General hospital psychiatry
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Gen Hosp Psychiatry · Jul 2010
A retrospective analysis of intramuscular haloperidol and intramuscular olanzapine in the treatment of agitation in drug- and alcohol-using patients.
The treatment of agitation in drug- and alcohol-using emergency patients is understudied. ⋯ Findings support the generalization of efficacy data from more rarified agitated samples to populations with high rates of substance use and highlight the need for prospective, inclusive, randomized trials comparing the commonly used haloperidol-benzodiazepine combination with newer injectable antipsychotics.
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Gen Hosp Psychiatry · Jul 2010
Case ReportsSuxamethonium induced prolonged apnea in a patient receiving electroconvulsive therapy.
Suxamethonium causes prolonged apnea in patients in whom pseudocholinesterase enzyme gets deactivated by organophosphorus (OP) poisons. Here, we present a similar incident in a severely depressed patient who received electroconvulsive therapy (ECT). Prolonged apnea in our case ensued because the information about suicidal attempt by OP compound was concealed from the treating team.
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Gen Hosp Psychiatry · Mar 2010
Quality of end-of-life care for dementia patients during acute hospital admission: a retrospective study in Ireland.
To examine the quality of end-of-life care received by patients with and without dementia on acute medical wards during their final hospitalization. ⋯ Individuals with dementia may be receiving different end-of-life care from those without. The effective delivery of robust multidisciplinary frameworks for the palliation of symptoms of hospitalized dementia patients remains an important clinical goal.
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Gen Hosp Psychiatry · Mar 2010
Randomized Controlled TrialRisk factors for depression and anxiety in survivors of acute respiratory distress syndrome.
Depression and anxiety are common morbidities of critical illness. We assessed risk factors of depression and anxiety in Acute Respiratory Distress Syndrome (ARDS) survivors at 1 and 2 years post-hospital discharge. ⋯ Medical variables that predicted depression or anxiety at 1 year no longer predicted depression and anxiety at 2 years. Medical variables appear to have a short-term effect on psychiatric outcomes. At 2 years lifestyle behaviors including history of smoking along with cognitive sequelae, depression and anxiety at 1 year predict depression and anxiety.
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Gen Hosp Psychiatry · Mar 2010
Correlates of symptoms of depression and anxiety in chronic hemodialysis patients.
Little is known about the demographic, clinical and laboratory variables which may be correlated with symptoms of depression and anxiety in hemodialysis (HD) patients. The present study aimed at evaluating such correlation in HD patients treated at a single HD center in a Mediterranean country. ⋯ Although numerous demographic, clinical and laboratory variables correlated with BDI and HARS in univariate analysis, the multivariate regression analysis showed only a direct correlation between BDI and IL-6 [P=.042, OR=1.31 (95% CI=1.01-1.71)] and an inverse correlation between BDI and creatinine [P=.050, OR=0.73 (95% CI=0.54-1.00)] and a direct correlation between HARS and the Charlson Comorbidity Index [P<.001, OR=1.55 (95% CI=1.22-1.96)].