Title: Frequency and pattern of radiological and laboratory investigations in patients with mental illnesses: A study from North Rajasthan
year: 2016
Journal: Indian J Psychiatry
Volume: 58
Issue: 2
Pages: 183-9
Epubdate: 08/07/2016
date: Apr-Jun
Alternate Journal: Indian journal of psychiatry
ISSN: 0019-5545 (Print) 0019-5545
Legal note: PMC4919963
Article Number: 27385852
Keywords: Computerized tomography-head electroencephalography investigations laboratory tests magnetic resolution imaging brain mental illnesses mentally ill patients
Abstract: BACKGROUND: There are widespread perceptions that excessive and unnecessary investigations are done in many patients with mental illnesses. There are no studies from India looking into this issue. AIMS: (i) To study the frequency and pattern of various investigations such as electroencephalography (EEG), computerized tomography (CT) scan of head, magnetic resolution imaging (MRI) scan of brain, and blood investigations carried out by the previous doctors on patients seeking treatment in three different settings. (ii) To study the socio-demographic and clinical correlates of investigations carried out on these patients. STUDY DESIGN AND SETTINGS: A cross-sectional study in a community outreach clinic, a district level psychiatric hospital, and psychiatry outpatient clinic of a medical college. MATERIALS AND METHODS: 160 newly registered patients seeking treatment at these settings were assessed using a semi-structured pro forma regarding various investigations that they had undergone before seeking the current consultation. Frequency of investigations was analyzed. RESULTS: About 47.5% of patients had at least one of the three brain investigations done. EEG, CT head, and MRI brain had been done in 37.5%, 20.0%, and 8.8% of the patients, respectively. Only 1.8% of the patients had blood tests done before current consultation. CONCLUSION: This study results raise question whether certain investigations such as EEG and CT head were carried out excessively and blood investigations were done infrequently. Further studies on larger samples with prospective study design to evaluate the appropriateness of current practices of carrying out investigations in patients presenting with psychiatric symptoms are required.
Notes: Gupta, Dhanesh K Suthar, Navratan Singh, Vikram Bihari, Mitesh Kumar, Vijay Verma, Kamal K Sidana, Roop Sengupta, Somnath Bhadoriya, Mahender Singh Journal Article India Indian J Psychiatry. 2016 Apr-Jun;58(2):183-9. doi: 10.4103/0019-5545.183781.
URL: http://www.indianjpsychiatry.org/article.asp?issn=0019-5545;year=2016;volume=58;issue=2;spage=183;epage=189;aulast=Gupta
URI: https://open-access.imh.com.sg/handle/123456789/5046
Authors Address: Department of General Psychiatry, Institute of Mental Health, Singapore; Nishkam Foundation, Gurgaon, India. Department of Psychiatry, SP Medical College, Bikaner, India. District Hospital Sikar, Port Blair, India. Department of Psychiatry, ANIIMS, Port Blair, India. Tek Chand Sidana Memorial Psychiatric Hospital and Deaddiction Centre, Sri Ganganagar, India. Department of General Psychiatry, Institute of Mental Health, Singapore. Department of Psychiatry, Index Medical College, Indore, Madhya Pradesh, India.
Database Provider: PIP
language: eng
Appears in Collections:2016

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