Prevalence of psychiatric morbidity in orthopaedic inpatient: a hospital based cross-sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20233074Keywords:
Orthopedic injury, Psychiatric disorder, Road traffic accidentAbstract
Background: Identification of a psychiatric problem should be a necessity part of treatment planning in orthopedic practice, and prompt referral for diagnosis and treatment should be made for better outcome. There have been very few studies in Nepal that has assessed the presence of psychiatric disorders in injured inpatients. The aim of the study was to find out the prevalence of psychiatric disorders in patients with injury admitted to the orthopedic ward of CMC teaching hospital.
Methods: The study was carried out among 150 randomly selected patients of age group 18-60 years from the orthopedic ward suffering from any orthopedic injury. The study design is a hospital based cross sectional descriptive study. Diagnosis of psychiatric Disorders were made using ICD10 criteria. Data entry and analysis was done using the SPSS software version 21.0.
Results: The prevalence of psychiatric disorder in patients with orthopedic injury was found to be 32% with depressive disorders being the most common diagnosis (12.1%) followed by anxiety disorder (8%) and somatoform disorder(6%). Psychiatric disorders were significantly associated with age, age group and gender. Psychiatric disorders were the most commonly found in those with patients with road traffic accident (52.1%) and those with lower limb injury (47.9%).
Conclusions: Since, there is presence of psychopathology in orthopedic injured patients, early referral by the orthopedic surgeons to the psychiatric department is necessary for early evaluation and treatment.
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References
World Health Organization. Peden MM, McGee K, Krug E, editors. Injury: a leading cause of the global burden of disease, 2000. Available at: https://apps.who.int/iris/handle/10665/66160. Accessed on 2 May 2022.
Protocol AT. Trauma-informed care in behavioral health services. Rockville, USA: Substance Abuse and Mental Health Services Administration. 2014.
Kuhn WF, Bell RA, Netscher RE, Seligson D, Kuhn SJ. Psychiatric assessment of leg fracture patients: A pilot study. Inte J Psych Medi. 1990;19(2):145-54.
O'Donnell ML, Creamer M, Elliott P, Atkin C, Kossmann T. Determinants of quality of life and role-related disability after injury: impact of acute psychological responses. J Trauma Acute Care Surg. 2005;59(6):1328-35.
Malik P, GargR, Sidhu S, Sharma KC, Gulia AD. Psychiatric morbidity in post traumatic handicapped patients. Delhi Psych J. 2012;15(1):130-5.
Srahbzu M, Yigizaw N, Fanta T, Assefa D, Tirfeneh E. Prevalence of depression and anxiety and associated factors among patients visiting orthopedic outpatient clinic at TikurAnbessa specialized hospital, Addis Ababa, Ethiopia, 2017. J Psychiatry. 2018;21(450):2.
Weinberg D, Narayanan A, Boden KA, Breslin MA, Vallier HA. "Psychiatric illness is common among patients with orthopedic polytrauma and is linked with poor outcomes. J Bone Joint Surg A. 2016;98(5):341-8.
Juneja R, Prasad BS. A cross-sectional study of psychiatric morbidity in adult amputees in a tertiary health care institute. J Med Sci. 2018;5(1):12-20.
Singh M, Gupte SG. Study of psychiatry morbidity following traumatic long bone injury. MVP J Med Sci. 2015;2(1):34-8.
Maselesele VM, Idemudia ES. The role of social support in the relationship between mental health and posttraumatic stress disorder amongst orthopedic patients. Curationis. 2013;36(1):1-7.
Bryant RA, O'donnell ML, Creamer M, McFarlane AC, Clark CR, Silove D. The psychiatric sequelae of traumatic injury. Am J Psych. 2010;167(3):312-20.
