A comparative study of olanzapine versus asenapine in acute treatment of manic episode: A 3-week prospective study

Sidana, Ajeet; Gulati, Prannay; Chavan, BS

doi:10.4103/0971-8990.153711

Cited by 1 publication

(2 citation statements)

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“…The most common psychiatric diagnosis recorded among inpatient referrals was alcohol/drug dependence (32%), followed by organic disorder/delirium (28%), which was common among patients admitted in the emergency and ICUs [Tables 2 and 3 ]. This is in contrast to other Indian studies[ 21 - 24 , 29 , 30 ] because of the high prevalence of substance use disorders in Punjab. Mostly, the patients/attendants do not elaborate on the current history of drug use in the emergency room which is either due to denial of their abnormal substance-taking behavior or the stigma linked to it.…”

Section: Discussioncontrasting

confidence: 78%

“…This finding is comparable to many other studies. [ 21 - 24 ] The reason is that the patient usually presents to the emergency room with acute medical/surgical illnesses, especially in a tertiary care hospital and is evaluated for psychiatric comorbidity, including organic disorders such as delirium and substance withdrawal/dependence. [ 14 , 25 ] There was a significant difference in rates of referral from between specialty, i.e.…”

Section: Discussionmentioning

confidence: 99%

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Pattern of inpatient consultation-liaison psychiatry utility in a tertiary care hospital

Chaudhary

Kumar

Bhalla

et al. 2023

Int J App Basic Med Res

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Background: Consultation-liaison psychiatry (C-LP) is an interface between physical and psychological health where the psychiatrists become a part of the medical team for a holistic approach in the treatment of the patient. Aims: Our study aimed to see the pattern and utility of C-LP services among inpatient referrals to the department of psychiatry. Settings and Design: This observational descriptive study recorded inpatient referrals to the department of psychiatry of a tertiary care hospital for 2 months. Subjects and Methods: The Mini-International Neuropsychiatric Interview (M. I. N. I.) was administered for identifying the comorbid psychiatric diagnoses. Results: Most of the received inpatient referrals were for male patients (73.7%) in the age group of 30–60 years (58%). Overall, the referral rate was significantly higher from the emergency department and intensive care units (ICU) (50%), followed by specialty (medicine and surgery) wards (20%) and super specialty (cardiology, gastroenterology, and oncology) wards (16%). Altered sensorium and restlessness were the most common reasons for referral (42%), followed by alcohol/drug withdrawal (21.6%), somatic complaints (7.3%), sadness of mood, disturbed sleep, and deliberate self-harm (6% each). Substance use disorders, including alcohol and opioid (32%), delirium (25%), and depression (19%), were among the most common psychiatric diagnoses seen in the referred patients. Conclusions: The pattern observed indicates that most inpatient referrals for psychological evaluation are received for altered sensorium from emergency and ICU than wards. The utility of C-LP helps to understand the reciprocal interdependence between the medical illness and the psychiatric comorbidity.

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Section: Discussioncontrasting

confidence: 78%