Next Article in Journal
Breaking Barriers to Healthcare Access: A Multilevel Analysis of Individual- and Community-Level Factors Affecting Women’s Access to Healthcare Services in Benin
Next Article in Special Issue
How Artificial Intelligence and New Technologies Can Help the Management of the COVID-19 Pandemic
Previous Article in Journal
Psychosocial Factors Predicting Resilience in Family Caregivers of Children with Cancer: A Cross-Sectional Study
Article

Diagnostic Agreement between Physicians and a Consultation–Liaison Psychiatry Team at a General Hospital: An Exploratory Study across 20 Years of Referrals

1
Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Via Giuseppe Campi, 287–41125 Modena, Italy
2
Department of Economics & Marco Biagi Foundation, University of Modena and Reggio Emilia, Via J. Berengario, 51–41121 Modena, Italy
3
Department of Mental Health, Modena Health Local Agency, Viale L.A. Muratori, 201-41124 Modena, Italy
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(2), 749; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18020749
Received: 29 November 2020 / Revised: 9 January 2021 / Accepted: 15 January 2021 / Published: 17 January 2021
Consultation–liaison psychiatry (CLP) manages psychiatric care for patients admitted to a general hospital (GH) for somatic reasons. We evaluated patterns in psychiatric morbidity, reasons for referral and diagnostic concordance between referring doctors and CL psychiatrists. Referrals over the course of 20 years (2000–2019) made by the CLP Service at Modena GH (Italy) were retrospectively analyzed. Cohen’s kappa statistics were used to estimate the agreement between the diagnoses made by CL psychiatrist and the diagnoses considered by the referring doctors. The analyses covered 18,888 referrals. The most common referral reason was suspicion of depression (n = 4937; 32.3%), followed by agitation (n = 1534; 10.0%). Psychiatric diagnoses were established for 13,883 (73.8%) referrals. Fair agreement was found for depressive disorders (kappa = 0.281) and for delirium (kappa = 0.342), which increased for anxiety comorbid depression (kappa = 0.305) and hyperkinetic delirium (kappa = 0.504). Moderate agreement was found for alcohol or substance abuse (kappa = 0.574). Referring doctors correctly recognized psychiatric conditions due to their exogenous etiology or clear clinical signs; in addition, the presence of positive symptoms (such as panic or agitation) increased diagnostic concordance. Close daily collaboration between CL psychiatrists and GH doctors lead to improvements in the ability to properly detect comorbid psychiatric conditions. View Full-Text
Keywords: consultation–liaison psychiatry; inter-rater agreement; psychosomatic medicine; general hospital consultation–liaison psychiatry; inter-rater agreement; psychosomatic medicine; general hospital
MDPI and ACS Style

Marchi, M.; Magarini, F.M.; Mattei, G.; Pingani, L.; Moscara, M.; Galeazzi, G.M.; Ferrari, S. Diagnostic Agreement between Physicians and a Consultation–Liaison Psychiatry Team at a General Hospital: An Exploratory Study across 20 Years of Referrals. Int. J. Environ. Res. Public Health 2021, 18, 749. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18020749

AMA Style

Marchi M, Magarini FM, Mattei G, Pingani L, Moscara M, Galeazzi GM, Ferrari S. Diagnostic Agreement between Physicians and a Consultation–Liaison Psychiatry Team at a General Hospital: An Exploratory Study across 20 Years of Referrals. International Journal of Environmental Research and Public Health. 2021; 18(2):749. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18020749

Chicago/Turabian Style

Marchi, Mattia, Federica M. Magarini, Giorgio Mattei, Luca Pingani, Maria Moscara, Gian M. Galeazzi, and Silvia Ferrari. 2021. "Diagnostic Agreement between Physicians and a Consultation–Liaison Psychiatry Team at a General Hospital: An Exploratory Study across 20 Years of Referrals" International Journal of Environmental Research and Public Health 18, no. 2: 749. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18020749

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop