Effects of lockdown on emergency room admissions for psychiatric evaluation: an observational study from the AUSL Romagna, Italy
| Autor: | Massimiliano Beghi, Riccardo Brandolini, Giulio Castelpietra, Ilaria Casolaro, Giovanni De Paoli, Silvia Ferrari, Ettore Beghi, Carlo Fraticelli, Cesare Maria Cornaggia, Claudio Ravani |
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| Přispěvatelé: | Beghi, M., Brandolini, R., Casolaro, I., Beghi, E., Cornaggia, C. M., Fraticelli, C., De Paoli, G., Ravani, C., Castelpietra, G., Ferrari, S. |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Young Adult 03 medical and health sciences Patient Admission Sex Factors 0302 clinical medicine Risk Factors Lockdown consultation Humans Medicine Longitudinal Studies Psychiatry Referral and Consultation Aged Retrospective Studies Aged 80 and over outbreak business.industry Mental Disorders pandemic COVID-19 Middle Aged medicine.disease humanities 030227 psychiatry Psychological evaluation body regions Psychiatry and Mental health Italy Quarantine Female Observational study mental health Medical emergency Emergency Service Hospital business 030217 neurology & neurosurgery |
| Zdroj: | International Journal of Psychiatry in Clinical Practice |
| ISSN: | 1471-1788 1365-1501 |
| DOI: | 10.1080/13651501.2020.1859120 |
| Popis: | Objectives: An observation of the admissions to the emergency room (ER) requiring psychiatric evaluation during the lockdown and investigation of the demographic and clinical variables. Methods: Retrospective longitudinal observational study of ER accesses for psychiatric evaluation was performed, comparing two periods (9 March–3 May 2020 vs. 9 March–3 May 2019). Data (number of admissions, key baseline demographic and clinical variables) were extracted from the ER databases of referral centres in a well-defined geographic area of North-Eastern Italy (Cesena, Ravenna, Forlì, and Rimini). Results: A 15% reduction of psychiatric referrals was observed, together with a 17% reduction in the total number of patients referring to the ER. This reduction was most evident in the first month of the lockdown period (almost 25% reduction of both referrals and patients). Female gender (OR: 1.52: 95%, CI: 1.12–2.06) and being a local resident (OR: 1.54: 95%CI: 1.02–2.34) were factors associated with the decrease. Conclusions: Lockdown changed dramatically health priorities in the local population, including people with mental health. We speculate that our observations do not only refer to the confinement due to the lockdown regime but also to fear of contagion and adoption of different coping strategies, especially in women.Key-points During lockdown 15% reduction of psychiatric visits and >17% reduction in the number of psychiatric patients referring to the ER was observed. in the first four weeks of the lockdown almost 25% reduction of both visits and patients was observed Female gender and being a local resident were factors associated with the decrease. |
| Databáze: | OpenAIRE |
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