Alvarado MFP, Ormeño CLP, Martínez HLE, Martínez ALE, Dueñas TH, Morales CI

Language: Spanish
References: 12
Page: 93-96
PDF size: 51.42 Kb.

ABSTRACT

Objective: Our objective was quantification of frequency and severity of affective disorders in severely ill patients and detection by Intensive Care Unit (ICU) and Intermediate Care Unit (IMCU) personnel. Material and methods: We conducted a prospective, observational, transversal, homodemic study with prolective data-gathering. Patients admitted within 3 months were subjected to different instruments of psychiatric diagnosis and the response of treating physicians to the ailments detected was evaluated. Results: We included 46 ill patients in the study. Average anxiety score was 9 x 3.7, for depression, 6.9 x 3.6, and for delirium, 3.2 x 3.9. Only two patients were diagnosed with anxiety and one with delirium. Discussion: We analyzed treatment used in psychiatric disorders and concluded that treatment was not the most adequate. Documentation concerning psychiatric disorders was not found. We concluded that Critical Care Medicine specialists should improve their training in diagnosis and treatment of psychiatric alterations.

REFERENCES

1. Hall JB, Schmidth GA et al. Principles of critical care. 2nd ed. New York, USA: McGraw-Hill; 1998: 965-978.

2. Turnock CM. Intensive care rounds. Psychological Issues in the ICU. Zeneca Pharmaceuticals 1997: 5-17.

3. Mc Cartney JR, Boland RJ. Anxiety and delirium in the intensive care unit. Critical Care Clinics Improving patient tolerance of mechanical ventilation. WB Saunders Co.; 1994: 673-680.

4. Duke JM, Rosemberg SG. Secretos de la anestesia. McGraw-Hill Interamericana; 1998: 682-695.

5. Arieff AI, Griggs RC. Metabolic brain dysfunction in systemic disorders. Boston, MA, USA: Little, Brown 1997: 21-35.

6. Riker RR, Picard JT et al. Prospective evaluation of the sedation-agitation scale for adult critically patients. Crit Care Med 1999; 27(7): 1325-1329.

7. Asociación Psiquiátrica Americana. Manual Diagnóstico y Estadístico de los Trastornos Mentales DSM. IV. Delirium, demencia, trastornos amnésicos y otros trastornos cognoscitivos. 1994: 130-135.

8. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1993; 67: 361-370.

9. Aylard PR, Gooding JH et al. A validation study of three anxiety and depression self-assessment scales. J Psychosom Res 1987; 31(2): 261-268.

10. Gómez M, Granados M et al. Están los médicos sensibilizados al diagnóstico de trastornos siquiátricos en UCI. Unidad de Cuidados Intensivos. Fundación Clínica del Valle de Lili, Cali Colombia 1999.

11. White PF. Textbook intravenous anesthesia. Williams and Wilkins (U.S.A.) 1998: 394.

12. Collins VJ. Anestesiología general y regional. 3rd ed. Vol. 1. México: McGraw-Hill Interamericana; 1997: 745-720.