Yaser R Al-Huthail1. 1. Department of Psychiatry, College of Medicine and King Khaled University Hospital, King Saud University, Riyadh, Saudi Arabia.
Abstract
BACKGROUND: The author examined the accuracy of the initial psychiatric diagnosis of primary medical providers requesting psychiatric consultation in a medical inpatient setting in a university hospital. METHODS: A retrospective review of 217 consecutive psychiatric consultations was conducted in which the initial diagnostic impression of primary medical providers was compared with the final psychiatric diagnosis. RESULTS: The accuracy of psychiatric diagnosis was the highest for cognitive disorders 60%, followed by depression 50% and anxiety disorders 46%, whereas the accuracy of diagnosing psychosis was 0%. CONCLUSION: Thus, the accuracy of initial diagnoses made by primary medical providers is quite variable. Factors affecting these results are discussed.
BACKGROUND: The author examined the accuracy of the initial psychiatric diagnosis of primary medical providers requesting psychiatric consultation in a medical inpatient setting in a university hospital. METHODS: A retrospective review of 217 consecutive psychiatric consultations was conducted in which the initial diagnostic impression of primary medical providers was compared with the final psychiatric diagnosis. RESULTS: The accuracy of psychiatric diagnosis was the highest for cognitive disorders 60%, followed by depression 50% and anxiety disorders 46%, whereas the accuracy of diagnosing psychosis was 0%. CONCLUSION: Thus, the accuracy of initial diagnoses made by primary medical providers is quite variable. Factors affecting these results are discussed.
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