This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Michael K. Popkin, MD; Thomas B. Mackenzie, MD; Allan L. Callies; Richard C. W. Hall, MD

Arch Gen Psychiatry. 1982;39(7):843-845.

Abstract
• The results of diagnostic measures proposed by psychiatric consultants were examined in a retrospective study of 793 medical records. Of 302 recommendations implemented by consultees, 137 yielded abnormal findings. Abnormalities were widely distributed among laboratory determinations, diagnostic procedures, and psychological tests. Highest yields were associated with EEGs, thyroid function studies, vitamin B12 and folate levels, and the Minnesota Multiphasic Personality Inventory. Two thirds of cases with one or more implemented recommendation were found to have an abnormal result. These findings suggest that consultees may curtail medical examinations of patients with psychiatric symptomatology. The outcomes demonstrate the merits of the diagnostic recommendations offered by psychiatric consultants and underscore the advantages conferred on patient and consultee by a consultant with a firm base on medical knowledge.

Author Affiliations
From the Departments of Psychiatry (Drs Popkin and Mackenzie and Mr Callies) and Medicine (Drs Popkin and Mackenzie), University of Minnesota Medical School, Minneapolis; and the Departments of Psychiatry and Medicine, Medical College of Wisconsin, Milwaukee (Dr Hall).

Footnotes
Accepted for publication May 20, 1981.

Reprint requests to Box 345, Mayo Building, University Hospitals, 420 Delaware St, Minneapolis, MN 55455 (Dr Popkin).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Hospital-Acquired Complications in a Randomized Controlled Clinical Trial of a Geriatric Consultation Team
Becker et al.
JAMA 1987;257:2313-2317.
ABSTRACT  

Prospective Payment for Physician Services: Impact on Medical Consultation Practices
Lowenstein et al.
JAMA 1985;254:2632-2637.
ABSTRACT  

Facilitating Patient Acceptance of a Psychiatric Referral
Bursztajn and Barsky
Arch Intern Med 1985;145:73-75.
ABSTRACT  

Psychiatrie Consultation to Geriatric Medically 111 Inpatients in a University Hospital
Popkin et al.
Arch Gen Psychiatry 1984;41:703-707.
ABSTRACT  

Consultation Outcomes: The Psychiatrist as Consultee
Mackenzie et al.
Arch Gen Psychiatry 1983;40:1211-1214.
ABSTRACT  

Consultation-Liaison Outcome Evaluation System: I. Consultant-Consultee Interaction
Popkin et al.
Arch Gen Psychiatry 1983;40:215-219.
ABSTRACT