COVID-19 infection rates in patients referred for psychiatric admission during a regional surge: The case for universal testing.
COVID-19 infection rates in patients referred for psychiatric admission during a regional surge: The case for universal testing.
复制标题
DOI：
10.1016/j.psychres.2021.113833
复制
发表时间：
2021-04
影响因子：
11.3
通讯作者：
Kanellopoulos D
中科院分区：
文献类型：
--
作者：
Brody BD;Shi Z;Shaffer C;Eden D;Wyka K;Alexopoulos GS;Parish SJ;Kanellopoulos D
一些精神病医院已对所有转诊入院的患者实施强制性COVID-19检测。其他人则允许患者拒绝检测。关于急性精神病住院患者的COVID-19感染率知之甚少。描述无症状表现的受感染患者的比例将有助于告知关于普遍强制性与基于检测或选择退出的检测方案的政策。我们确定了2020年4月3日至2020年6月8日期间纽约市地区激增期间683名连续入院患者的COVID-19感染率和无症状表现频率。在这些精神病住院患者中，COVID-19感染的总体比率为9. 8%。在COVID-19感染患者中，约76. 1%（51/67）在入院时没有COVID-19症状或无法提供可靠的症状史。如果他们没有通过检测被识别并被分流到COVID-19阳性单位，他们可能会感染其他人，导致机构爆发。这些发现为精神病机构维持普遍强制性检测政策提供了理由，至少在社区感染率下降并保持在非常低的水平之前。
Some psychiatric hospitals have instituted mandatory COVID-19 testing for all patients referred for admission. Others have permitted patients to decline testing. Little is known about the rate of COVID-19 infection in acute psychiatric inpatients. Characterizing the proportion of infected patients who have an asymptomatic presentation will help inform policy regarding universal mandatory versus symptom-based or opt-out testing protocols. We determined the COVID-19 infection rate and frequency of asymptomatic presentation in 683 consecutively admitted patients during the surge in the New York City region between April 3rd, 2020 and June 8th, 2020. Among these psychiatric inpatients, there was a 9.8 % overall rate of COVID-19 infection. Of the COVID-19 infected patients, approximately 76.1 % (51/67) either had no COVID-19 symptoms or could not offer reliable history of symptoms at the time of admission. Had they not been identified by testing and triaged to a COVID-19 positive unit, they could have infected others, leading to institutional outbreak. These findings provide justification for psychiatric facilities to maintain universal mandatory testing policies, at least until community infection rates fall and remain at very low levels.
登录
查看更多内容
DOI：
10.1002/wps.20806
发表时间：
2021-03
期刊：
World psychiatry : official journal of the World Psychiatric Association (WPA)
影响因子：
--
作者：
Wang Q;Xu R;Volkow ND
通讯作者：
Volkow ND
影响因子：
11.3
作者：
Brody, Benjamin D.;Parish, Sharon J.;Russ, Mark J.
通讯作者：
Russ, Mark J.
影响因子：
33.9
作者：
Mosites, Emily;Parker, Erin M.;Peacock, Georgina
通讯作者：
Peacock, Georgina
影响因子：
--
作者：
GILLON, R
通讯作者：
GILLON, R
DOI：
10.1016/s2215-0366(20)30462-4
发表时间：
2021-03
期刊：
The lancet. Psychiatry
影响因子：
--
作者：
Taquet M;Luciano S;Geddes JR;Harrison PJ
通讯作者：
Harrison PJ