Open Access Research Article

Comparing the Renal Profile of Patients with Dementia Admitted to a Psychiatric Unit to Those with Delirium/Dementia Seen by the Liaison Psychiatric Services in District General Hospital (DGH) In Wales

Aziz VM1*, Sullivan G2 and Roufael R3

1Department of Psychiatrist, Devon Partnership NHS Trust, UK

2Department of Psychiatrist, South Wales, UK

3Specialty Registrar, All Wales Higher Training Psychiatric Rotation, UK

Corresponding Author

Received Date: May 11, 2019;  Published Date: May 28, 2019

Abstract

In this paper we aimed at looking at the renal profile and its impact on cognition. The research aims to test the renal profile of patients with dementia or delirium as part of the physical health care check and to review its effect on cognition. We looked at renal profile for all patients admitted to a psychiatric unit with a diagnosis of dementia and compared them with patients diagnosed with delirium/ dementia who were referred to the psychiatric liaison team within 6 months period.

Seventy-six patients suffering dementia were admitted to a Psychiatric Unit and sixty-one suffering delirium/ dementia seen by Liaison Psychiatry Services in District General Hospitals (DGH) were sampled (Total 137 patients). The mean age of the sample was 80.85 years old (SD = 8.32) and 56.9% were females (n = 78). Vascular risk factors were present in 79% of dementia patients in the psychiatric unit (n=60) versus 83.6% of Liaison psychiatry patients (n= 51). CT head scan were done on 129 patients (94%), and 69% (n= 89) of the scans showed vascular brain insult. Multivariate analysis yielded no significant association between both the diagnosis and the presence of vascular risk factors in both groups and the renal profile.

Our paper highlighted the need to ensure that cognitive testing and brain scans are completed for all patients as much as possible. Both Mental Health Services and District General Hospitals are to consider implementing a dementia-physical health pathway to improve the physical health of patients with cognitive impairment. Comparing the Renal Profile of patients with Dementia admitted to a Psychiatric Unit to those with Delirium/ Dementia seen by the Liaison Psychiatric Services in District General Hospital (DGH) in Wales.

Keywords: Renal; Profile; Impairment; Dementia; Delirium; Vascular; Cognitive

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