Sürgo{double acute}sségi pszichofarmakoterápia Magyarországon - Elo{double acute}zetes adatok

Translated title of the contribution: Emergency psychopharmacotherapy in Hungary - Preliminary data

Szego Andrea, Eleméry Mónika, G. Faludi, Kovács Gábor

Research output: Contribution to journalArticle

Abstract

Objectives: Although the number of patients admitted for psychiatric emergency care is increasing according to data from various countries, there are no large-scale studies assessing clinical emergency practice and in several countries no national guidelines have been published concerning emergency care in psychiatry. The aim of our study was to assess practice related to emergency care of agitated-psychotic patients in Hungary. Methods: Anonymous survey questionnaire with questions related to care of an agitated patient showing psychotic symptoms was dispatched to 210 institutions providing psychiatric care in Hungary in 2013. Results: The overwhelming majority of the 155 participating clinicians would use haloperidol (92.9%) and benzodiazepines (81.3%), 74.8% in a dual combination. 18.7% would apply monotherapy and 5.2% a triple combination of medications. 59.4% would use i.v. and 23.9% i.m. therapy, and 9% would apply the combination of these two. In case of failure of first-line therapy, 76.8% of participants would repeat the previous medication. Conclusions: The aim of our study was to assess emergency interventions in psychiatry focusing on different psychopharmacological approaches. Our results provide a cross-sectional view on current practice in Hungary, and therefore may contribute to outlining practice-coherent guidelines and also provide the opportunity for a comparison with international trends.

Original languageHungarian
Pages (from-to)5-10
Number of pages6
JournalNeuropsychopharmacologia Hungarica
Volume16
Issue number1
Publication statusPublished - 2014

Fingerprint

Hungary
Psychiatry
Emergency Medical Services
Emergencies
Haloperidol
Benzodiazepines
Practice Guidelines
Patient Care
Guidelines
Therapeutics

ASJC Scopus subject areas

  • Neuroscience(all)
  • Pharmacology, Toxicology and Pharmaceutics(all)
  • Neuropsychology and Physiological Psychology
  • Clinical Neurology

Cite this

Sürgo{double acute}sségi pszichofarmakoterápia Magyarországon - Elo{double acute}zetes adatok. / Andrea, Szego; Mónika, Eleméry; Faludi, G.; Gábor, Kovács.

In: Neuropsychopharmacologia Hungarica, Vol. 16, No. 1, 2014, p. 5-10.

Research output: Contribution to journalArticle

@article{63080cc59e454a5a85d0413faf451a5c,
title = "S{\"u}rgo{double acute}ss{\'e}gi pszichofarmakoter{\'a}pia Magyarorsz{\'a}gon - Elo{double acute}zetes adatok",
abstract = "Objectives: Although the number of patients admitted for psychiatric emergency care is increasing according to data from various countries, there are no large-scale studies assessing clinical emergency practice and in several countries no national guidelines have been published concerning emergency care in psychiatry. The aim of our study was to assess practice related to emergency care of agitated-psychotic patients in Hungary. Methods: Anonymous survey questionnaire with questions related to care of an agitated patient showing psychotic symptoms was dispatched to 210 institutions providing psychiatric care in Hungary in 2013. Results: The overwhelming majority of the 155 participating clinicians would use haloperidol (92.9{\%}) and benzodiazepines (81.3{\%}), 74.8{\%} in a dual combination. 18.7{\%} would apply monotherapy and 5.2{\%} a triple combination of medications. 59.4{\%} would use i.v. and 23.9{\%} i.m. therapy, and 9{\%} would apply the combination of these two. In case of failure of first-line therapy, 76.8{\%} of participants would repeat the previous medication. Conclusions: The aim of our study was to assess emergency interventions in psychiatry focusing on different psychopharmacological approaches. Our results provide a cross-sectional view on current practice in Hungary, and therefore may contribute to outlining practice-coherent guidelines and also provide the opportunity for a comparison with international trends.",
keywords = "Emergency psychiatry, Hungary, Psychopharmacological intervention",
author = "Szego Andrea and Elem{\'e}ry M{\'o}nika and G. Faludi and Kov{\'a}cs G{\'a}bor",
year = "2014",
language = "Hungarian",
volume = "16",
pages = "5--10",
journal = "Neuropsychopharmacologia Hungarica",
issn = "1419-8711",
publisher = "Hungarian Association of Psychopharmacology",
number = "1",

}

TY - JOUR

T1 - Sürgo{double acute}sségi pszichofarmakoterápia Magyarországon - Elo{double acute}zetes adatok

AU - Andrea, Szego

AU - Mónika, Eleméry

AU - Faludi, G.

AU - Gábor, Kovács

PY - 2014

Y1 - 2014

N2 - Objectives: Although the number of patients admitted for psychiatric emergency care is increasing according to data from various countries, there are no large-scale studies assessing clinical emergency practice and in several countries no national guidelines have been published concerning emergency care in psychiatry. The aim of our study was to assess practice related to emergency care of agitated-psychotic patients in Hungary. Methods: Anonymous survey questionnaire with questions related to care of an agitated patient showing psychotic symptoms was dispatched to 210 institutions providing psychiatric care in Hungary in 2013. Results: The overwhelming majority of the 155 participating clinicians would use haloperidol (92.9%) and benzodiazepines (81.3%), 74.8% in a dual combination. 18.7% would apply monotherapy and 5.2% a triple combination of medications. 59.4% would use i.v. and 23.9% i.m. therapy, and 9% would apply the combination of these two. In case of failure of first-line therapy, 76.8% of participants would repeat the previous medication. Conclusions: The aim of our study was to assess emergency interventions in psychiatry focusing on different psychopharmacological approaches. Our results provide a cross-sectional view on current practice in Hungary, and therefore may contribute to outlining practice-coherent guidelines and also provide the opportunity for a comparison with international trends.

AB - Objectives: Although the number of patients admitted for psychiatric emergency care is increasing according to data from various countries, there are no large-scale studies assessing clinical emergency practice and in several countries no national guidelines have been published concerning emergency care in psychiatry. The aim of our study was to assess practice related to emergency care of agitated-psychotic patients in Hungary. Methods: Anonymous survey questionnaire with questions related to care of an agitated patient showing psychotic symptoms was dispatched to 210 institutions providing psychiatric care in Hungary in 2013. Results: The overwhelming majority of the 155 participating clinicians would use haloperidol (92.9%) and benzodiazepines (81.3%), 74.8% in a dual combination. 18.7% would apply monotherapy and 5.2% a triple combination of medications. 59.4% would use i.v. and 23.9% i.m. therapy, and 9% would apply the combination of these two. In case of failure of first-line therapy, 76.8% of participants would repeat the previous medication. Conclusions: The aim of our study was to assess emergency interventions in psychiatry focusing on different psychopharmacological approaches. Our results provide a cross-sectional view on current practice in Hungary, and therefore may contribute to outlining practice-coherent guidelines and also provide the opportunity for a comparison with international trends.

KW - Emergency psychiatry

KW - Hungary

KW - Psychopharmacological intervention

UR - http://www.scopus.com/inward/record.url?scp=84897454651&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84897454651&partnerID=8YFLogxK

M3 - Article

C2 - 24687013

AN - SCOPUS:84897454651

VL - 16

SP - 5

EP - 10

JO - Neuropsychopharmacologia Hungarica

JF - Neuropsychopharmacologia Hungarica

SN - 1419-8711

IS - 1

ER -