectively evaluated medical records of patients
diagnosed by schizophrenia, schizoaffective disorders, bipolar disorder,
and depression between 1st Februrary 2018 and 30th January
2020. We excluded routine consultations before electroconvulsive
treatment. Local ethichs committee approved the study.
Results: Among total 475 consultations, %41.3 (n=196) was for
male, and %58.7 (n=279) was for female patients. Mean age and
standart deviation were 48.9 13.9 for male, and 50.1 13.7 for
female (p>0.05). Comparing sexes oin terms of primer psychiatric
diagnoses, the higher proportion was psychotic disorders for male,
and for female it was mood disorders (p<0.05). The most consulted
departments with percentage and number were: internal medicine
%44.0 (n=209), neurology and neurosurgery %15.2 (n=72), physical
medicine and rehabilitation %8.2 (n=39), dermatology %7.8
(n=37), cardiology %6.7 (n=32). We compared the proportions of
consulted department between male and female. Male patients were
consulted to dermatology more than female, and female patient
were consulted to gynecology or urology more than male (p<0.05).
Conclusions: Awareness about physical diseases in paients with
severe mental illness between healthcare workers, carries the potential
to increase the patients’ quality of life and lifespan. For future
interventions the focus should involve healthcare worker in internal
medicine and neurology, as well as in psychiatry.