Thyroid function testing in an inpatient mental health unit

Garnier, Kelly-Anne, Ismail, Khairul A., Moylan, Steven and Harvey, Richard 2016, Thyroid function testing in an inpatient mental health unit, Australasian psychiatry, vol. 24, no. 3, pp. 256-260, doi: 10.1177/1039856215618522.

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Title Thyroid function testing in an inpatient mental health unit
Author(s) Garnier, Kelly-Anne
Ismail, Khairul A.
Moylan, Steven
Harvey, RichardORCID iD for Harvey, Richard
Journal name Australasian psychiatry
Volume number 24
Issue number 3
Start page 256
End page 260
Total pages 5
Publisher Sage
Place of publication London, Eng.
Publication date 2016-06
ISSN 1440-1665
Keyword(s) psychiatric admission
thyroid function
Summary OBJECTIVE: Thyroid function tests are a common screening investigation for patients admitted to a psychiatric inpatient unit. METHOD: This study aimed to retrospectively assess the clinical utility of routine thyroid function testing performed on newly admitted psychiatric patients over a 4-year period in Victoria, Australia via chart review of all abnormal results identified. RESULTS: Our retrospective audit revealed only two cases where identification of thyroid dysfunction informed patient management. In each case, the patient had a known history of thyroid disease. In this audit period, 893 patients required screening to yield one clinically relevant abnormal result, costing AU$24,975.57. CONCLUSION: Such low clinical utility does not support routine admission thyroid function tests for psychiatric inpatients. We conclude that thyroid function tests should only be performed where the history and clinical signs suggest a likely contribution of thyroid dysfunction to the psychiatric presentation.
Language eng
DOI 10.1177/1039856215618522
Field of Research 110306 Endocrinology
170106 Health, Clinical and Counselling Psychology
Socio Economic Objective 920410 Mental Health
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Sage
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