Physical Illness in Admissible Psychiatric Patients in a Tertiary Inpatient FacilitySuprakash Chaudhury1*, Partha Sarathi Biswas2, Ajay Kumar Bakhla3, Deepak Kumar Giri4 and Subodh Kumar Sinha5
- *Corresponding Author:
- Suprakash Chaudhury
Professor and Head, Department of Psychiatry
Pravara Institute of Medical Sciences (Deemed University)
Rural Medical College, Loni, Maharashtra, India
Received date: March 28, 2016; Accepted date: August 08, 2016; Published date: August 15, 2016
Citation: Chaudhury S, Biswas PS, Bakhla AK, Giri DK, Sinha SK (2016) Physical Illness in Admissible Psychiatric Patients in a Tertiary Inpatient Facility. J Psychiatry 19:381. doi:10.4172/2378-5756.1000381
Copyright: © 2016 Chaudhury S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: Clinical screening of patients being presented for admission to a tertiary care psychiatric inpatients facility is important to ensure safe, timely, and effective treatment. Aim: To determine the demographic and clinical characteristics associated with admissible severe psychiatric patients and who required transfer to higher medical-surgical units; and to develop a system of care that bridges existing gaps between the mental and general health communities. Methods: Data of 1026 consecutive admissible severe psychiatric patients and two months follow up data of consecutive 930 admitted patients were documented. The data of 12 patients transferred within next two months of indoor treatment were evaluated to categorize the reasons for transfers. Results: Ninety six admissible patients (9.35%) before admission and twelve admitted patients (1.17%) during their hospital stay required transfer to a medical-surgical unit. Reasons for transfer before admission included lower respiratory tract infection (2.83%), anemia (2.24%), tuberculosis (1.56%), and cardiovascular diseases (1.36). Medical factors associated with rapid transfer out of the inpatient unit were chest pain, shortness of breath, electrolyte abnormalities, signs of infection, and changes in the level of consciousness. Conclusion: Inappropriate psychiatric admissions may be avoided by more vigilant screening for some physical diseases.