Descriptive study of hypothyroidism in an acute psychiatric unit in Barcelona - 13/04/16
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Résumé |
Introduction |
Behavioural, psychological and cognitive disturbance have been associated with hypothyroidism, even it has been suggested that this symptoms may remain despite adequate replacement therapy with thyroxine.
Objective |
To describe prevalence, sociodemographics and clinical features of patients with hypothyroidism in an acute psychiatric unit.
Aims |
To know about the relation between hypothyroidism and psychiatric symptoms.
Methods |
Data base collection of all patients admitted between 2010 and 2014 in the acute unit of our psychiatric hospital in Barcelona, was analyzed using SPSS program.
Results |
In all 3.1% of the 4536 total patients had hypothyroidism. Among them, 46% were duplicate cases. Mean age was 53±14.27years. A total of 82.7% were woman. Patients having a TSH lower than 0.30 were 12%, TSH normal were 60.2%, TSH higher than 5 were 27.8%. Most frequent Levothyroxine dosage was: 75μg (22.1%), 100μg (19%), 25μg (12.5%) and 125μg (12.5%). Diagnosis more frequently associated with hypothyroidism was: Bipolar (26.5%), Schizophrenia (20%), Depression (15.1%), Unspecified psychosis (10%), Personality disorder (10%), Schizoaffective disorder (7.2%), Paranoia 4.3%.
Conclusion |
Most of patients were stable of thyroid condition when had been admitted to our hospital. Hypothyroidism could be a relapse factor, even when treatment is adequate. Affective disorders are more frequently related with hypothyroidism (lithium has to be consider a confounding factor).
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Vol 33 - N° S
P. S147-S148 - mars 2016 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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