Characteristics of hospitalized working-age patients with organic psychiatric disorders

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Abstract

BACKGROUND: Organic psychiatric disorders are one of the major medical and social issues in psychiatry. Studying the characteristics of patients with such disorders can help identify risk factors for poor prognosis and develop effective preventive strategies.

AIM: To study the characteristics of hospitalized working-age patients with organic psychiatric disorders to create a personalized database as a core source of information for subsequent scientific research and the development of recommendations on improving psychiatric treatment, rehabilitation, and prevention strategies.

METHODS: As part of the study at the psychiatric hospital, a comprehensive retrospective analysis of inpatient treatment cases was conducted for patients of working age (men aged 18–59 years, women aged 18–54 years) hospitalized with diagnoses of organic psychiatric disorders from 2000 to 2019 in the Republic of Tatarstan. During the analysis, methods of descriptive statistics (calculation of intensive and extensive indicators), analysis of time series, and Student's t-test were used.

RESULTS: The total number of hospitalizations was 31,625, ranging from 1101 to 2194. The mean value was 1151.25 ± 77.40 hospitalizations per year. There is a significant male predominance among hospitalized individuals. In the age structure of all hospitalized patients, those aged 40–49 predominate, followed by the 50–59 age group. The diagnoses from F06 (53,8%) and F07 (45,4%) sections of the ICD-10 were the most common. Among the diagnoses, psychiatric disorders coded F06 and F07 in the ICD-10 prevailed, accounting for 53.8% and 45.4%, respectively. Personality disorders due to known physiological condition (F07.08) were the most common cause for hospitalization. The diagnoses included in the F06 section are more commonly seen in women (59.90 ± 0.49 in females and 51 ± 0.34 in males per 100 hospitalized individuals, respectively), while those in the F07 section are most common in men (48.2 ± 0.34 per 100 males and 39.6 ± 0.45 per 100 females); p < 0.001.

CONCLUSION: The characteristics of hospitalized patients of working age with organic psychiatric disorders were evaluated in this study. The analysis of a large sample revealed key trends and characteristics, which will serve as a source of information for further studies, as well as for the development of the target treatment, prophylaxis, and rehabilitation programs.

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About the authors

Tangyul Z. Beybalaeva

Kazan State Medical University

Author for correspondence.
Email: tanguel23@gmail.com
ORCID iD: 0000-0002-5262-6852
SPIN-code: 7616-2990
Russian Federation, Kazan

Tamara I. Sadykova

Kazan State Medical Academy

Email: sadykovatamara@gmail.com
ORCID iD: 0000-0002-2616-0016
SPIN-code: 2766-7898

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Kazan

Tatiana V. Guryanova

Republican clinical psychiatric hospital n.a. V.M. Bekhterev

Email: goortv@mail.ru
ORCID iD: 0009-0009-2437-9282

MD, Cand. Sci. (Medicine)

Russian Federation, Kazan

Kausar K. Yakhin

Kazan State Medical University

Email: yakhinkk@gmail.com
ORCID iD: 0000-0001-5958-5355
SPIN-code: 6275-6051

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Kazan

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2. Fig. 1. Age distribution of patients with organic mental disorders hospitalized in 2000–2019 in the Republic of Tatarstan.

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3. Fig. 2. Frequency of occurrence of leading diagnoses in hospitalized individuals of working age with organic mental disorders in the Republic of Tatarstan in 2000–2019 (by gender per 100 hospitalizations).

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