Consultation liaison psychiatry for COVID-19 inpatients: A novel care delivery program in Morocco

Benjelloun, Roukaya; Otheman, Yassine; Kettani, Chafik El

doi:10.1007/s12144-020-01200-6

Cited by 3 publications

(7 citation statements)

References 10 publications

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“…Similarly, in the study by Arbelo et al, 11 63.4% COVID patients received psychiatric medications. The antianxiety agents/ sedatives, antidepressants, and antipsychotic medications were prescribed to 65.8%, 36.7%, and 17% patients, respectively, in our study and 35%, 42%, and 23%, respectively, in the study by Arbeloet al 11 Benjelloun et al 10 prescribed psychotropic medications for 55.5% of patients, which was slightly less than our study and consisted of anxiolytics/ hypnotics for 95% and antipsychotic for 5% of patients.…”

Section: Psychiatric Intervention Donecontrasting

confidence: 61%

“…In this study, majority of the patients were male (61.6%), which was similar to the study by Iqbal et al 9 (96% male) and contrary to the study by Benjelloun et al where 55.5% were female. 10 There were almost equal numbers of male and female COVID-19 patients in the study by Kong et al 12 In this study, majority (82.3%) of COVID-19 patients were married. Similar findings were reported by Zhang et al 13 where 78.6% were married.…”

Section: Sociodemographic Profilementioning

confidence: 55%

“…As shown in Table 1, 3.6% of patients already had a psychiatric illness before the COVID-19 pandemic. In a study by Benjelloun et al, 10 7 (19%) out of 36 COVID-19 patients had a past history of psychiatric illness. In a study by Iqbal et al, 9 one-third of the patients referred for consultation-liaison psychiatry had a past history of psychiatric illness (slightly higher than our study), of which nearly half of the patients had psychotic or bipolar 1 disorders.…”

Section: Discussionmentioning

confidence: 90%

“…It is also unique in a way that it involves a large sample size (300) compared to other similar literature worldwide (studies from Qatar and Morocco). 9,10 The study results will provide the portrait of psychiatric illness associated with acute COVID-19 and help formulate the further consultation-liaison guidelines for pharmacological and nonpharmacological intervention among COVID-19 positive inpatients.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Psychiatric Morbidity in COVID-19-Positive Inpatients Referred to Consultation Liaison Psychiatry in a Tertiary Care Hospital

Prajapati

Parikh

Shah

et al. 2021

Indian Journal of Psychological Medicine

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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.

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Section: Psychiatric Intervention Donecontrasting

confidence: 61%

Section: Sociodemographic Profilementioning

confidence: 55%

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of Psychiatric Morbidity in COVID-19-Positive Inpatients Referred to Consultation Liaison Psychiatry in a Tertiary Care Hospital

Prajapati

Parikh

Shah

et al. 2021

Indian Journal of Psychological Medicine

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“…One of the earliest cross-sectional surveys of COVID-19 inpatients in two isolation wards in Wuhan found that, of 85 participants, 38.8% had symptoms of anxiety [ 36 ]. A consultation-liaison service in Morocco identified anxiety symptoms in two-third of hospitalized infected patients [ 37 ]. In the current study, the consults for anxiety required a psychological intervention, more commonly so than on regular consultation-liaison floors, focusing on breathing exercises and relaxation techniques.…”

Section: Discussionmentioning

confidence: 99%

Emerging Psychiatric Themes in Post-COVID-19 Patients on a Psychiatry Consultation-liaison Service

et al. 2021

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The need for consultation-liaison psychiatry on COVID-19 wards has substantially increased since the start of the pandemic. In this cross-sectional study, we aimed to summarize the characteristics of patients admitted to the post-COVID-19 ward of the American University of Beirut Medical Center who received a psychiatric consultation. We collected relevant sociodemographic and medical data, information about past psychiatric history, psychiatry consultation details, hospital course, and disposition outcome. We also conducted chi-square and binary logistic regression analyses to assess the association between the different variables and disposition outcome. A total of 52 patients (mean age 57.33 years; equal gender distribution) were seen by the psychiatry consult-liaison team. Most had medical comorbidities and 21.2% required intubation. The most prevalent psychiatric diagnoses were delirium (30.8%), major depressive episode (15.4%), and other anxiety disorder (15.4%). Pharmacological management was implemented in 90.4% of cases and mainly included second-generation antipsychotics (36.5%). Non-pharmacological interventions consisted of those related to delirium and therapy for anxiety. Only intubation was significantly associated with disposition outcome ( p = 0.004). This study highlights the various psychiatric themes emerging during the acute and post-acute periods of hospitalization for COVID-19. Hospitalized individuals recovering from the infection should be diligently screened and referred to the psychiatry consultation-liaison team to ensure the implementation of appropriate interventions.

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Liaison Psychiatry During the Peak of the Coronavirus Pandemic: A Description of Referrals and Interventions

et al. 2021

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Introduction: The novel coronavirus SARS-CoV-2 belongs to the coronavirus family, a group of viruses that can cause upper respiratory infections in humans. Among other symptoms, it can present as an asymptomatic infection or as a more severe disease requiring hospitalization. Neuropsychiatric symptoms have been described in the acute phase of the illness and as long-term repercussions. We describe the characteristics and interventions in those COVID-19 patients referred to our liaison psychiatry service.Materials and Methods: This is a cross-sectional descriptive study. This study was carried out within the Department of Psychiatry of Cruces University Hospital (Basque Country, Spain). Data from each psychiatric consultation within our consultation-liaison service were consecutively obtained for 1 month from March 17 to April 17, 2020. We recruited data regarding clinical and referral characteristics and psychiatric interventions.Results: Of a total of 721 SARS-CoV-2 hospitalizations, 43 (5.6%) patients were referred to our psychiatry liaison service. The median age was 61 years old, and 62.8% were women. The infectious disease department was the most frequent petitioner (37.2%), and the most common reason for referral was patient anxiety (25.6%). A total of 67.4% of patients received psychological counseling and 55.8% received some pharmacological approach, with a median of 3.7 visits/calls per patient. In addition, 20.3% needed a medication switch due to potential interactions between psychotropics and drugs used to treat SARS-CoV-2.Discussion: In our study, up to 5.6% of SARS-CoV-2 hospitalized patients needed a psychiatric evaluation, especially for anxiety and mood symptoms. Psychosocial factors associated with the pandemic, drugs used to treat the infection, or a direct causative effect of the virus may explain our findings.

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Consultation liaison psychiatry for COVID-19 inpatients: A novel care delivery program in Morocco

Cited by 3 publications

References 10 publications

Evaluation of Psychiatric Morbidity in COVID-19-Positive Inpatients Referred to Consultation Liaison Psychiatry in a Tertiary Care Hospital

Evaluation of Psychiatric Morbidity in COVID-19-Positive Inpatients Referred to Consultation Liaison Psychiatry in a Tertiary Care Hospital

Emerging Psychiatric Themes in Post-COVID-19 Patients on a Psychiatry Consultation-liaison Service

Liaison Psychiatry During the Peak of the Coronavirus Pandemic: A Description of Referrals and Interventions

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