성모병원에서의 정신과 자문 현황

Trends of Psychiatric Consultation at the St. Mary’s Hospital

To obtain relevant data on current trends of psychiatric consultation in a general hospital, the authors reviewed 194 cases of inpatients who were referred for psychiatric consultation from January 1, 1989 to December 31, 1989 at the St. Mary s Hospital. The results were as follows : 1) The overall consultation rate was 1.4% of all inpatients, and age distribution was heavily concentrated at the age of 30，s and 50,s. 2) A majority of referrals came from the department of internal medicine (48%) and from the department of neurosurgery(16.5 % ). 3) The most common reason of psychiatric consultation were to evaluate physical symptpms with no laboratory abnormalities(26.8 % ), while the most frequent symptoms o f the referred patients were those related to head and central nervous system(20.6%). 4) The rate of psychotropic drugs use prior to psychiatric consultation was 44.3% and the most frequently prescribed ones were antianxiety drugs(56 .2%). 5) Depressive disorders(22.6 % ) and organic mental disorders(20.6%) were the most common diagnoses given after psychiatric consultation. 6) Use of psychotropic drugs was the most frequent recommendations given after psychiatric consultation.