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Batı Karadeniz Bölgesindeki Akut Koroner Sendromlu Hastalarda Psikiyatrik Hastalıkların Görülme Sıklığı

The Prevalence of Psychiatric Disorders among Patients with Acute Coronary Syndrome in Western Black Sea Region

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Abstract (2. Language): 
Objective: The aim of the present study was to investigate the pre-hospitalization prevalence of psychiatric disorders among patients who were admitted to coronary intensive care unit with a diagnosis of Acute Coronary Syndrome (ACS). Method: This study included patients with ACS who were admitted to the coronary care unit of Abant İzzet Baysal University Hospital between January 2011 and April 2013. The files of the patients were searched for psychiatric diag-noses and psychotropic medication use retrospectively. Results: Four hundred sixty-seven eligible patients were screened. Of these, 373 were male and 94 were female with a mean age of 63.2 ± 15.4 years. Eighty-two patients (17.5%) had a psychiatric diagnosis. In this group, psychiatric diagno-ses were as follows: depressive disorder (42.2%), anxiety disorders (10.5%), anxiety disorders and depression (10.5%), somatoform disorders (10.2%), psychotic disorders (4.8%), and bipolar disorder (1.7%). Of the patients with a psychiat-ric diagnosis, 53 were female (%64.6) and 29 were male (%35.4) (p<0.05). While mean age of the patients with a psychiatric illness was 58.2 ± 12.1 years, that of females was 58.2 ± 12.1 years and of males was 59.13 ± 13.24 years (p<0.05). Conclusion: We found similar psychiatric disorder preva-lence rates with those reported in the previous literature among patients with ACS, who were admitted to coronary care unit in western Black Sea region. We think psychiatric history and psychotropic medication evaluation are of im-portance among this group of patients, particularly in fe-males.
Abstract (Original Language): 
Amaç: Koroner yoğun bakım ünitesine Akut Koroner Send-rom (AKS) tanısı ile yatırılan hastalardaki yatış öncesi psiki-yatrik hastalık sıklığını belirlenmesi amaçlandı. Yöntem: Bu çalışmada Ocak 2011- Nisan 2013 yılları arasında Abant İzzet Baysal Üniversitesi Hastanesine başvurup Koro-ner yoğun bakım ünitesine AKS tanısı ile yatırılan hastaların retrospektif olarak dosyalar ve bilgisayar ortamındaki hasta bilgileri taranarak bu grup hastalardaki psikiyatrik ilaç kulla-nımı ve bu hastalara konulan psikiyatrik tanılar saptandı. Bulgular: Bu tarihler arasında koroner yoğun bakıma yatış yapılmış toplam 467 hasta saptandı. Bu hastaların 373 tanesi erkek, 94 tanesi kadın olup, bu hastaların yaş ortalaması 63,2 ± 15.4 yıldı. Bu hastaların %17.5’ünde (n=82) psikiyatrik hastalık tanısı mevcuttu. Bu hastaların % 42.2 depresyon, %30.6 anksiyete bozukluğu, %10.5’nin anksiyete bozuklu-ğu+depresyon, %10.2’sindede somatoform bozukluk, %4.8’nin psikotik bozukluk ve %1.7’ninde bipolar bozukluk olduğu saptandı. Psikiyatrik hastalık tanısı alan hastaların %64.6’i kadın (n=53), %35.4’ü erkekti (n=29) (p<0.05) Bu hastaların yaş ortalaması 58.2 ± 12.1 yıl iken, kadınlarda bu ortalama 52.12 ± 10.98 yıl iken erkeklerde ise 59.13 ± 13.24 yıl idi (p<0.05). Sonuç: Bu bölgedeki AKS tanısı ile koroner yoğun bakıma yatırılan hastaların psikiyatrik hastalık sıklığı literatürde bildirilen genel dağılımla benzerlik göstermekte olduğunu saptadık. Bu hasta grubunda hastalık öncesi özellikle kadın hastalarda psikiyatrik tanıya sahip olunmasının ve tedavi takibinin önemli olduğunu düşünmekteyiz.
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