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Change in the preference of the psychotropic drugs and consultation liaison psychiatsu proctice

Elif Onur, Beyazıt Yemez, Selma Polat, Neslihan Yalçın Gürz, Can Cimilli.

Abstract
Objective: Psychiatric comorbidity is seen in nearly two-thirds of inpatients in general hospitals. This comorbidity is recognized as a risk factor for longer length of stay and increased rates of rehospitalization. It has been consistently reported that decreased length of stay and rate of rehospitalization depend on the practice of consultation?liaison psychiatry (CLP). A stable CLP service in a general hospital would be expected to create changes in consultation patterns. In this study our aim was to determine the changes in the clinical variables related to CLP activities, and changes in the treatment choices writh psychotropic drugs between two given time periods.

Methods: We retrospectively evaluated the psychiatric consultations in two different periods performed by CLP Unit of the Dokuz Eylül University Medical School Psychiatry Department by using chart review method. We compared 1998-1999 and 2004-2005 time periods. Consultation rates were deduced from total consultations within two periods. Clinical variables on the practice of CLP were evaluated in only completely Şlled CLP forms.

Results: Psychiatric consultation rates were 1.7% for 1998-1999 and 2.6% for 2004-2005. Compared to overall consultation requests, departments of physical therapy and rehabilitation, internal medicine, dermatology, and neurology had the highest rates in both of the evaluated periods. The most common psychiatric diagnosis were mood disorders, adjustment disorders and anxiety disorders. SSRIs
were the most prescribed drugs in both periods. The prescription of newer generation antidepressants and atypical antipsychotics were increased, while the prescription of typical antipsychotics were
decreased by time (p

Key words: Consultation-liaison psychiatry, psychotropic medication, antidepressants, atypical antipsychotics



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