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S490

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

graphic data were collected, and the patients were evaluated with

the Toronto Alexithymia Scale-20 (TAS-20), NIHSS, BAI and MMSE

at baseline, and then followed up each month for detection of PSD

using the Center for Epidemiologic Studies of Depression (CES-D)

scale.

Results

In all, 285 patients with ischemic stroke were enrolled,

and 93.3% completed the 6-month study. The overall incidence of

PSD within six months was 16.5%. In multivariate regression anal-

yses, the incidence of PSD was significantly associated with higher

BAI, higher NIHSS and higher TAS-20 scores.

Conclusions

Higher levels of alexithymia, anxiety and stroke

severity were identified as risk factors for PSD. This is the first

study to address the significant relationship between alexithymia

and PSD. Clinical professionals should pay more attention to stroke

patients with alexithymic features and other risk factors, so as to

be able to intervene and possibly prevent the occurrence of PSD.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1427

EV443

The resource utilisation associated

with medically unexplained physical

symptoms

F. Sundram

1 ,

, K. Lee

2

, M. Johnson

1

1

University of Auckland, Psychological Medicine, Auckland, New

Zealand

2

University of Otago, Medicine, Dunedin, New Zealand

Corresponding author.

Introduction

Patients with medically unexplained physical

symptoms (MUPS) may present frequently to hospital settings and

receive potentially unnecessary investigations and treatments.

Objective

A sample of 49 patients was drawn and their hand-

written and electronic clinical records were examined in detail

to extricate all MUPS-related secondary care activity within

six months of the MUPS presentation (emergency department,

inpatient stays, outpatient appointments, and all associated inves-

tigations, procedures and medications).

Aims

We aimed to assess the frequency and type of MUPS pre-

sentations to clinical services and estimate the associated direct

healthcare costs.

Method

This study was undertaken at Waitemata District Health

Board (WDHB), the largest DHB in New Zealand. All patients with a

diagnosed presentation of MUPS in 2013 were identified using the

WDHB clinical coding system. Their clinical records were screened

to select all patientswhomatched the study inclusion and exclusion

criteria. Standardised national costing methodology was used to

calculate the associated healthcare costs.

Results

Forty-five percent of patients presented to hospital set-

tings at least twice over the one-year timeframe. Themost common

diagnoses were non-epileptic seizures (31%) and hyperventilation

syndrome (30%). The total cost for the sample was NZ$179, 271

(mean NZ$3659). Costs were most significant in the areas of inpa-

tient admissions and emergency care.

Conclusion

MUPS can result in frequent presentations to hospi-

tal settings. The costs incurred are substantial and comparable to

the costs of chronic medical conditions with identifiable pathol-

ogy. Improving the recognition and management of MUPS has the

potential to offer more appropriate and cost-effective healthcare

nationally and internationally.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1428

EV444

Evaluation of the stability of the

clinical and epidemiological

psychiatric characteristics in the

consultation liaison unit of a general

hospital

E. Tercelan Alvarez

1 ,

, A. Cabrera Lozano

2

, R. Angora Ca˜neco

3

,

C.L. Gomez Gonzalez

1

, C. Gomis Martinez

1

,

L. Gonzalez Hernandez

1

, V. Rodriguez Garcia

1

, C. Ortigosa

1

,

M. Anibarro Tienda

1

1

Hospital San Juan, Psychiatry, Alicante, Spain

2

Hospital 12 de Octubre, psychiatry, Madrid, Spain

3

Hospital 12 de Octubre, Psyhiatry, Madrid, Spain

Corresponding author.

Introduction

Interconsultations services are a fundamental part

of the psychiatry departments as they constitute the junction point

with other medical and surgical specialties.

Objectives

Descriptive study of the psychiatric assessments and

interventions in the consultation liaison unit of a general hospital

over a period of one year (2014).

Aims

Establish whether there is some degree of stability in the

type of requested psychiatric assessment.

Methods

Creation of a database from the information of themed-

ical record of the units of psychiatrics’ interconsultion with the

subsequent statistical processing.

Results

Regarding the results obtained during the year 2014 and

compared itwith the ones of 2013, it shows that despite the number

of inquiries has increased almost twice (397 to 764) it has remained

relatively stable the hierarchy order of requests but with a slight

increase of adaptive depressive disorders

( Fig. 1 ).

Conclusions

Given our results, despite the limitations of this type

of study (cross-sectional study), we consider that there is some sta-

bility in the type of psychiatric assessment requested. We believe

it is essential to make this type of assessment as they allow the

development of strategies in order to improve the psychiatric care.

Fig. 1

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1429