scholarly journals Sharing medical records: comparison of general psychiatric patients with somatisation disorder patients

1997 ◽  
Vol 21 (8) ◽  
pp. 489-491 ◽  
Author(s):  
Nick Goddard ◽  
Morris Bernadt ◽  
Simon Wessely
Keyword(s):  
Medical Records ◽  
Psychiatric Patients ◽  
Somatisation Disorder

The responses of somatisation disorder (SD) patients to reading their main clinical summary were compared with those of general psychiatric patients, to assess whether the sharing of information and psychiatic opinion might help in the management of SD. Overall the SD patients responded favourably on 8 out of 11 measures; 28 of the 30 (93%) thought it was a good idea to have read the summary and 26 (87%) thought it had provided helpful information. Significantly more of the SD patients (57% compared with 27% of the general psychiatric patients) had their concerns about undiagnosed illness increase as a result of reading their clinical summary.

Prevalence and predictors of metabolic syndrome in a sample of Italian psychiatric inpatients

2017 ◽  
Vol 41 (S1) ◽  
pp. S472-S472
Author(s):  
L. Fusar-Poli ◽  
N. Brondino ◽  
M. Rocchetti ◽  
M. Ballerio ◽  
M. Vercesi ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Medical Records ◽  
Psychiatric Patients ◽  
Psychiatric Inpatients ◽  
Roc Curves ◽  
Psychiatric Ward ◽  
Psychotropic Agents ◽  
Unhealthy Diet ◽  
Common Risk Factors ◽  
Competing Interest

IntroductionPsychiatric population is characterized by a higher prevalence of cardiovascular events compared to general population. This difference might be due, in part, to the metabolic adverse effects of psychotropic agents, and, in part, to common risk factors such as smoking, sedentary lifestyle and unhealthy diet. Another potential risk factor is represented by the presence of metabolic syndrome (MetS).ObjectivesWe aimed to evaluate the prevalence of MetS and to identify the baseline predictors for the longitudinal development of MetS in a sample of Italian psychiatric inpatients.MethodsMedical records of 343 patients admitted to our psychiatric ward between 2007 and 2012 were retrospectively reviewed.ResultsPrevalence of MetS was 21.5%. MetS appeared directly associated with age and number of medication assumed. ROC curves showed HDL as the best predictor of metabolic syndrome in our sample.ConclusionsOur results confirm previous data on the association between metabolic syndrome and exposure to complex polytherapy. Additionally, our findings support the notion of psychiatric patients as an at-risk group for metabolic abnormalities, which should be carefully monitored.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Prevalence of Cannabis Residues in Psychiatric Patients: A Case Study of Two Mental Health Referral Hospitals in Uganda

2014 ◽  
Vol 8 ◽  
pp. SART.S13254 ◽  
Author(s):  
Epaenetus A. Awuzu ◽  
Emmanuel Kaye ◽  
Patrick Vudriko
Keyword(s):  
Mental Health ◽  
Medical Records ◽  
Psychiatric Patients ◽  
Strong Association ◽  
Diagnostic Kits ◽  
Referral Hospitals ◽  
Other Substances ◽  
History Of ◽  
Diagnostic Capacity

Various studies have reported that abuse of cannabis is a risk factor for psychosis. The aims of this study were to determine the prevalence of delta 9-tetrahydrocanabinol (Δ 9 -THC), a major metabolite of cannabis, in psychiatric patients in Uganda, and to assess the diagnostic capacity of two referral mental health hospitals to screen patients for exposure to cannabis in Uganda. Socio-demographic characteristics of the patients were collected through questionnaires and review of medical records. Urine samples were collected from 100 patients and analyzed using Δ 9 -THC immunochromatographic kit (Standard Diagnostics®, South Korea). Seventeen percent of the patients tested positive for Δ 9 -THC residues in their urine. There was strong association ( p < 0.05) between history of previous abuse of cannabis and presence of Δ 9 -THC residues in the urine. Alcohol, cocaine, heroin, pethidine, tobacco, khat and kuber were the other substances abused in various combinations. Both referral hospitals lacked laboratory diagnostic kits for detection of cannabis in psychiatric patients. In conclusion, previous abuse of cannabis is associated with occurrence of the residues in psychiatric patients, yet referral mental health facilities in Uganda do not have the appropriate diagnostic kits for detection of cannabis residues as a basis for evidence-based psychotherapy.

Suicide Attempts among Turkish Psychiatric Patients

1997 ◽  
Vol 42 (10) ◽  
pp. 1072-1075 ◽  
Author(s):  
B Coşar ◽  
N Koçal ◽  
Z Arikan ◽  
E Işik
Keyword(s):  
Suicide Attempt ◽  
Medical School ◽  
Drug Overdose ◽  
Medical Records ◽  
Suicide Attempts ◽  
Psychiatric Patients ◽  
Sociodemographic Characteristics ◽  
Single Female ◽  
Suicide Attempters ◽  
Islamic Religion

Objectives: The aim of this study was to investigate the sociodemographic characteristics of those who attempt suicide in an Islamic country, the effect of religion on suicide attempts, and the frequency of DSM-III-R diagnoses in suicide attempters referred to the Gazi Medical School Psychiatry Department. Method: Medical records of 185 cases of suicide attempts were reviewed. Results: There was a predominance of single, female subjects. Students, housewives, and employees represented the 3 largest groups. Drug overdose was the most common method of suicide attempt, and the most common DSM-III-R diagnosis was depression. The rate of repetition of suicide attempt was 43.3%. Conclusion: Suicide is one of the major problems among Turkish psychiatric patients, although the Islamic religion strongly disapproves of it.

scholarly journals iPSYcare: the development of a linked electronic medical records database to study and optimize psychiatric care in Antwerp

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Eva Rens ◽  
Joris Michielsen ◽  
Geert Dom ◽  
Roy Remmen ◽  
Kris Van den Broeck
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Psychiatric Care ◽  
Ethical Issues ◽  
Psychiatric Patients ◽  
Unique Identifier ◽  
Explicit Consent ◽  
Wide Range ◽  
Psychiatric Units ◽  
The University

Abstract Objective The study of care trajectories of psychiatric patients across hospitals was previously not possible in Belgium as each hospital stores its data autonomously, and government-related registrations do not contain a unique identifier or are incomplete. A new longitudinal database called iPSYcare (Improved Psychiatric Care and Research) was therefore constructed in 2021, and links the electronic medical records of patients in psychiatric units of eight hospitals in the Antwerp Province, Belgium. The database provides a wide range of information on patients, care trajectories and delivered care in the region. In a first phase, the database will only contain information about adult patients who were admitted to a hospital or treated by an outreach team and who gave explicit consent. In the future, the database may be expanded to other regions and additional data on outpatient care may be added. Results IPSYcare is a close collaboration between the University of Antwerp and hospitals in the province of Antwerp. This paper describes the development of the database, how privacy and ethical issues will be handled, and how the governance of the database will be organized.

scholarly journals A Psychiatric Version of the New Aberdeen Medical Record

1983 ◽  
Vol 7 (11) ◽  
pp. 201-202
Author(s):  
Keith J. B. Rix ◽  
Betty McNally ◽  
Margaret Johnson
Keyword(s):  
Drug Treatment ◽  
Medical Record ◽  
Medical Records ◽  
Psychiatric Patients ◽  
Hospital Medical ◽  
Psychiatric Units

When Wilson et al (1978) described ‘The new Aberdeen Medical Record,’ they stated: ‘The bulk and disarray of many hospital medical records make it impossible to review and retrieve information easily, hamper the proper care of patients and cause much time to be wasted … when papers accumulate chaotically in the folders much time is wasted in clumsy attempts to retrieve information; important facts about patients and their problems and drug treatment are obscured.’ The same problems apply to the records of psychiatric patients, and this paper describes the adaptation of the Aberdeen Medical Record for use in psychiatric units and hospitals.

Child and Adolescent Psychiatric Screening Inventory-Retrospect (CAPSI-R): a questionnaire for adults concerning child and adolescent mental disorders

2002 ◽  
Vol 17 (2) ◽  
pp. 61-68 ◽  
Author(s):  
M. Ramklint ◽  
A-L. von Knorring ◽  
L. von Knorring ◽  
L. Ekselius
Keyword(s):  
Mental Disorders ◽  
Medical Records ◽  
Psychiatric Symptoms ◽  
Psychiatric Patients ◽  
Child And Adolescent ◽  
Self Report ◽  
Control Group ◽  
Child Psychiatric ◽  
Dsm Iv ◽  
Psychiatric Screening

SummaryThis study examines the properties of the Child and Adolescent Psychiatric Screening Inventory-Retrospect, CAPSI-R, a self-report 146-item questionnaire for adults concerning earlier child psychiatric symptoms, comprising both DSM-IV categories and functional impairment. The instrument was mailed to 359 former child psychiatric patients born between 1951 and 1977 (164 of whom responded) and to a matched control group (193 of whom responded). There was good internal consistency (Cronbach’s alpha ranged between 0.62–0.93, and between 0.76–0.93 after elimination of one item). The lifetime prevalence of a mental disorder was 87.8% in the former patients' without considering impairment and 76.8% when impairment was considered. The corresponding figures for the control group were 49.7% and 10.4%, respectively. When the former patients' CAPSI-R diagnoses (with incorporation of the impairment criterion) were validated against the DSM-IV diagnoses based on information in their medical records, generally, an acceptable sensitivity and specificity were obtained. The overall kappa between CAPSI-R diagnoses and those from medical records was 0.79. The CAPSI-R shows promise for further evaluation and may be useful in recognising child and adolescent mental disorders in adults.

scholarly journals Description of the Admissions of Elderly Psychiatric Patients in an Acute Unit

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
P. Rico-Villademoros ◽  
R. Touzon ◽  
E. Garnica
Keyword(s):  
Medical Records ◽  
Elderly Population ◽  
Psychiatric Care ◽  
Psychiatric Patients ◽  
The Elderly ◽  
The Past ◽  
Stay Time ◽  
General Average ◽  
Acute Psychiatric Care ◽  
First Admission

Aims:To describe the characteristics of the admission of those older than 70 in the past year, in an acute psychiatric care unit.Method:Medical records of all over 70 patients admitted in our unit during 2007 are reviewed to find out their diagnosis, how many are first admissions and their average stay time, and this is compared to general average stay time for this unit.Results:About 10% of patients admitted to this unit is more than 70. the most frequent diagnosis is depression, followed by bipolar disorder, dementia, psychosis and other diagnoses. Nearly half of all these patients are in their first admission. the average stay of these patients is twice that of the total patients admitted to this unit.Conclusion:Despite the fact that in some places the number of admissions of elderly patients is not considered enough to justify the creation of specific units, objectively their admissions are frequent and their average stay time is much higher than usual. This is probably both the difficulty of drug treatment and social problems that sometimes hampers their discharging. as the elderly population is increasing, we believe that treating these people in specific units should be reconsidered.

La guerra dei matti. Una ricerca su un manicomio di provincia

2009 ◽  
pp. 127-134
Author(s):  
Massimo Tornabene
Keyword(s):  
Medical Records ◽  
Psychiatric Patients ◽  
Individual Case ◽  
Medical Doctors ◽  
Historical Sources ◽  
Public Authorities ◽  
Medical Documents ◽  
Case Files ◽  
Russian Military ◽  
Military Campaign

- Beyond the sum of the deaths and of the economic damages caused by war, war accounting has always shown little regard to the mental health traumas caused by these events. And yet many research studies, based both on the major nineteen century conflicts and on the more recent ones, show that psychic traumas provoked by war can persist with their victims often for many decades. My specific research took into consideration the patients of the Neuropsychiatric Hospital of Racconigi, between 1938 and 1947. This mental hospital hosted psychiatric patients from the Cuneo Province during this specific period. More than 2,500 cases have been taken into consideration of which hundreds were soldiers and civilians committed to this hospital after taking part directly in war actions or as victims of war actions, namely soldiers coming back from the Russian military campaign and civilian survivors of the Boves' slaughter. This research has been possible thanks to the noteworthy helpfulness of the sanitary institution that maintains the medical records of this hospital, including individual case files containing medical documents, public acts and private letters. These historical sources, scarcely used in research, have allowed me to look into the human and cultural atmosphere of the time and to analyze the complexity of the power relations among patients, their relatives, public authorities and medical doctors.Key words: War, mental traumas, psychiatric hospital, medical records, soldiers, civilians.Parole chiave: Guerra, traumi mentali, ospedale psichiatrico, cartelle cliniche, soldati, civili.

scholarly journals Rates and correlates of pharmacotherapy-related problems among psychiatric inpatients: a representative Danish study

2020 ◽  
Vol 10 ◽  
pp. 204512532095712
Author(s):  
Karina Porsborg Kibsdal ◽  
Sabina Andersen ◽  
Parisa Gazerani ◽  
Hanne Plet
Keyword(s):  
Medical Records ◽  
Psychiatric Patients ◽  
Psychiatric Inpatients ◽  
Drug Dosage ◽  
Inappropriate Drug ◽  
Limited Information ◽  
Prescribing Errors ◽  
Acceptance Rates ◽  
Danish Study

Background: Drug related problems (DRPs) occur frequently among psychiatric patients due to common prescribing errors and complex treatment schedules. Clinical pharmacists (CPs) are thought to play an important role in preventing DRPs and, consequently, to increasing the quality of inpatient care. There is, however, limited information available on DRPs within the psychiatric field in Denmark. The aim of this study was to identify rates and correlates of pharmacotherapy-related problems among psychiatric inpatients in a Danish psychiatric hospital. Methods: A retrospective descriptive study was conducted by two CPs and data were obtained from the medical records available in two psychiatric wards. Chart-reviews were conducted for the period of June 2015 to February 2017. The analyses focussed on the prevalence of DRP categories, implementation and acceptance rates, and drugs associated with the DRPs. Extracted data were discussed with the wards’ physicians and registered in a DRP-database. Results: In total, 607 medical records were reviewed and, on average, 2.5 DRPs per medication review were found. There was a positive correlation between the number prescribed drugs and the average number of DRPs. The most frequent categories of DRPs were ‘drug dosage’, ‘inappropriate drug’ and ‘interactions’. The drugs represented most frequently in DRPs were olanzapine, quetiapine and pantoprazole. The overall acceptance rate was 49% with 33% of those implemented clinically. Conclusion: DRPs were commonly observed among psychiatric patients, particularly in those with multiple prescriptions, in relation to drugs dosage, inappropriate prescriptions and drug interactions. Particular attention must be paid to olanzapine, quetiapine and pantoprazole. Strategies to minimise DRPs among psychiatric patients are warranted and CPs can play an important role.

scholarly journals Rules, indications and documentation for applying physical coercion by emergency medical services

2015 ◽  
Vol 125 (2) ◽  
pp. 83-86
Author(s):  
Tomasz Kucmin ◽  
Adriana Kucmin ◽  
Małgorzata Płowaś-Goral ◽  
Adam Nogalski
Keyword(s):  
Mental Health ◽  
Medical Records ◽  
Emergency Services ◽  
Psychiatric Patients ◽  
Medical Emergency ◽  
Mental Health Act ◽  
Legal Foundations ◽  
Apply Physical ◽  
The Right ◽  
Medical Emergency Services

Abstract Helping people with mental disorders poses a challenge to the members of medical emergency services (EMS). Psychiatric patients are often unpredictable and applying physical coercion is necessary in some cases. The aim of this paper was to present and comment on legal foundations of application of different forms of physical coercion by EMS members and describe how to fill out medical records required every time physical coercion was used. According to the amendments of Polish Mental Health Act made in 2010, the EMS members were granted the right to apply physical coercion. Further amendments to the Mental Health Act and the introduction of appropriate Ministry of Health decree define forms of physical coercion, indications to apply physical coercion and include a sample of proper medical records which are required in all cases of application of physical coercion. Application of physical coercion should always be treated as last-line treatment option while helping patients suffering from mental disturbances. Obeying the law every time a decision regarding physical coercion is made protects patients’ right to receive dignified care and treatment as well as the rights of medical professionals

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