PDF(Pubmed)
Abstract：
UNASSIGNED: Undiagnosed underlying medical conditions can cause many patients to be followed, for years, by a diagnosis of a primary psychiatric disorder and to receive inappropriate treatment. The aim of this study was to determine the prevalence of patients initially diagnosed with a primary psychiatric disorder but whose symptoms were later attributed to medical conditions. These patients\' initial and final diagnoses were also examined.
UNASSIGNED: The records of 1843 patients hospitalized in Gazi University Faculty of Medicine Psychiatric Inpatient Clinic between 2015 and 2020 were examined in this retrospective and descriptive study. Thirteen patients were excluded from the study due to insufficient data. Descriptive statistics were performed on the data of 30 patients diagnosed with an underlying medical condition.
UNASSIGNED: In follow-up, 49 patients\' diagnoses changed. 19 patients had a diagnosis unrelated to an underlying medical condition, and 30 had a diagnosis related to an underlying medical condition. Five (16.7%) of the patients, previously known to have psychiatric disorders, were found to have Alzheimer\'s disease. Brain space-occupying lesions, frontotemporal dementia, epilepsy, Parkinson\'s disease, and Arnold-Chiari malformation followed Alzheimer\'s disease at 6.7% (n = 2). The mean time until the diagnosis of the patients was revised was 4.95 years (standard deviation [SD] = 7.78). It was observed that psychotropic medications (90%) were used more than non-psychotropic drugs until the diagnosis was revised.
UNASSIGNED: During the diagnostic process, we believe that clinicians should be aware of potential underlying medical conditions and that the multidisciplinary work of psychiatry and neurology is also crucial.
UNASSIGNED: The records of 1843 patients hospitalized in Gazi University Faculty of Medicine Psychiatric Inpatient Clinic between 2015 and 2020 were examined in this retrospective and descriptive study. Thirteen patients were excluded from the study due to insufficient data. Descriptive statistics were performed on the data of 30 patients diagnosed with an underlying medical condition.
UNASSIGNED: In follow-up, 49 patients\' diagnoses changed. 19 patients had a diagnosis unrelated to an underlying medical condition, and 30 had a diagnosis related to an underlying medical condition. Five (16.7%) of the patients, previously known to have psychiatric disorders, were found to have Alzheimer\'s disease. Brain space-occupying lesions, frontotemporal dementia, epilepsy, Parkinson\'s disease, and Arnold-Chiari malformation followed Alzheimer\'s disease at 6.7% (n = 2). The mean time until the diagnosis of the patients was revised was 4.95 years (standard deviation [SD] = 7.78). It was observed that psychotropic medications (90%) were used more than non-psychotropic drugs until the diagnosis was revised.
UNASSIGNED: During the diagnostic process, we believe that clinicians should be aware of potential underlying medical conditions and that the multidisciplinary work of psychiatry and neurology is also crucial.
摘要：
■未诊断的潜在医疗状况可能导致许多患者被随访，多年来,通过诊断原发性精神疾病并接受不适当的治疗。这项研究的目的是确定最初被诊断为原发性精神疾病但后来症状归因于医疗状况的患者的患病率。还检查了这些患者的初始和最终诊断。
■在这项回顾性和描述性研究中，检查了2015年至2020年在加济大学医学院精神病住院患者诊所住院的1843名患者的记录。由于数据不足，13名患者被排除在研究之外。对30例诊断为潜在医疗状况的患者的数据进行了描述性统计。
■在后续行动中，49名患者的诊断发生了变化。19例患者的诊断与潜在的医疗状况无关，30人的诊断与潜在的医疗状况有关。5名（16.7%）患者，以前已知患有精神疾病，被发现患有老年痴呆症。脑占位性病变,额颞叶痴呆,癫痫,帕金森病,Arnold-Chiari畸形在阿尔茨海默病之后占6.7%(n=2)。患者的平均诊断时间为4.95年（标准差[SD]=7.78）。据观察，在修改诊断之前，精神药物（90％）的使用比非精神药物多。
■在诊断过程中，我们认为临床医生应该意识到潜在的潜在疾病,精神病学和神经学的多学科工作也至关重要.
■在这项回顾性和描述性研究中，检查了2015年至2020年在加济大学医学院精神病住院患者诊所住院的1843名患者的记录。由于数据不足，13名患者被排除在研究之外。对30例诊断为潜在医疗状况的患者的数据进行了描述性统计。
■在后续行动中，49名患者的诊断发生了变化。19例患者的诊断与潜在的医疗状况无关，30人的诊断与潜在的医疗状况有关。5名（16.7%）患者，以前已知患有精神疾病，被发现患有老年痴呆症。脑占位性病变,额颞叶痴呆,癫痫,帕金森病,Arnold-Chiari畸形在阿尔茨海默病之后占6.7%(n=2)。患者的平均诊断时间为4.95年（标准差[SD]=7.78）。据观察，在修改诊断之前，精神药物（90％）的使用比非精神药物多。
■在诊断过程中，我们认为临床医生应该意识到潜在的潜在疾病,精神病学和神经学的多学科工作也至关重要.
