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June 29, 2026CureusOpen Access

Evaluation of Baseline Investigations for First-Contact Patients Receiving Psychotropic Treatment at a Tertiary Facility in South-West Nigeria: A Two-Year Clinical Audit

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Authors

AEAyodeji Sa’ad ERUBUAfe Babalola UniversityMOMiracle Morenike OluwasanmiAfe Babalola UniversityMNMichael Ngwa NguhAfe Babalola University

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Implication

Randomized audit reveals low compliance with baseline investigations in first-contact patients, suggesting urgent improvements are needed.

Key Points

  • This audit aims to evaluate compliance with baseline investigations before administering psychotropic medications in first-contact patients.
  • Conducted a retrospective clinical audit of electronic medical records of first-contact patients from January 2024 to December 2025.
  • Audit standards were based on guidelines from NICE and RCPsych.
  • Data analysis involved descriptive statistics, chi-square tests, independent-samples t-tests, and one-way ANOVA.
  • Of 345 reviewed patients, 262 (75.9%) received psychotropic medications; 180 patients (68.7%) had low compliance with baseline investigations.
  • Compliance was 100% for weight/BMI assessment, vital signs, and movement disorder screening, but much lower for laboratory tests: E/U/Cr 25.2%, FBC 22.5%, and LFTs 8.8%.
  • Inpatients showed significantly higher compliance compared to outpatients (55.5% vs. 34.8%; p < 0.001).

Cite This Study

ERUBU et al. (2026) studied this question.

synapsesocial.com/papers/6a420ab2f91bb43ea9191f5dhttps://doi.org/10.7759/cureus.111581
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