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Emerging Psychiatric Themes in Post-COVID-19 Patients on a Psychiatry Consultation-liaison Service

The need for consultation-liaison psychiatry on COVID-19 wards has substantially increased since the start of the pandemic. In this cross-sectional study, we aimed to summarize the characteristics of patients admitted to the post-COVID-19 ward of the American University of Beirut Medical Center who...

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Autores principales: El Hayek, Samer, Kassir, Ghida, Zalzale, Hussein, Gonzalez-Diaz, Jairo M., Bizri, Maya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8405712/
https://www.ncbi.nlm.nih.gov/pubmed/34463904
http://dx.doi.org/10.1007/s11126-021-09944-5
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author El Hayek, Samer
Kassir, Ghida
Zalzale, Hussein
Gonzalez-Diaz, Jairo M.
Bizri, Maya
author_facet El Hayek, Samer
Kassir, Ghida
Zalzale, Hussein
Gonzalez-Diaz, Jairo M.
Bizri, Maya
author_sort El Hayek, Samer
collection PubMed
description The need for consultation-liaison psychiatry on COVID-19 wards has substantially increased since the start of the pandemic. In this cross-sectional study, we aimed to summarize the characteristics of patients admitted to the post-COVID-19 ward of the American University of Beirut Medical Center who received a psychiatric consultation. We collected relevant sociodemographic and medical data, information about past psychiatric history, psychiatry consultation details, hospital course, and disposition outcome. We also conducted chi-square and binary logistic regression analyses to assess the association between the different variables and disposition outcome. A total of 52 patients (mean age 57.33 years; equal gender distribution) were seen by the psychiatry consult-liaison team. Most had medical comorbidities and 21.2% required intubation. The most prevalent psychiatric diagnoses were delirium (30.8%), major depressive episode (15.4%), and other anxiety disorder (15.4%). Pharmacological management was implemented in 90.4% of cases and mainly included second-generation antipsychotics (36.5%). Non-pharmacological interventions consisted of those related to delirium and therapy for anxiety. Only intubation was significantly associated with disposition outcome (p = 0.004). This study highlights the various psychiatric themes emerging during the acute and post-acute periods of hospitalization for COVID-19. Hospitalized individuals recovering from the infection should be diligently screened and referred to the psychiatry consultation-liaison team to ensure the implementation of appropriate interventions.
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spelling pubmed-84057122021-08-31 Emerging Psychiatric Themes in Post-COVID-19 Patients on a Psychiatry Consultation-liaison Service El Hayek, Samer Kassir, Ghida Zalzale, Hussein Gonzalez-Diaz, Jairo M. Bizri, Maya Psychiatr Q Original Paper The need for consultation-liaison psychiatry on COVID-19 wards has substantially increased since the start of the pandemic. In this cross-sectional study, we aimed to summarize the characteristics of patients admitted to the post-COVID-19 ward of the American University of Beirut Medical Center who received a psychiatric consultation. We collected relevant sociodemographic and medical data, information about past psychiatric history, psychiatry consultation details, hospital course, and disposition outcome. We also conducted chi-square and binary logistic regression analyses to assess the association between the different variables and disposition outcome. A total of 52 patients (mean age 57.33 years; equal gender distribution) were seen by the psychiatry consult-liaison team. Most had medical comorbidities and 21.2% required intubation. The most prevalent psychiatric diagnoses were delirium (30.8%), major depressive episode (15.4%), and other anxiety disorder (15.4%). Pharmacological management was implemented in 90.4% of cases and mainly included second-generation antipsychotics (36.5%). Non-pharmacological interventions consisted of those related to delirium and therapy for anxiety. Only intubation was significantly associated with disposition outcome (p = 0.004). This study highlights the various psychiatric themes emerging during the acute and post-acute periods of hospitalization for COVID-19. Hospitalized individuals recovering from the infection should be diligently screened and referred to the psychiatry consultation-liaison team to ensure the implementation of appropriate interventions. Springer US 2021-08-31 2021 /pmc/articles/PMC8405712/ /pubmed/34463904 http://dx.doi.org/10.1007/s11126-021-09944-5 Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Paper
El Hayek, Samer
Kassir, Ghida
Zalzale, Hussein
Gonzalez-Diaz, Jairo M.
Bizri, Maya
Emerging Psychiatric Themes in Post-COVID-19 Patients on a Psychiatry Consultation-liaison Service
title Emerging Psychiatric Themes in Post-COVID-19 Patients on a Psychiatry Consultation-liaison Service
title_full Emerging Psychiatric Themes in Post-COVID-19 Patients on a Psychiatry Consultation-liaison Service
title_fullStr Emerging Psychiatric Themes in Post-COVID-19 Patients on a Psychiatry Consultation-liaison Service
title_full_unstemmed Emerging Psychiatric Themes in Post-COVID-19 Patients on a Psychiatry Consultation-liaison Service
title_short Emerging Psychiatric Themes in Post-COVID-19 Patients on a Psychiatry Consultation-liaison Service
title_sort emerging psychiatric themes in post-covid-19 patients on a psychiatry consultation-liaison service
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8405712/
https://www.ncbi.nlm.nih.gov/pubmed/34463904
http://dx.doi.org/10.1007/s11126-021-09944-5
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