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P02-21 - Physical Comorbidity in Hospitalized Patients in a University Affliated Mental Hospital in Bolu-Turkey

Published online by Cambridge University Press:  17 April 2020

O. Arisoy
Affiliation:
Department of Psychiatry, Abant Izzet Baysal University, Izzet Baysal Medical Faculty, Bolu, Turkey
B. Kilic
Affiliation:
Department of Psychiatry, Abant Izzet Baysal University, Izzet Baysal Medical Faculty, Bolu, Turkey
K. Akyildiz
Affiliation:
Department of Psychiatry, Abant Izzet Baysal University, Izzet Baysal Medical Faculty, Bolu, Turkey
M.H. Boztas
Affiliation:
Department of Psychiatry, Abant Izzet Baysal University, Izzet Baysal Medical Faculty, Bolu, Turkey
E. Guney
Affiliation:
Department of Psychiatry, Abant Izzet Baysal University, Izzet Baysal Medical Faculty, Bolu, Turkey
M. Sercan
Affiliation:
Department of Psychiatry, Abant Izzet Baysal University, Izzet Baysal Medical Faculty, Bolu, Turkey

Abstract

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Objective

Severe mental disorders as bipolar disorder and schizophrenia often co-occur with chronic medical illnesses, especially cardiovascular disease and diabetes. Our aim was to estimate the prevalence of physical health problems in hospitalized patients and to determine the sociodemographic and clinical factors associated with physical comorbidity.

Method

The medical records of all inpatients followed up between September 2007 and September 2009 were reviewed retrospectively.

Results

144 patients were evaluted of which 59 (%41) had schizophrenia, 31(%21.5) had bipolar disorder and 54 (%37.5) had other disorders. 43 (%29.9) patients had at least one medical illness, hypertension being the most common (%30) followed by thyroid disorders (%16) and diabetes mellitus (%11). Diabetes Mellitus was detected only in bipolar patients (p=0.005). Females were affected more than males regarding physical comorbidity (p=0.009). Patients with physical comorbidity were older (42.9 vs 35.54 yrs) and had a longer duration of illness (16.2 vs 10.0 yrs). Their hemoglobin levels were lower, blood glucose, urea, thyroid stimulating hormone levels were higher than the patients with no physical illness and the differences were all statistically significant (p=0.05). There was no difference regarding length of hospital stay, drug compliance, previous neuroleptic use, family history for medical and mental illness.

Conclusions: Although it is generally accepted that many physical conditions have been associated with serious mental disorders, the exact nature of the relationship between them is still unclear. Further research is required to identify medical comorbidity risk factors in order to improve the physical health of these patients.

Type
Epidemiology
Copyright
Copyright © European Psychiatric Association 2010
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