{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T03:56:52Z","timestamp":1747195012132,"version":"3.40.5"},"reference-count":0,"publisher":"Komitet Redakcyjno - Wydawniczy Polskiego Towarzystwa Psychiatrycznego","issue":"5","license":[{"start":{"date-parts":[[2021,10,31]],"date-time":"2021-10-31T00:00:00Z","timestamp":1635638400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,10,31]],"date-time":"2021-10-31T00:00:00Z","timestamp":1635638400000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,10,31]],"date-time":"2021-10-31T00:00:00Z","timestamp":1635638400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatr Pol"],"published-print":{"date-parts":[[2021,10,31]]},"abstract":"<jats:sec><jats:title>Cel pracy<\/jats:title><jats:p>Cel badania: Celem badania by\u0142a analiza konsultacji psychiatrycznych u pacjent\u00f3w Oddzia\u0142u Neurologii i Oddzia\u0142u Udarowego (ON\/OU) w latach 2017-2018.<\/jats:p><\/jats:sec><jats:sec><jats:title>Metoda<\/jats:title><jats:p>Dokonano retrospektywnej analizy konsultowanych psychiatrycznie chorych, ustalanych przez konsultanta rozpozna\u0144 (wg ICD-10) oraz zalecanej terapii.<\/jats:p><\/jats:sec><jats:sec><jats:title>Wyniki<\/jats:title><jats:p>W analizowanym okresie odby\u0142o si\u0119 we wszystkich oddzia\u0142ach szpitala 719 konsultacji psychiatrycznych, zdecydowana wi\u0119kszo\u015b\u0107, tj. 488 (67,87%) odby\u0142a si\u0119 w oddziale neurologii i oddzia\u0142em udarowym. Najwi\u0119cej porad psychiatry wymagali pacjenci z rozpoznaniem choroby Huntingtona (n=25; 37,31%), choroby Parkinsona (n=60; 23,9%) oraz padaczki (n=40; 22,73%). Najcz\u0119\u015bciej stawian\u0105 diagnoz\u0105 by\u0142y psychiczne zaburzenia organiczne (n=229; 55,85%), a w szczeg\u00f3lno\u015bci organiczne zaburzenia nastroju (n=73; 14,96%) i organiczne zaburzenia l\u0119kowe (n=32; 6,56%), za\u015b w chorobach naczyniowych - zaburzenia \u015bwiadomo\u015bci w przebiegu majaczenia (n=30; 40,54%). Wi\u0119kszo\u015b\u0107 konsultacji (n=388; 79,51%) zako\u0144czy\u0142a si\u0119 rozpocz\u0119ciem lub modyfikacj\u0105 leczenia farmakologicznego. Grupami najcz\u0119\u015bciej zalecanych lek\u00f3w by\u0142y neuroleptyki (n=174; 35,66%), w wi\u0119kszo\u015bci atypowe (n=152; 87,36%), oraz leki przeciwdepresyjne (n=230; 47,13%), w wi\u0119kszo\u015bci SSRI (n=216; 93,91%). U pacjent\u00f3w &gt;60 r.\u017c. w por\u00f3wnaniu z chorymi &lt;60 r.\u017c cz\u0119\u015bciej rozpoznawano zaburzenia organiczne (n=179; 66,30% vs. n=49; 35,0%) i cz\u0119\u015bciej zalecano neuroleptyki (n=131; 42,12% vs. n=44; 24,86%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Wnioski<\/jats:title><jats:p>Pacjenci oddzia\u0142u neurologii i oddzia\u0142u udarowego byli najcz\u0119\u015bciej konsultowan\u0105 psychiatrycznie grup\u0105 chorych. Optymalizacja opieki nad osob\u0105 ze schorzeniem neurologicznym wymaga \u015bcis\u0142ej wsp\u00f3\u0142pracy neurologa i psychiatry oraz opracowania i aktualizacji wsp\u00f3lnych stanowisk dla post\u0119powania w wybranych jednostkach chorobowych.<\/jats:p><\/jats:sec>","DOI":"10.12740\/pp\/onlinefirst\/116320","type":"journal-article","created":{"date-parts":[[2020,4,7]],"date-time":"2020-04-07T17:26:47Z","timestamp":1586280407000},"page":"989-1000","source":"Crossref","is-referenced-by-count":1,"title":["Analysis of psychiatric consultations in the department of neurology and stroke unit: diagnosis and therapy"],"prefix":"10.12740","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6022-7731","authenticated-orcid":false,"given":"Tomasz","family":"Chmiela","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pawe\u0142","family":"Piekarz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9835-8240","authenticated-orcid":false,"given":"Beata","family":"\u0141abuz-Roszak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Warchala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ewa","family":"Krzystanek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5081-8343","authenticated-orcid":false,"given":"Agnieszka","family":"Gorzkowska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5036","published-online":{"date-parts":[[2021,10,31]]},"container-title":["Psychiatria Polska"],"original-title":["Analiza konsultacji psychiatrycznych w oddziale neurologii i oddziale udarowym: rozpoznania i terapia"],"link":[{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-116320-81755","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.psychiatriapolska.pl\/pdf-116320-81755","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,18]],"date-time":"2022-10-18T06:49:10Z","timestamp":1666075750000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.psychiatriapolska.pl\/Analysis-of-psychiatric-consultations-in-the-department-of-neurology-and-stroke-unit,116320,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,31]]},"references-count":0,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021]]}},"alternative-id":["116320"],"URL":"https:\/\/doi.org\/10.12740\/pp\/onlinefirst\/116320","relation":{},"ISSN":["0033-2674","2391-5854"],"issn-type":[{"type":"print","value":"0033-2674"},{"type":"electronic","value":"2391-5854"}],"subject":[],"published":{"date-parts":[[2021,10,31]]}}}