Somatic assessment of one hundred inpatients in a psychiatric crisis unit: A retrospective observational study.
Identifieur interne : 000025 ( Main/Exploration ); précédent : 000024; suivant : 000026Somatic assessment of one hundred inpatients in a psychiatric crisis unit: A retrospective observational study.
Auteurs : G. Choron [France] ; F-X Lesage [France] ; L. Picy [France] ; P. Courtet [France] ; E. Olie [France]Source :
- L'Encephale [ 0013-7006 ] ; 2020.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Comorbidité (MeSH), Femelle (MeSH), France (épidémiologie), Hospitalisation (statistiques et données numériques), Humains (MeSH), Jeune adulte (MeSH), Mortalité (MeSH), Mâle (MeSH), Patients hospitalisés (statistiques et données numériques), Services des urgences psychiatriques (MeSH), Sujet âgé (MeSH), Troubles mentaux (complications), Troubles mentaux (diagnostic), Troubles mentaux (thérapie), Troubles mentaux (épidémiologie), État de santé (MeSH), Études rétrospectives (MeSH).
- MESH :
- diagnostic : Troubles mentaux.
- statistiques et données numériques : Hospitalisation, Patients hospitalisés.
- thérapie : Troubles mentaux.
- épidémiologie : France, Troubles mentaux.
- Adolescent, Adulte, Adulte d'âge moyen, Comorbidité, Femelle, Humains, Jeune adulte, Mortalité, Mâle, Services des urgences psychiatriques, Sujet âgé, État de santé, Études rétrospectives.
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Comorbidity (MeSH), Emergency Services, Psychiatric (MeSH), Female (MeSH), France (epidemiology), Health Status (MeSH), Heart Disease Risk Factors (MeSH), Hospitalization (statistics & numerical data), Humans (MeSH), Inpatients (statistics & numerical data), Male (MeSH), Mental Disorders (complications), Mental Disorders (diagnosis), Mental Disorders (epidemiology), Mental Disorders (therapy), Middle Aged (MeSH), Mortality (MeSH), Retrospective Studies (MeSH), Young Adult (MeSH).
- MESH :
- geographic , epidemiology : France.
- complications : Mental Disorders.
- diagnosis : Mental Disorders.
- epidemiology : Mental Disorders.
- statistics & numerical data : Hospitalization, Inpatients.
- therapy : Mental Disorders.
- Adolescent, Adult, Aged, Comorbidity, Emergency Services, Psychiatric, Female, Health Status, Heart Disease Risk Factors, Humans, Male, Middle Aged, Mortality, Retrospective Studies, Young Adult.
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.
DOI: 10.1016/j.encep.2019.07.004
PubMed: 31870494
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Choron</name><affiliation wicri:level="3"><nlm:affiliation>Université de Montpellier, CHU de Montpellier, 34000 Montpellier, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université de Montpellier, CHU de Montpellier, 34000 Montpellier</wicri:regionArea><placeName><region type="region" nuts="2">Occitanie (région administrative)</region><region type="old region" nuts="2">Languedoc-Roussillon</region><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Lesage, F X" sort="Lesage, F X" uniqKey="Lesage F" first="F-X" last="Lesage">F-X Lesage</name><affiliation wicri:level="3"><nlm:affiliation>Université de Montpellier, CHU de Montpellier, 34000 Montpellier, France; Epsylon, université de Montpellier, université Paul-Valéry Montpellier 3, CHU de Montpellier, 34000 Montpellier, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université de Montpellier, CHU de Montpellier, 34000 Montpellier, France; Epsylon, université de Montpellier, université Paul-Valéry Montpellier 3, CHU de Montpellier, 34000 Montpellier</wicri:regionArea><placeName><region type="region" nuts="2">Occitanie (région administrative)</region><region type="old region" nuts="2">Languedoc-Roussillon</region><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Picy, L" sort="Picy, L" uniqKey="Picy L" first="L" last="Picy">L. 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Courtet</name><affiliation wicri:level="3"><nlm:affiliation>Psychiatric emergency and post-acute care, CHU de Montpellier, 34000 Montpellier, France; Unité INSERM U1061, 34000 Montpellier, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Psychiatric emergency and post-acute care, CHU de Montpellier, 34000 Montpellier, France; Unité INSERM U1061, 34000 Montpellier</wicri:regionArea><placeName><region type="region" nuts="2">Occitanie (région administrative)</region><region type="old region" nuts="2">Languedoc-Roussillon</region><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Olie, E" sort="Olie, E" uniqKey="Olie E" first="E" last="Olie">E. Olie</name><affiliation wicri:level="3"><nlm:affiliation>Psychiatric emergency and post-acute care, CHU de Montpellier, 34000 Montpellier, France; Unité INSERM U1061, 34000 Montpellier, France. Electronic address: e-olie@chu-montpellier.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Psychiatric emergency and post-acute care, CHU de Montpellier, 34000 Montpellier, France; Unité INSERM U1061, 34000 Montpellier</wicri:regionArea><placeName><region type="region" nuts="2">Occitanie (région administrative)</region><region type="old region" nuts="2">Languedoc-Roussillon</region><settlement type="city">Montpellier</settlement></placeName></affiliation></author></analytic><series><title level="j">L'Encephale</title><idno type="ISSN">0013-7006</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Comorbidity (MeSH)</term><term>Emergency Services, Psychiatric (MeSH)</term><term>Female (MeSH)</term><term>France (epidemiology)</term><term>Health Status (MeSH)</term><term>Heart Disease Risk Factors (MeSH)</term><term>Hospitalization (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Inpatients (statistics & numerical data)</term><term>Male (MeSH)</term><term>Mental Disorders (complications)</term><term>Mental Disorders (diagnosis)</term><term>Mental Disorders (epidemiology)</term><term>Mental Disorders (therapy)</term><term>Middle Aged (MeSH)</term><term>Mortality (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Comorbidité (MeSH)</term><term>Femelle (MeSH)</term><term>France (épidémiologie)</term><term>Hospitalisation (statistiques et données numériques)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mortalité (MeSH)</term><term>Mâle (MeSH)</term><term>Patients hospitalisés (statistiques et données numériques)</term><term>Services des urgences psychiatriques (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Troubles mentaux (complications)</term><term>Troubles mentaux (diagnostic)</term><term>Troubles mentaux (thérapie)</term><term>Troubles mentaux (épidémiologie)</term><term>État de santé (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Mental Disorders</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Mental Disorders</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Troubles mentaux</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Mental Disorders</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Hospitalization</term><term>Inpatients</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Hospitalisation</term><term>Patients hospitalisés</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Mental Disorders</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Troubles mentaux</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>France</term><term>Troubles mentaux</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Comorbidity</term><term>Emergency Services, Psychiatric</term><term>Female</term><term>Health Status</term><term>Heart Disease Risk Factors</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Mortality</term><term>Retrospective Studies</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Comorbidité</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mortalité</term><term>Mâle</term><term>Services des urgences psychiatriques</term><term>Sujet âgé</term><term>État de santé</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>Compared to the general population, psychiatric patients are more exposed to physical illness but have reduced access to care.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>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.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31870494</PMID><DateCompleted><Year>2021</Year><Month>04</Month><Day>27</Day></DateCompleted><DateRevised><Year>2021</Year><Month>04</Month><Day>27</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0013-7006</ISSN><JournalIssue CitedMedium="Internet"><Volume>46</Volume><Issue>3</Issue><PubDate><Year>2020</Year><Month>Jun</Month></PubDate></JournalIssue><Title>L'Encephale</Title><ISOAbbreviation>Encephale</ISOAbbreviation></Journal><ArticleTitle>Somatic assessment of one hundred inpatients in a psychiatric crisis unit: A retrospective observational study.</ArticleTitle><Pagination><MedlinePgn>173-176</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0013-7006(19)30238-6</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.encep.2019.07.004</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Compared to the general population, psychiatric patients are more exposed to physical illness but have reduced access to care.</AbstractText><AbstractText Label="METHODS" NlmCategory="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.</AbstractText><AbstractText Label="RESULTS" NlmCategory="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.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">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.</AbstractText><CopyrightInformation>Copyright © 2019. Published by Elsevier Masson SAS.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Choron</LastName><ForeName>G</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Université de Montpellier, CHU de Montpellier, 34000 Montpellier, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lesage</LastName><ForeName>F-X</ForeName><Initials>FX</Initials><AffiliationInfo><Affiliation>Université de Montpellier, CHU de Montpellier, 34000 Montpellier, France; Epsylon, université de Montpellier, université Paul-Valéry Montpellier 3, CHU de Montpellier, 34000 Montpellier, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Picy</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Psychiatric emergency and post-acute care, CHU de Montpellier, 34000 Montpellier, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Courtet</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Psychiatric emergency and post-acute care, CHU de Montpellier, 34000 Montpellier, France; Unité INSERM U1061, 34000 Montpellier, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Olie</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Psychiatric emergency and post-acute care, CHU de Montpellier, 34000 Montpellier, France; Unité INSERM U1061, 34000 Montpellier, France. Electronic address: e-olie@chu-montpellier.fr.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>12</Month><Day>20</Day></ArticleDate></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>Encephale</MedlineTA><NlmUniqueID>7505643</NlmUniqueID><ISSNLinking>0013-7006</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015897" MajorTopicYN="N">Comorbidity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004637" MajorTopicYN="N">Emergency Services, Psychiatric</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006304" MajorTopicYN="Y">Health Status</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000082742" MajorTopicYN="N">Heart Disease Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007297" MajorTopicYN="N">Inpatients</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001523" MajorTopicYN="N">Mental Disorders</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009026" MajorTopicYN="N">Mortality</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Cardiovascular risk</Keyword><Keyword MajorTopicYN="N">Comorbidity</Keyword><Keyword MajorTopicYN="N">Comorbidité</Keyword><Keyword MajorTopicYN="N">Health status</Keyword><Keyword MajorTopicYN="N">Mental disorders</Keyword><Keyword MajorTopicYN="N">Mortality</Keyword><Keyword MajorTopicYN="N">Mortalité</Keyword><Keyword MajorTopicYN="N">Risque cardiovasculaire</Keyword><Keyword MajorTopicYN="N">Troubles mentaux</Keyword><Keyword MajorTopicYN="N">État de santé</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>03</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2019</Year><Month>07</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>07</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>12</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2021</Year><Month>4</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>12</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31870494</ArticleId><ArticleId IdType="pii">S0013-7006(19)30238-6</ArticleId><ArticleId IdType="doi">10.1016/j.encep.2019.07.004</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Languedoc-Roussillon</li><li>Occitanie (région administrative)</li></region><settlement><li>Montpellier</li></settlement></list><tree><country name="France"><region name="Occitanie (région administrative)"><name sortKey="Choron, G" sort="Choron, G" uniqKey="Choron G" first="G" last="Choron">G. Choron</name></region><name sortKey="Courtet, P" sort="Courtet, P" uniqKey="Courtet P" first="P" last="Courtet">P. Courtet</name><name sortKey="Lesage, F X" sort="Lesage, F X" uniqKey="Lesage F" first="F-X" last="Lesage">F-X Lesage</name><name sortKey="Olie, E" sort="Olie, E" uniqKey="Olie E" first="E" last="Olie">E. Olie</name><name sortKey="Picy, L" sort="Picy, L" uniqKey="Picy L" first="L" last="Picy">L. Picy</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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