RSS-Feed abonnieren
DOI: 10.1055/s-0030-1266052
Psychiatrischer Liaisondienst
Eine analytische Betrachtung am Beispiel einer deutschen UniversitätsklinikLiaison PsychiatryAn Analytic View Using the Example of a German University HospitalPublikationsverlauf
Publikationsdatum:
21. März 2011 (online)
Zusammenfassung
Anliegen Untersuchung des psychiatrischen Konsildienstes einer Universitätsklinik. Methode Deskriptive Analyse des psychiatrischen Konsildienstes am Uniklinikum Erlangen im Jahr 2008. Ergebnisse 1 % somatischer Patienten werden psychiatrisch mitbetreut, ⅓ Übereinstimmung von Verdachts- und psychiatrischer Diagnose. Wenige Diagnosen dominieren, Suizidalität oft ausgeschlossen. Meist Antidepressiva und klassische Neuroleptika empfohlen. Schlussfolgerungen Interdisziplinäre Mitbetreuung durch den psychiatrischen Konsiliar ist ein zunehmend genutztes Instrument zur diagnostisch-therapeutischen Effizienzoptimierung.
Abstract
Objective Analysis of liaison psychiatry cases of a university hospital. Methods Descriptive analysis on the basis of all psychiatric consultations realized in the year 2008 at the university hospital of Erlangen. Results About 1 % of all patients with somatic diseases receive a psychiatric treatment by the liaison psychiatry at the same time. Suspected and final diagnosis of correspond in only one third of cases. The diagnoses are focused on only a few diseases. Suicidality is confirmed in a small number of cases. Most commonly a medicamentous treatment is recommended, above all antidepressant and typical neuroleptics. Conclusions The interdisciplinary treatment of patients with somatic diseases by the liaison psychiatry is an increasingly used instrument of other disciplines and serves to optimize the diagnostic and therapeutic efficiency of public health.
Schlüsselwörter
Liaison - psychiatrisches Konsil - Anpassungsstörung
Keywords
liasison - psychiatric consultation - adjustment disorder
Literatur
- 1 ISEG IfS .Epidemiologie und Gesundheitssystemforschung.. ed. BARMER GEK Report Krankenhaus 2010. Hannover: BARMER GEK; 2010
- 2 Lobo-Escolar A, Saz P, Marcos G et al. Somatic and psychiatric comorbidity in the general elderly population: results from the ZARADEMP Project. J Psychosom Res. 2008; 65 347-355
- 3 Lang U E, Hellweg R. Prevalence and role of psychiatric disorders in disability. Versicherungsmedizin. 2006; 58 164-169
- 4 Eikelmann B. Mind meets body – the comorbid patient as a true challenge of interdiscipinarity. Psychiat Prax. 2010; 37 265-267
- 5 Bauer M, Kunze H, Cranach M von et al. Psychiatric reform in Germany. Acta Psychiatr Scand. 2001; 410 27-34
- 6 Becker T, Knapp M, Knudsen H C et al. Aims, outcome measures, study sites and patient sample. EPSILON Study 1. European Psychiatric Services: Inputs Linked to Outcome Domains and Needs. Br J Psychiatry. 2000; 39 S1-S7
- 7 Becker T, Kilian R. Psychiatric services for people with severe mental illness across western Europe: what can be generalized from current knowledge about differences in provision, costs and outcomes of mental health care?. Acta Psychiatr Scand. 2006; 429 9-16
- 8 Bourgeois J A, Hilty D M, Klein S C et al. Expansion of the consultation-liaison psychiatry paradigm at a university medical center: integration of diversified clinical and funding models. Gen Hosp Psychiatry. 2003; 25 262-268
- 9 Suokas J, Suominen K, Lonnqvist J. The attitudes of emergency staff toward attempted suicide patients: a comparative study before and after establishment of a psychiatric consultation service. Crisis. 2009; 30 161-165
- 10 Nickels M W, Privitera M R, Coletta M et al. Treating depression: psychiatric consultation in cardiology. Cardiol J. 2009; 16 279-293
- 11 Bishop L C, Thornby J. Psychiatric consultation with medical evacuees of Hurricane Katrina. Wilderness Environ Med. 2009; 20 1-5
- 12 Tennen G B, Rundell J R, Stevens S R. Mortality in medical-surgical inpatients referred for psychiatric consultation. Gen Hosp Psychiatry. 2009; 31 341-346
- 13 Johnston M L, Cowman S. An examination of the services provided by Psychiatric Consultation Liaison Nurses in a general hospital. J Psychiatr Ment Health Nurs. 2008; 15 500-507
- 14 Igarashi H, Kitamura T, Ohuchi K et al. Consultation frequency and perceived consultation time in a Japanese psychiatric clinic: their relationship with patient consultation satisfaction and depression and anxiety. Psychiatry Clin Neurosci. 2008; 62 129-134
- 15 Kat M G, Zuidema S U, van der Ploeg T et al. Reasons for psychiatric consultation referrals in Dutch nursing home patients with dementia: a comparison with normative data on prevalence of neuropsychiatric symptoms. Int J Geriatr Psychiatry. 2008; 23 1014-1019
- 16 Levenson J L. Response to „The guideline ‘consultation psychiatry’ of the Netherlands Psychiatric Association”. J Psychosom Res. 2009; 66 538-539
- 17 van der Feltz-Cornelis C M, Van Os T W, Van Marwijk H W et al. Effect of psychiatric consultation models in primary care. A systematic review and meta-analysis of randomized clinical trials. J Psychosom Res. 2010; 68 521-533
- 18 Fiebiger D, Ficker F, Winiecki P et al. Psychiatric consultation service at the Psychiatric Clinic of the Gorlitz Municipal Clinic GmbH, ECLW. Psychiat Prax. 1997; 24 129-133
- 19 Borbe R, Flammer E, Borbe S et al. Social-psychiatric research in Germany – a literature review. Psychiat Prax. 2009; 36 e7-18
- 20 Harbou K von, Kordy H. Psychiatric consultation via internet. Psychiat Prax. 2009; 36 308-310
- 21 Rothenhausler H B, Stepan A, Kreiner B et al. Patterns of psychiatric consultation in an Austrian tertiary care center – results of a systematic analysis of 3,307 referrals over 2 years. Psychiatr Danub. 2008; 20 301-309
- 22 Tonn P, Reuter S, Gerlach N et al. Psychiatrische Patienten in der Notaufnahme. Notfall + Rettungsmedizin. 2008; 11 537-546
- 23 Cavanaugh S, Wettstein R M eds. Prevalence of psychiatric morbidity in medical populations.. Washington DC: American Psychiaric Press; 1984: 187-215
Sebastian Kreil
Universitätsklinikum Erlangen
Psychiatrische und Psychotherapeutische Klinik
Schwabachanlage 6
91054 Erlangen
eMail: sebastian.kreil@uk-erlangen.de