Evaluation of emergency department visits for mental health complaints during the COVID-19 pandemic.
Evaluation of emergency department visits for mental health complaints during the COVID-19 pandemic.
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DOI：
10.1002/emp2.12728
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发表时间：
2022-06
影响因子：
2.3
通讯作者：
中科院分区：
文献类型：
--
作者：
截至二零二二年三月，COVID-19疫情已导致全球逾600万人死亡。与这一大流行病有关的对病人和一般公众的不良心理影响已有详细记录。我们对纽约市一家三级保健医院3月15日至7月31日使用国际疾病分类第十版（ICD-10）编码诊断为焦虑、抑郁和自杀意念的成人急诊科（艾德）进行了回顾性分析，2020年，并将其与前3年（2017-2019年）同期的艾德遭遇进行比较。这些诊断的相对风险（RR）是通过比较大流行前样本和大流行样本计算的，占艾德就诊的总数量。共有2816例患者符合入选标准。2020年的研究期间，在过去3年的同一时间段内观察到的总体艾德数量减少了31.5%（27，874例vs平均40，716例艾德）。与前3年相比，2020年研究期间出现焦虑的风险为1.40（95%置信区间[CI] 1.21-1.63），抑郁为1.47（95% CI 1.28-1.69），自杀意念为1.05（95% CI 0.90-1.23）。在大流行期间，因抑郁症入院的人数增加（增加15.2%，95%CI 4.6%-25.7%）。在2019冠状病毒病疫情高峰期，因焦虑和抑郁而到艾德急诊室就诊的患者相对增加，而绝对人数保持稳定。我们的研究结果强调了基于急性护理的心理健康资源和干预措施在这场大流行期间支持患者的重要性。
The COVID‐19 pandemic has resulted in over 6 million deaths worldwide as of March 2022. Adverse psychological effects on patients and the general public linked to the pandemic have been well documented. We conducted a retrospective analysis of adult emergency department (ED) encounters with diagnoses of anxiety, depression, and suicidal ideation using International Classification of Diseases, Tenth Revision (ICD‐10) codes at a tertiary care hospital in New York City from March 15 through July 31, 2020 and compared it with ED encounters during the same time period in the previous 3 years (2017–2019). The relative risk (RR) of these diagnoses was calculated comparing a prepandemic sample to a pandemic sample, accounting for total volume of ED visits. A total of 2816 patient encounters met the inclusion criteria. The study period in 2020 had 31.5% lower overall ED volume seen during the same time period in the previous 3 years (27,874 vs average 40,716 ED encounters). The risk of presenting with anxiety during the study period in 2020 compared to prior 3 years was 1.40 (95% confidence interval [CI] 1.21–1.63), for depression was 1.47 (95% CI 1.28–1.69), and for suicidal ideation was 1.05 (95% CI 0.90–1.23). There was an increase in admissions for depression during the pandemic period (15.2% increase, 95% CI 4.6%–25.7%). There was a relative increase in patients presenting to the ED with complaints of anxiety and depression during the height of the COVID‐19 pandemic, while absolute numbers remained stable. Our results highlight the importance of acute care‐based mental health resources and interventions to support patients during this pandemic.
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DOI：
10.1016/s0140-6736(21)02143-7
发表时间：
2021-11-06
期刊：
Lancet (London, England)
影响因子：
--
作者：
COVID-19 Mental Disorders Collaborators
通讯作者：
COVID-19 Mental Disorders Collaborators
影响因子：
2.9
作者：
Firew T;Sano ED;Lee JW;Flores S;Lang K;Salman K;Greene MC;Chang BP
通讯作者：
Chang BP
DOI：
10.1037/tra0000924
发表时间：
2020-08-01
影响因子：
6.3
作者：
Fitzpatrick, Kevin M.;Harris, Casey;Drawve, Grant
通讯作者：
Drawve, Grant
影响因子：
7
作者：
Shechter, Ari;Diaz, Franchesca;Abdalla, Marwah
通讯作者：
Abdalla, Marwah
DOI：
10.1016/j.ijchp.2020.07.007
发表时间：
2021-01-01
影响因子：
8.8
作者：
Bueno-Notivol, Juan;Gracia-Garcia, Patricia;Santabarbara, Javier
通讯作者：
Santabarbara, Javier