COVID-19 crisis and the incidence of hospital admissions for psychosis in France.
| Autor: | Danan LN; Centre Psychothérapique de Nancy, 5420 Laxou, France; University of Lorraine, Lorraine, France., Poullé J; Centre Psychothérapique de Nancy, 5420 Laxou, France; University of Lorraine, Lorraine, France., Bannay A; Department of Evaluation and Medical Informatics, CHRU-Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54035 Nancy, France., Baillot S; Department of Evaluation and Medical Informatics, CHRU-Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54035 Nancy, France., Laprévote V; Grand Nancy Hospital-University Center for Adult Psychiatry and Addictology, Psychotherapeutic Center of Nancy, 1, rue Dr-Archambault, BP 11010, 5421 Laxou cedex, France; Inserm U1114, Strasbourg, France; Department of Medical Informatics and Clinical Research and Investigation Unit, Psychotherapeutic Center of Nancy, 1, rue Dr-Archambault, 5420 Laxou, France., Dobre D; Department of Medical Informatics and Clinical Research and Investigation Unit, Psychotherapeutic Center of Nancy, 1, rue Dr-Archambault, 5420 Laxou, France. Electronic address: Daniela.dobre@cpn-laxou.com. |
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| Jazyk: | angličtina |
| Zdroj: | L'Encephale [Encephale] 2024 Aug; Vol. 50 (4), pp. 386-390. Date of Electronic Publication: 2023 Sep 23. |
| DOI: | 10.1016/j.encep.2023.08.003 |
| Abstrakt: | Objectives: We aimed to assess the impact of the COVID-19 crisis on the occurrence of new hospital admissions for cases of psychosis in France. Method: We conducted a retrospective observational study from the French national PMSI database. We included patients hospitalized between 2018 and 2020 with a principal diagnosis of schizophrenia or delusional disorder with no history of psychosis in the previous 10 years. In total, we included 77,172 inpatients at crisis centers and/or in full-time hospitalization at 465 French hospitals. We assessed the number of inpatients during the year of the Covid crisis (2020) and the two years prior (2018, 2019). Results: The number of inpatients in full-time hospitalization decreased gradually from 2018 to 2020 by 10.6%. This downward trend was observed in all age groups. In contrast, in crisis centers the number of inpatients increased by 13.4% between 2019 and 2020, while a 7.6% decrease was seen between 2018 and 2019. The greatest increase was observed in the 31-60-year age category, and particularly amongst 46-60-year-olds, i.e. 38.0%. Conclusion: The COVID-19 crisis was associated with an increase in the number of inpatients with a new episode of psychosis in crisis centers but not in full-time hospitalization. The profile of patients in crisis centers was different from that seen in preceding years and included more middle-to-late age adults. Particular attention should be given to this category of patients in the crisis environment to prevent the occurrence of new cases of psychosis in France. (Copyright © 2023 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.) |
| Databáze: | MEDLINE |
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