The Impact of COVID-19 Pandemic on Psychiatric Emergency Department Visits - A Descriptive Study
The Impact of COVID-19 Pandemic on Psychiatric Emergency Department Visits - A Descriptive Study
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DOI：
10.1007/s11126-020-09837-z
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发表时间：
2020-08-25
影响因子：
3.5
通讯作者：
Freitas, Alberto
中科院分区：
文献类型：
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作者：
Goncalves-Pinho, Manuel;Mota, Pedro;Freitas, Alberto
2019冠状病毒病大流行（COVID-19）对身心健康产生重要的直接和间接影响。我们旨在描述COVID-19导致的紧急状态时期对精神科急诊（艾德）就诊的影响。我们进行了一项回顾性观察性研究，分析了2019年3月19日至2020年5月2日（葡萄牙因COVID-19而处于紧急状态的开始/结束日期）期间在大都市精神病艾德急诊室进行的所有急诊访视。收集有关年龄、性别、诊断、入院日期、出院命运和状态的数据。诊断采用国际疾病分类第9版临床修订版（ICD-9-CM）进行分类。在紧急状态期间，52个中心的精神科急诊就诊次数减少了2%（n（2020）= 780 vs n（2019）= 1633次发作）。女性和较年轻年龄组的精神科艾德就诊率下降幅度更大。初步诊断为心境障碍的患者，精神艾德就诊次数减少，减少了3%，精神分裂症和其他精神病性障碍的诊断组下降幅度较小（减少了8%）。COVID-19紧急状态期间对精神科艾德就诊的数量和特征产生了重要影响，强化了COVID-19对精神健康的巨大间接影响。
The coronavirus disease 2019 pandemic (COVID-19) has an important direct and indirect impact on both physical and mental health. We aim to describe the impact of an emergency state period due to COVID-19 on psychiatric emergency department (ED) visits. We conducted a retrospective observational study analysing all emergency visits occurring at a metropolitan psychiatric ED between March 19th and May 2nd 2019 and 2020 (the beginning/end date of the emergency state which Portugal was under due to COVID-19). Data regarding age, sex, diagnoses, admission date, discharge destiny and status were collected. Diagnoses were classified using the International Classification of Diseases version 9, Clinical Modification (ICD-9-CM). There was a 52 center dot 2% decrease on the number of psychiatric emergency visits during the emergency state period (n(2020) = 780 vs n(2019) = 1633 episodes). The decrease on psychiatric ED visits was greater in the female sex and in the younger age groups. Episodes with a primary diagnosis ofMood disorderslead the decrease on psychiatric ED visits with 68 center dot 3% less episodes.Schizophrenia and other psychotic disorderswas the diagnosis group with the smaller decline (9 center dot 8% decrease). COVID-19 emergency state period had an important impact on the number and characteristics of psychiatric ED visits, reinforcing the great indirect effects of COVID-19 on mental health.