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Somatic assessment of one hundred inpatients in a psychiatric crisis unit: A retrospective observational study

Abstract : OBJECTIVES: Compared to the general population, psychiatric patients are more exposed to physical illness but have reduced access to care. METHODS: We conducted a descriptive study in Montpellier between November 2011, 2nd and December 2012, 21st. Every Wednesday and Friday, the last two inpatients admitted in the psychiatric post-emergency unit of the University Hospital of Montpellier were assessed by a general practitioner and included in the study. This unit takes care of suicidal patients suffering from mood and/or personality disorders. The general practitioner assessed lifetime somatic history, current somatic comorbidities and medical follow-up for non-psychiatric issues. RESULTS: One hundred patients were included. The sample consisted of 81% women with a mean age of 43 years (18-79 years). The majority of patients had a lifetime history of somatic disease (96%) and was followed by a general practitioner (99%). Six patients had no met general practitioner for at least one year. Dyslipidemia was reported in 32 patients, among those only one patient was on lipid-lowering drug (96.88%). Among patients with impaired dental condition, 29 (55.77%) had not met a dentist for at least one year. Among those with impaired near visual acuity and/or impaired distance visual acuity, 19 (65.52%) had not met an ophthalmologist for at least one year. CONCLUSION: Although detected, somatic comorbidities seem outsourced in psychiatric patients. Greater awareness among different health professionals about the medical care of such patients could improve healthcare management and life expectancy
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Contributeur : Nathalie Salvy-Cordoba <>
Soumis le : lundi 30 mars 2020 - 10:17:17
Dernière modification le : vendredi 15 mai 2020 - 12:22:08




G. Choron, F.-X. Lesage, L. Picy, P. Courtet, E. Olié. Somatic assessment of one hundred inpatients in a psychiatric crisis unit: A retrospective observational study. L'Encéphale, Elsevier Masson, 2019, ⟨10.1016/j.encep.2019.07.004⟩. ⟨hal-02524086⟩



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