Objective: In this study, it was aimed to examine the clinical and sociodemographic characteristics of patients hospitalized in Ankara City Hospital Child and Adolescent Psychiatry Inpatient Unit during the pandemic period.
Material and Methods: Medical records of children and adolescents who were hospitalized in Ankara City Hospital Child and Adolescent Psychiatry Inpatient Unit between March 2021 and March 2022 were retrospectively analyzed. Patients were evaluated in terms of sociodemographic characteristics, clinical diagnosis and treatment, duration of hospitalization, and Clinical Global Impression Scale (CGI) scores at admission and discharge.
Results: In our study, the mean age of 132 cases (86 girls, 46 boys) was found 15.1±1.8 years. The main diagnoses of the subjects were 30.3% (n=40) major depressive disorder, 25% (n=33) psychotic disorder, 14.4% (n=19) eating disorders, and the remaining 30.3% (n=40) were other disorders. Comorbidity was found in 63.6% (n=84) of the cases. The presence of eating disorders, comorbidity and antidepressant use were found significantly higher in females. There was a significant differences in major depressive disorder (MDD), bipolar disorder (BD), psychotic disorder, eating disorder, conduct disorder, and post-traumatic stress disorder (PTSD) between admission and discharge CGI-Severity (CGI-S) scores. In addition, there was a significant difference between admission and discharge CGI side effects scores only for BD.
Conclusion: In our study, major depressive disorder, psychotic disorder, and eating disorder were the most common diagnoses of cases hospitalized in inpatient unit. There was a comorbidity accompanying two out of every three cases. There are few child and adolescent psychiatry services in our country, and studies on this subject are scarce. It is thought that our study will contribute to the literature on child and adolescent psychiatry inpatient units.
Amaç: Bu çalışmada pandemi sürecinde Ankara Şehir Hastanesi Çocuk ve Ergen Psikiyatri Servisinde yatarak tedavi gören hastaların klinik ve sosyodemografik özelliklerinin incelenmesi amaçlanmıştır.
Gereç ve Yöntemler: Mart 2021-Mart 2022 tarihleri arasında Ankara Şehir Hastanesi Çocuk ve Ergen Psikiyatri Servisinde yatarak tedavi gören hastaların yatış dosyaları geriye dönük olarak incelenmiştir. Hastalar sosyodemografik veriler, yatış sırasında aldıkları tanı ve tedaviler, yatış süresi, yatış ve taburculuk sırasındaki Klinik Global İzlenim Ölçeği (KGİÖ) puanları açısından değerlendirilmiştir.
Bulgular: Çalışmamızda toplam 132 olgunun (86 kız, 46 erkek) yaş ortalaması 15.1±1.8 yıl olarak bulunmuştur. Olguların %30.3’ü (n=40) major depresif bozukluk (MDB), %25’i (n=33) psikotik bozukluk, %14.4’ü yeme bozuklukları (n=19) ve %30.3’ü (n=40) diğer bozukluklar idi. Olguların %63.6’sında (n=84) klinik bozukluk tanısına eşlik eden komorbid başka bir bozukluğun varlığı saptanmıştır. Kız cinsiyetinde yeme bozukluğu, komorbidite varlığı ve antidepresan kullanımı anlamlı yüksek bulunmuştur. Hastaların almış olduğu tanılara göre yatış-çıkış Klinik Global İzlenim Ölçeği hastalık şiddeti (KGİÖ-HŞ) skorları karşılaştırıldığında, MDB, bipolar bozukluk (BPB), psikotik bozukluk, yeme bozukluğu, davranım bozukluğu ve travma sonrası stres bozukluğu (TSSB)’nun anlamlı düzeyde farklılık gösteren bozukluklar olduğu saptanmıştır. Yatış-çıkış KGİÖ yan etki skorları arasında ise yalnızca BPB için anlamlı düzeyde farklılık saptanmıştır.
Sonuç: Çalışmamızda serviste yatarak tedavi gören hastaların en sık major depresif bozuk, psikotik bozukluk ve yeme bozukluğu tanılarının olduğu ve her 3 olgudan ikisine eşlik eden bir komorbidite varlığı saptanmıştır. Ülkemizde çocuk ve ergen psikiyatri servisleri az sayıda olup bu konuda yapılan çalışmalara az rastlanmakta, çalışmamızın çocuk ruh sağlığı yataklı servisleri hakkındaki alan yazına katkı sağlayacağı düşünülmektedir.
Primary Language | English |
---|---|
Subjects | Internal Diseases |
Journal Section | ORIGINAL ARTICLES |
Authors | |
Early Pub Date | May 3, 2023 |
Publication Date | May 29, 2023 |
Submission Date | November 29, 2022 |
Published in Issue | Year 2023 Volume: 17 Issue: 3 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.