Psychiatric consultation for post-liver-transplantation patients
Article first published online: 22 MAY 2009
© 2009 The Authors. Journal compilation © 2009 Japanese Society of Psychiatry and Neurology
Psychiatry and Clinical Neurosciences
Volume 63, Issue 4, pages 471–477, August 2009
How to Cite
Chiu, N.-M., Chen, C.-L. and Cheng, A. T. A. (2009), Psychiatric consultation for post-liver-transplantation patients. Psychiatry and Clinical Neurosciences, 63: 471–477. doi: 10.1111/j.1440-1819.2009.01987.x
- Issue published online: 16 JUL 2009
- Article first published online: 22 MAY 2009
- Received 23 March 2008; revised 23 February 2009; accepted 15 March 2009.
- consultation behavior;
- consultation–liaison psychiatry;
- general hospital psychiatry;
- liver transplantation;
- recommendation concordance
Aim: This report describes the clinical characteristics of referral inpatients who received liver transplantation and the surgeon's concordance with the psychiatric consultation.
Methods: During a 4-year period, psychiatric consultation was arranged for 30 post-liver-transplantation inpatients at Kaohsiung Chang Gung Memorial Hospital. A psychiatrist assessed these patients and made psychiatric diagnoses according to the Diagnostic and Statistical Manual, 4th edition. The clinical data were routinely collected via modified MICRO-CARES software. At the end of the 4-year study period, all the medical records of these 30 inpatients were reviewed.
Results: Psychiatric diagnosis was made in 70% of the patients (n = 21) in three major categories, including delirious state (n = 8), depressive disorder (n = 5), and anxiety/dyssomnia (n = 8). All these conditions were improved by psychiatric management. We found that the consultee's concordance with recommended drug prescriptions was high with antidepressants in depressive patients and low with antipsychotics in patients with delirium. Moreover, anxiolytics were frequently prescribed in post-transplant inpatients before psychiatric consultation.
Conclusion: These findings suggest that psychiatric consultation is beneficial to inpatients after liver transplantation, especially those with depression and delirium.