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II. Analysis of a State Hospital Inpatient Population

Richard C. W. Hall, MD; Earl R. Gardner, PhD; Sondra K. Stickney, RN; August F. LeCann, PhD; Michael K. Popkin, MD

Arch Gen Psychiatry. 1980;37(9):989-995.

Abstract
• One hundred patients of lower socioeconomic class were intensively evaluated medically on a research ward for the presence of unrecognized medical illnesses that might have affected their hospitalization. Forty-six percent were thought to have medical illnesses that directly caused or greatly exacerbated their symptoms and were consequently responsible for their admission, while an additional 34% of patients were found to be suffering from a medical illness requiring treatment. A diagnostic battery of physical, psychiatric, and neurologic examinations, coupled with a 34-panel automated blood analysis, complete blood cell count, urinanalysis, ECG, and sleepdeprived EEG established the presence and nature of more than 90% of the illnesses detected, and is therefore recommended as an initial evaluation battery, particularly for patients facing involuntary commitment to a mental hospital.

Author Affiliations
From the Department of Psychiatry, University of Texas Medical School, Houston (Drs Hall, Gardner, and LeCann); Department of Psychiatry, University of Minnesota, Minneapolis (Dr Popkin); and Hermann Hospital, Houston (Ms Stickney). Dr Hall is now with the Department of Psychiatry, Medical College of Wisconsin, Milwaukee.

Footnotes
Accepted for publication Nov 19, 1979.

Reprint requests to Department of Psychiatry, Medical College of Wisconsin, 9191 Watertown Plank Rd, Milwaukee, WI 53226 (Dr Hall).

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