Mark A Oldham1. 1. Department of Psychiatry (M.A.O.), University of Rochester Medical Center, Rochester, NY. Electronic address: Mark_Oldham@URMC.Rochester.edu.
Abstract
OBJECTIVE: The objective of this review is to determine the probability that catatonia in the hospital has a secondary cause ("medical catatonia") and to calculate the relative proportions of these causes stratified by hospital setting. METHODS: PRISMA systematic review of PubMed. RESULTS: Eleven studies were included. Hospital-wide, 20% of catatonia was medical. In acute medical and surgical settings, medical catatonia comprised more than half of cases. At least 80% of older adults seen by consult psychiatry and critically ill patients had a medical cause. Two thirds of medical catatonia involved CNS-specific disease including encephalitis, neural injury, developmental disorders, structural brain pathology, or seizures. CONCLUSIONS: Patients in acute medical and surgical settings with catatonia deserve a medical workup that prioritizes CNS etiologies.
OBJECTIVE: The objective of this review is to determine the probability that catatonia in the hospital has a secondary cause ("medical catatonia") and to calculate the relative proportions of these causes stratified by hospital setting. METHODS: PRISMA systematic review of PubMed. RESULTS: Eleven studies were included. Hospital-wide, 20% of catatonia was medical. In acute medical and surgical settings, medical catatonia comprised more than half of cases. At least 80% of older adults seen by consult psychiatry and critically illpatients had a medical cause. Two thirds of medical catatonia involved CNS-specific disease including encephalitis, neural injury, developmental disorders, structural brain pathology, or seizures. CONCLUSIONS:Patients in acute medical and surgical settings with catatonia deserve a medical workup that prioritizes CNS etiologies.
Authors: James Luccarelli; Mark Kalinich; Thomas H McCoy; Carlos Fernandez-Robles; Gregory Fricchione; Felicia Smith; Scott R Beach Journal: Gen Hosp Psychiatry Date: 2022-05-24 Impact factor: 7.587