Psychiatric consultation to inpatients with 'early-onset' type I diabetes mellitus in a university hospital.
With the use of medical records and the Consultation-Liaison Outcome Evaluation System, we studied psychiatric consultation to 52 hospitalized patients with type I diabetes mellitus having onset of disease by age 25 years. The distribution of psychiatric diagnoses assigned to this sample of patients with "early-onset" diabetes did not differ from those of patients with other medical and surgical illnesses. Three features did distinguish consultation to patients having type I diabetes: the diabetics were referred unusually early in the hospital course; psychotropics were seldom utilized; and consultants' recommendations for diagnostic studies were not followed in more than 90% of cases. The study indicates that the primary medical diagnosis is a critical variable governing consultees' use of and responses to psychiatric consultation.
D000328:Adult; D000367:Age Factors; D000368:Aged; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000523:psychology; D005260:Female; D006753:Hospital Records; D006760:Hospitalization; D006785:Hospitals, University; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D011619:Psychotropic Drugs / Q000627:therapeutic use; D012017:Referral and Consultation
D011619:Psychotropic Drugs