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Psychiatric Consultation to Inpatients With 'Early-Onset' Type I Diabetes Mellitus in a University Hospital
Michael K. Popkin, MD;
Allan L. Callies
Arch Gen Psychiatry. 1987;44(2):169-171.
Abstract
• With the use of medical records and the Consultation Liaison Outcome Evaluation System, we studied psychiatric consultation to 52 hospitalized patients with type I diabetes mellitus having onset of disease by age 25 years. The distribution of psychiatric diagnoses assigned to this sample of patients with "early-onset" diabetes did not differ from those of patients with other medical and surgical illnesses. Three features did distinguish consultation to patients having type I diabetes: (1) the diabetics were referred unusually early in the hospital course; (2) psychotropics were seldom utilized; and (3) consultants' recommendations for diagnostic studies were not followed in more than 90% of cases. The study indicates that the primary medical diagnosis is a critical variable governing consultees' use of and responses to psychiatric consultation.
Author Affiliations
From the Departments of Psychiatry (Dr Popkin and Mr Callies) and Medicine (Dr Popkin), University of Minnesota Medical School, Minneapolis.
Footnotes
Accepted for publication June 25, 1985.
Reprint requests to Box 345, Mayo Memorial Building, 420 Delaware St SE, Minneapolis, MN 55455 (Dr Popkin).
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