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

Samer El Hayek; Ghida Kassir; Hussein Zalzale; Jairo M. Gonzalez-Diaz; Maya Bizri

doi:10.1007/s11126-021-09944-5

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

Samer El Hayek
, Ghida Kassir
, Hussein Zalzale
, Jairo M. Gonzalez-Diaz
, Maya Bizri

Producción científica: Contribución a revista › Artículo de Investigación › revisión exhaustiva

2 Citas (Scopus)

Resumen

La necesidad de consultas psiquiátricas de enlace en las salas de COVID-19 ha aumentado sustancialmente desde el inicio de la pandemia. En este estudio transversal, nos propusimos resumir las características de los pacientes ingresados en la sala post-COVID-19 del Centro Médico de la Universidad Americana de Beirut que recibieron una consulta psiquiátrica. Se recogieron datos sociodemográficos y médicos relevantes, información sobre antecedentes psiquiátricos, detalles de la consulta psiquiátrica, evolución hospitalaria y resultado de la disposición. También se realizaron análisis de chi-cuadrado y de regresión logística binaria para evaluar la asociación entre las distintas variables y el resultado de la disposición. Un total de 52 pacientes (edad media 57,33 años; distribución equitativa de sexos) fueron atendidos por el equipo de consulta psiquiátrica de enlace. La mayoría presentaba comorbilidades médicas y el 21,2% precisó intubación. Los diagnósticos psiquiátricos más prevalentes fueron delirium (30,8%), episodio depresivo mayor (15,4%) y otro trastorno de ansiedad (15,4%). El tratamiento farmacológico se aplicó en el 90,4% de los casos e incluyó principalmente antipsicóticos de segunda generación (36,5%). Las intervenciones no farmacológicas consistieron en las relacionadas con el delirio y la terapia para la ansiedad.

Idioma original	Inglés estadounidense
Páginas (desde-hasta)	1785-1796
Número de páginas	12
Publicación	Psychiatric Quarterly
Volumen	92
N.º	4
DOI	https://doi.org/10.1007/s11126-021-09944-5
Estado	Publicada - ago. 31 2021

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Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible

ODS 3: Salud y bienestar

Áreas temáticas de ASJC Scopus

Psiquiatría y salud mental

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10.1007/s11126-021-09944-5

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title = "Emerging Psychiatric Themes in Post-COVID-19 Patients on a Psychiatry Consultation-liaison Service",

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

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