Revista Colombiana de psiquiatria (English ed.)最新文献

{"title":"Sleep Quality and Mental Health in Students at a Jungle University in Peru: A Cross-sectional Study During COVID-19 Pandemic Confinement","authors":"Valentina Murrieta-Ruiz ,&nbsp;Martin E. Reátegui-Garcia ,&nbsp;Abraham De-Los-Rios-Pinto ,&nbsp;Jefferson Reategui-Garcia ,&nbsp;Raysa M. Benito-Vargas ,&nbsp;Brenda Caira-Chuquineyra ,&nbsp;Daniel Fernandez-Guzman ,&nbsp;Alberto Salazar Granara","doi":"10.1016/j.rcpeng.2025.11.010","DOIUrl":"10.1016/j.rcpeng.2025.11.010","url":null,"abstract":"<div><h3>Objective</h3><div>The objective was to evaluate the association between sleep quality and mental health in students at a jungle university in Peru.</div></div><div><h3>Materials and methods</h3><div>An analytical cross-sectional study was conducted on university students ≥18 years old during September and November 2020. Mental health status was measured with General Health Questionnaire (GHQ-12), and sleep quality with the Pittsburgh Sleep Quality Index (PSQI). The association was assessed using linear regression models, and crude (<em>β</em>_c) and adjusted (<em>β</em>_a) beta regression coefficients with their respective 95% confidence intervals (95%CI) were estimated.</div></div><div><h3>Results</h3><div>Two hundred and seventy-nine students were evaluated, 35.1% were 20–21 years old and 56.6% were male. The mean PSQI was 7.9<!--> <!-->±<!--> <!-->3.2, and 75.3% presented sleep problems. The mean GHQ-12 was 14.0<!--> <!-->±<!--> <!-->6.6, and 57.7% showed suspected psychopathology. The total sleep quality score (<em>β</em>_a <!-->=<!--> <!-->0.36; 95% CI: 0.11–0.61; <em>p</em> <!-->=<!--> <!-->0.005), as well as, higher component scores, subjective sleep quality (<em>β</em>_a <!-->=<!--> <!-->1.57; 95% CI: 0.28–2.87; <em>p</em> <!-->=<!--> <!-->0.018), sleep duration (<em>β</em>_a <!-->=<!--> <!-->1.25; 95% CI: 0.35–2.16; <em>p</em> <!-->=<!--> <!-->0.007), hypnotic medication use (<em>β</em>_a <!-->=<!--> <!-->1.79; 95% CI: 0.43–3.15; <em>p</em> <!-->=<!--> <!-->0.010), and daytime dysfunction (<em>β</em>_a <!-->=<!--> <!-->1.15; 95% CI: 0.10–2.19; <em>p</em> <!-->=<!--> <!-->0.032), were associated with worse mental health status score.</div></div><div><h3>Conclusion</h3><div>After 6 months of initiation of COVID-19 confinement, the frequency of sleep disturbance and mental health were elevated. Sleep quality disturbance was associated with worse mental health status.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"54 4","pages":"Pages 581-590"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment-Resistant Depression in Colombia: Results From a Longitudinal Analysis of the TRAL Study","authors":"Lina Maria Agudelo Baena ,&nbsp;Rodrigo Cordoba-Rojas ,&nbsp;Eugenio Ferro ,&nbsp;Gabriela Kanevsky ,&nbsp;Sergio Perocco","doi":"10.1016/j.rcpeng.2025.11.012","DOIUrl":"10.1016/j.rcpeng.2025.11.012","url":null,"abstract":"<div><h3>Objectives</h3><div>This manuscript reports on the clinical outcomes (response, remission and relapse) in TRD patients in Colombia under Standard-of-Care (SOC), and patient reported outcomes (PROs) – QoL, disability, depression severity – over a 1-year follow-up.</div></div><div><h3>Materials and methods</h3><div>From a sample of 162 MDD patients from 4 centres in Colombia, 52 had a formal diagnosis of TRD and were included in the 1-year follow-up. Exclusion criteria were patients with psychosis, schizophrenia, bipolar disorder, schizoaffective disorder, dementia, with severe chemical dependence or currently participating in another clinical trial. Clinical outcomes were measured with MADRS and PHQ-9, while PROs included EQ-5D (QoL) and Sheehan Disability Scale (SDS – disability).</div></div><div><h3>Results</h3><div>Patients’ mean age was 41.88 years, 80.8% of which were female, 37.3% were married or on consensual union and 42.3% had at least 13 years of formal education. Half of the sample achieved clinical response after 1-year of follow-up, while remission was not achieved by 57.9% of the participants (MADRS). Over 60% of the patients had mild to severe depression at the end of study (PHQ-9), while 57.9% reported feeling anxious/depressed (EQ-5D). Over three-quarters of the sample reported disruption in work/school, social life/leisure and family/home responsibilities (SDS).</div></div><div><h3>Conclusions</h3><div>Present results for Colombia underline the burden of TRD in most aspects of daily living. Current SOC fails to deliver the necessary clinical outcomes and patient centric approach, which suggests the need to improve treatment protocols, while increasing access to specialists, foster earlier diagnosis and the implementation on a nationwide programme for mental health.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"54 4","pages":"Pages 600-609"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-Traumatic Stress Risk Among COVID-19 Survivors in Colombia","authors":"Edwin Herazo ,&nbsp;John Carlos Pedrozo-Pupo ,&nbsp;Adalberto Campo-Arias","doi":"10.1016/j.rcpeng.2025.11.011","DOIUrl":"10.1016/j.rcpeng.2025.11.011","url":null,"abstract":"<div><h3>Background</h3><div>Symptoms of post-traumatic stress are common in people who have experienced a life experience that significantly threatened their physical or psychological integrity. Nevertheless, little information about post-traumatic stress disorder risk (PSTD-R) in Colombian COVID-19 survivors is available.</div></div><div><h3>Objective</h3><div>To establish the prevalence and variables associated with PTSD-R in a sample of COVID-19 survivors in Santa Marta, Colombia.</div></div><div><h3>Method</h3><div>A cross-sectional study was designed with a non-probabilistic sample of adult COVID-19 survivors. Participants were demographically characterized and completed scales for depression risk, insomnia risk, and PTSD-R.</div></div><div><h3>Results</h3><div>Three hundred and thirty COVID-19 survivors between 18 and 89 years participated; 61.5% were women. The frequency of depression risk was 49.7%; insomnia risk, 60.6%; and PTSD-R, 13.3%. Depression risk (OR<!--> <!-->=<!--> <!-->41.4, 95% CI 5.5–311.6), insomnia risk (OR<!--> <!-->=<!--> <!-->5.3, 95% CI 1.8–18.7), low income (OR<!--> <!-->=<!--> <!-->3.5, 95% CI 1.4–8.7) and being married or free union (OR<!--> <!-->=<!--> <!-->2.7, 95% CI 1.1–6.2) were associated with PTSD-R.</div></div><div><h3>Conclusions</h3><div>Two out of every fifteen COVID-19 survivors are in PTSD-R. Depression and insomnia risk are strongly associated with PTSD-R among Colombian COVID-19 survivors. Studies that follow COVID-19 survivors long-term are needed.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"54 4","pages":"Pages 640-646"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Suicide Attempt Surveillance System in Santiago de Cali, Colombia, 2016–2019","authors":"Gisel Viviana Osorio-Cuéllar ,&nbsp;Lyda Osorio","doi":"10.1016/j.rcpeng.2025.11.008","DOIUrl":"10.1016/j.rcpeng.2025.11.008","url":null,"abstract":"<div><h3>Introduction</h3><div>Suicidal behaviors are one of the top ten causes of death worldwide. It is recommended to prioritize the surveillance of suicide attempts, as this is a useful risk factor in the short-term prediction of suicide. In Colombia, its surveillance was implemented in 2016. The study evaluated the performance of the suicide attempt surveillance system in Cali, Colombia, in the period 2016–2019.</div></div><div><h3>Material and methods</h3><div>The attributes of timeliness, data quality and representativeness were evaluated according to the CDC Guidelines for Violence and Injury Surveillance, in addition to describing patterns of occurrence through time series.</div></div><div><h3>Results</h3><div>The median timeliness of notification was 0 days (RIQ<!--> <!-->=<!--> <!-->3). The variables exposure to violence (73.5%), depressive disorder (49.6%) and personality disorder (44.1%) had the highest percentages of missing data. The system identifies priority populations similar to other sources of information, such as young people between 15 and 24 years of age (28.1%), women (64.8%), students (35.5%) and the single population (69.6%); triggering factors such as relationship problems (35.6%), economic problems (13.7%) and serious illness (7%); and mechanisms used such as intoxication (61.6%), short stabbing weapon (27.6%) and hanging (5.3%). The system predicts 22 cases (95% CI<!--> <!-->=<!--> <!-->21.6–22.3) per week of attempted suicide in the short term.</div></div><div><h3>Conclusions</h3><div>The system meets the attributes of quality, timeliness and representativeness. It also allows the identification of an expected threshold of cases that needs to be validated to detect outbreak situations. This study contributes to the knowledge and prevention of the suicidal phenomenon.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"54 4","pages":"Pages 563-571"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-Perception of Risky Consumption and Emotional Factors Associated With Electronic Nicotine and Non-Nicotine Delivery Systems During the SARS-CoV-2 Pandemic","authors":"Salomón Salazar-Londoño ,&nbsp;Felipe Botero-Rodríguez ,&nbsp;Juanita Moreno-Contreras ,&nbsp;Valentina Vanegas-Zamora ,&nbsp;Carlos Gómez-Restrepo ,&nbsp;Gabriel Fernando Oviedo-Lugo","doi":"10.1016/j.rcpeng.2023.08.001","DOIUrl":"10.1016/j.rcpeng.2023.08.001","url":null,"abstract":"<div><h3>Objective</h3><div>Because the SARS-CoV-2 pandemic fostered an environment marked by limitations for social encounters and emotional fluctuations, it is essential to determine the variations in the consumption of Electronic Nicotine Delivery Systems (ENDS) and Electronic Non-nicotine Delivery Systems (ENNDS) during this period in young Colombians between 18 and 25 years of age, evaluating the emotional factors that affect the consumption mentioned above and the risky consumption.</div></div><div><h3>Methods</h3><div>After collecting data through a virtual survey, in this cross-sectional study a mainly descriptive analysis of variables related to the consumption of ENDS and ENNDS was carried out in parallel with three different mental health outcomes: depression, anxiety, and loneliness.</div></div><div><h3>Results</h3><div>Most participants reported a decrease or cessation of their consumption during the restrictive measures, which is consistent with the fact that more than half said that consumption was limited to social gatherings. Additionally, anxiety and loneliness symptoms are more present in those participants with risky consumption than those who do not.</div></div><div><h3>Conclusion</h3><div>Although the consumption of ENDS and ENNDS has a social predominance, there may be factors that modulate it. For this reason, it is essential to deepen research on this topic to propose public health strategies that allow this consumption to be mitigated.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"54 4","pages":"Pages 536-541"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient with Progressive Supranuclear Palsy Initially Diagnosed as Anxiety and Depression","authors":"María Camila Mejía Arias ,&nbsp;Juan Carlos Rivas Nieto ,&nbsp;María Paulina Cortés Palacio ,&nbsp;María Isabel Motta Martínez","doi":"10.1016/j.rcpeng.2025.11.009","DOIUrl":"10.1016/j.rcpeng.2025.11.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Progressive Supranuclear Palsy (PSP) encompasses a broad spectrum of syndromes related to movement and behavioral disorders. The most common symptoms include motor disturbances such as frequent falls, rigidity, bradykinesia, and ocular movements. Behavioral changes may precede these symptoms, complicating the diagnosis and delaying treatment. This case aims to highlight symptoms that may raise suspicion for PSP diagnosis and facilitate timely treatment.</div></div><div><h3>Clinical case</h3><div>The patient is a 58-year-old woman with neuropsychiatric symptoms such as disinhibition and depressive symptoms, initially diagnosed as anxiety and depression, and later, in the presence of psychotic symptoms, as schizophrenia. Eight years after the onset of symptoms, she consulted a psychiatric hospital, where alterations in affect, psychomotor function, and neurological examination were found. A simple brain magnetic resonance imaging showed suggestive signs of PSP, and treatment was initiated with haloperidol and levodopa/carbidopa, resulting in partial improvement of symptoms.</div></div><div><h3>Conclusions</h3><div>Due to the multiple psychiatric symptoms presented by PSP, it is often misdiagnosed as a primary psychiatric disorder, leading to delayed management and exposing patients to possible adverse effects of unnecessary treatments.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"54 4","pages":"Pages 689-693"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Feminization of Migrations: Psychosocial and Mental Health Aspects of Venezuelan Women in Colombia","authors":"Silvia Gaviria ,&nbsp;Renato D. Alarcón ,&nbsp;Miriam Lucio ,&nbsp;Elvia Velásquez ,&nbsp;Alina Uribe ,&nbsp;Antonio Lozano-Vargas ,&nbsp;José Ordoñez-Mancheno","doi":"10.1016/j.rcpeng.2024.04.004","DOIUrl":"10.1016/j.rcpeng.2024.04.004","url":null,"abstract":"<div><h3>Objective</h3><div>Review the sociodemographic and psychosocial conditions related to female migration from Venezuela to Colombia, with emphasis on psychosocial and mental health factors.</div></div><div><h3>Method</h3><div>The information was extracted from reports from international organizations, demographic surveys and articles published in different scientific media. Based on this information, different topics are analyzed considering statistical values, conditions and presentation of different variables that affect the quality of life and mental health of migrant Venezuelan women and their families.</div></div><div><h3>Results</h3><div>The studies and sources reviewed show that they allow us to infer that the Venezuelan migrant status and gender are factors that strongly affect access to employment, health and decent housing, with women in an irregular migratory situation being the most affected. Likewise, stereotypes, xenophobic events, and gender-based violence negatively impact access to services and mental health.</div></div><div><h3>Conclusions</h3><div>It is necessary to continue building programs aimed at the needs of the female population, since migration accentuates gender gaps and negatively impacts mental health.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"54 4","pages":"Pages 680-688"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Automatic Speech Recognition in Psychiatric Interviews: A Rocket to Diagnostic Support in Psychosis","authors":"José Tomás García Molina ,&nbsp;Pablo A. Gaspar ,&nbsp;Alicia Figueroa-Barra","doi":"10.1016/j.rcpeng.2025.11.013","DOIUrl":"10.1016/j.rcpeng.2025.11.013","url":null,"abstract":"<div><div>Speech analysis is a crucial tool in discerning the complex cognitive and emotional subtleties of individuals. It holds a significant role in psychiatric research, particularly in the detection and understanding of psychopathological conditions such as psychosis. The process involves computational analysis of speech using natural language processing (NLP) tools, which necessitates a transcription of the speech. However, the manual transcription process is both time-consuming and costly, posing a substantial challenge to large-scale investigations. To address this, we explore the use of “Whisper”, an automated speech recognition (ASR) tool developed by OpenAI©, for transcribing psychiatric interviews in Spanish in heterogeneous environmental conditions. The specific objectives are to compare the transcription accuracy of Whisper with a manual transcription, determine and compare linguistic elements (noun phrases, determiners, and type–token ratio), and examine environmental elements that could alter the quality of the transcription. Sixteen interviews were transcribed using Whisper, and all of them had a manual reference transcription to be compared. A word error ratio (WER, which measures the insertions, deletions, and substitutions that are required to change one word for another) of 7.80% was obtained, with no significant differences by gender. Furthermore, no differences were found in the count and proportionality of nominal phrases, use of determiners, and the type–token ratio (TTR). The findings indicate that Whisper is a precise instrument for transcribing clinical interviews in Spanish. It has a minimal error rate and negligible loss of linguistic data, even in adverse conditions. This could streamline large-scale research endeavors in speech analysis within the clinical domain.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"54 4","pages":"Pages 624-631"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Factors Associated With Maternity Blues and Postpartum Depression in Ecuadorian Women Going Through Their Immediate Puerperium During 2021: A Cross-sectional Study","authors":"Mateo Alejandro Andrade Miño ,&nbsp;Genesis Nicole Vásquez Flores","doi":"10.1016/j.rcpeng.2025.11.007","DOIUrl":"10.1016/j.rcpeng.2025.11.007","url":null,"abstract":"<div><h3>Introduction</h3><div>Perinatal factors such as lack of breastfeeding, complications during pregnancy or childbirth, and psychosocial factors such as maternal psychiatric history or socioeconomic status have been associated with the development of postpartum mood disorders. The combination of these factors during the peripartum can predict the development of maternity blues (MB) and postpartum depression (PD).</div></div><div><h3>Objective</h3><div>To characterize risk factors associated with MB and PD in Ecuadorian women going through their immediate puerperium in the gynecology and obstetrics service of “Hospital General San Francisco” in Quito-Ecuador.</div></div><div><h3>Method</h3><div>A cross-sectional study was conducted, with a sample of 250 women attending their immediate puerperium. Data was collected using a self-applied questionnaire during the first 24 postpartum hours. Stein blues scale (SBS) was applied for MB screening and the Edinburgh Postpartum Depression Scale (EPDS) for PD screening. Informed consent and data confidentiality were explained to all participants.</div></div><div><h3>Results</h3><div>Using the SBS, a probability of MB of 32.4% (<em>n</em> <!-->=<!--> <!-->81) was observed, while applying the EPDS, a PD probability of 17.6% (<em>n</em> <!-->=<!--> <!-->44) was established. MB and PD protective factors were rooming-in (OR .21, <em>p</em> <!-->&lt;<!--> <!-->.001) (OR .21, <em>p</em> <!-->&lt;<!--> <!-->.001), pregnancy planning (OR .13, <em>p</em> <!-->&lt;<!--> <!-->.001) (OR .25, <em>p</em> <!-->&lt;<!--> <!-->.001) and breastfeeding (OR .20, &lt;.001) (OR .23, <em>p</em> <!-->&lt;<!--> <!-->.001). Meanwhile MB and PD risk factors found were: breastfeeding difficulties (OR 5.88, <em>p</em> <!-->&lt;<!--> <!-->.001) (OR 5.14, <em>p</em> <!-->&lt;<!--> <!-->.001), complications during pregnancy (OR 8.39, <em>p</em> <!-->&lt;<!--> <!-->.001) (OR 7.02, <em>p</em> <!-->&lt;<!--> <!-->.001), complications during delivery (OR 5.29, <em>p</em> <!-->&lt;<!--> <!-->.001) (OR 5.58, <em>p</em> <!-->&lt;<!--> <!-->.001) and economic instability (OR 2.10, <em>p</em> .023) (OR 2.61, <em>p</em> .009).</div></div><div><h3>Discussion and conclusion</h3><div>The risk and protective factors associated with MB and PD in the Ecuadorian population are similar to those described internationally. The recognition of risk factors by health personnel can improve early identification and timely management of puerperal mood disorders.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"54 3","pages":"Pages 486-492"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145493223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Direct Costs of Care Associated With Postoperative Delirium in Cirrhotic Patients Undergoing First Orthotopic Liver Transplantation","authors":"Jimena Betancur Velásquez ,&nbsp;Josecarlos Restrepo Garcia ,&nbsp;María Camila Valencia Marulanda ,&nbsp;Pablo Vélez Soto ,&nbsp;Lina Ramirez Giraldo ,&nbsp;Marle Duque Giraldo ,&nbsp;Luis Guillermo Toro Rendón ,&nbsp;Diego Fernando Rojas Gualdrón","doi":"10.1016/j.rcpeng.2025.11.001","DOIUrl":"10.1016/j.rcpeng.2025.11.001","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the direct costs of care associated with postoperative delirium (POD) in cirrhotic patients undergoing first orthotopic liver transplantation (OLT) in a Hospital in Antioquia, Colombia, 2013–2021.</div></div><div><h3>Methods</h3><div>A retrospective registry-based follow-up study of cirrhotic patients, 14 or older, who underwent their first OLT. POD, diagnosed and registered by the psychiatrist, and other clinical variables were retrieved from the medical history. The direct cost of care was estimated from administrative records and is expressed in 2020 international dollars (I$) using the purchase power parity of I$ 1<!--> <!-->=<!--> <!-->COP 1,352.786. Differences in cost were estimated with the Generalized Linear Model.</div></div><div><h3>Results</h3><div>One hundred and sixty-one patients followed for 2,718 days (16.9 days on average) were included; 24.4% of them presented POD for a rate of 1.43 cases per 100 person-days. Among patients who did not present POD, the adjusted mean cost of care was I$92,981 (95% CI: 86,691-99,271) compared to an adjusted mean cost of I$122,187 (95% CI: 103,152–141,222) among cases of POD; the adjusted mean difference was I$29,206 (95% CI: 9,846–48,565). The higher cost among POD patients was most likely explained by an increased length of stay (mean difference<!--> <!-->=<!--> <!-->5.6 days, 95% CI: 2.6–8.6).</div></div><div><h3>Conclusion</h3><div>POD is a frequent post-OLT complication among cirrhotic patients and is associated with an increased length of stay that impacts the direct cost of care. Prevention of POD may aid in reducing the medical and economic burden of post-OLT complications.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"54 3","pages":"Pages 493-499"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145493177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}