Key result
Clinical suspicion of comorbid delirium strongly predicted a more thorough general medical workup in patients with catatonia, whereas attribution to a psychiatric etiology predicted less workup.
Why the study?
Does clinical suspicion of comorbid delirium predict the thoroughness of diagnostic workup in patients with catatonia?
Observational (n=54)
Does clinical suspicion of comorbid delirium predict the thoroughness of diagnostic workup in patients with catatonia?
In patients with catatonia, suspecting comorbid delirium leads to a more thorough medical evaluation compared to assuming a psychiatric etiology.
This is the authors' abstract. We don't add key points for this paper.
Although commonly linked to psychiatric disorders, catatonia is frequently identified secondary to neurological and general medical conditions (GMCs). The present study aimed to characterize the diagnostic workup of cases of catatonia in a general hospital setting. The authors performed a retrospective chart review of 54 cases of catatonia, over 3 years. Clinical suspicion of comorbid delirium was the strongest predictor of a more thorough general medical workup. Attribution of catatonia to a psychiatric etiology was associated with significantly less diagnostic workup. Prospective studies should help clarify the relationship between catatonia and delirium and standardize the diagnostic approach to patients presenting with catatonia.
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Highlights potential diagnostic bias in catatonia; leaves open effects on outcomes and need for prospective validation.
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Roig et al. (2016) conducted an observational in Catatonia (n=54). Clinical suspicion of comorbid delirium vs. Attribution of catatonia to a psychiatric etiology was evaluated on Thoroughness of general medical workup. Clinical suspicion of comorbid delirium strongly predicted a more thorough general medical workup in patients with catatonia, whereas attribution to a psychiatric etiology predicted less workup.
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