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The impact of COVID-19 on the psychiatric emergency departments of two Italian hospitals in Milan

During the first wave of the SARS-CoV-2 contagion in Italy, mental health care services continuity has been granted to the general population. Emergent and urgent conditions, however, are managed in collaboration with Emergency Departments (EDs). This collaboration may have suffered from the overloa...

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Autores principales: Cafaro, Rita, Piccoli, Eleonora, Ferrara, Luca, Russo, Stefania, Dragogna, Filippo, Viganò, Caterina, Mencacci, Claudio, Dell'Osso, Bernardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier B.V. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8627594/
https://www.ncbi.nlm.nih.gov/pubmed/34896844
http://dx.doi.org/10.1016/j.psychres.2021.114303
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author Cafaro, Rita
Piccoli, Eleonora
Ferrara, Luca
Russo, Stefania
Dragogna, Filippo
Viganò, Caterina
Mencacci, Claudio
Dell'Osso, Bernardo
author_facet Cafaro, Rita
Piccoli, Eleonora
Ferrara, Luca
Russo, Stefania
Dragogna, Filippo
Viganò, Caterina
Mencacci, Claudio
Dell'Osso, Bernardo
author_sort Cafaro, Rita
collection PubMed
description During the first wave of the SARS-CoV-2 contagion in Italy, mental health care services continuity has been granted to the general population. Emergent and urgent conditions, however, are managed in collaboration with Emergency Departments (EDs). This collaboration may have suffered from the overload of the EDs due to the high number of SARS-CoV-2 positive patients. In this perspective, we analysed the possible impact of COVID-19 on the EDs accesses of psychiatric patients in two of the main hospitals of Milan, the “Luigi Sacco” Hospital and the “Fatebenefratelli” Hospital, comparing their admissions between the periods of March, April and May 2019 and 2020. We found a significant reduction in the number of evaluated patients in 2020 in both EDs. Emergency Medical Services (EMSs) brought a significant lower number of patients to the ED of Sacco Hospital during 2020, while this number increased for the ED of Fatebenefratelli Hospital, confirming the hypothesis that the overload of the Sacco Hospital ED significantly influenced the possibility to receive a psychiatric evaluation there. Moreover, we found a significant difference between diagnosis at discharge of the different samples.
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spelling pubmed-86275942021-11-29 The impact of COVID-19 on the psychiatric emergency departments of two Italian hospitals in Milan Cafaro, Rita Piccoli, Eleonora Ferrara, Luca Russo, Stefania Dragogna, Filippo Viganò, Caterina Mencacci, Claudio Dell'Osso, Bernardo Psychiatry Res Article During the first wave of the SARS-CoV-2 contagion in Italy, mental health care services continuity has been granted to the general population. Emergent and urgent conditions, however, are managed in collaboration with Emergency Departments (EDs). This collaboration may have suffered from the overload of the EDs due to the high number of SARS-CoV-2 positive patients. In this perspective, we analysed the possible impact of COVID-19 on the EDs accesses of psychiatric patients in two of the main hospitals of Milan, the “Luigi Sacco” Hospital and the “Fatebenefratelli” Hospital, comparing their admissions between the periods of March, April and May 2019 and 2020. We found a significant reduction in the number of evaluated patients in 2020 in both EDs. Emergency Medical Services (EMSs) brought a significant lower number of patients to the ED of Sacco Hospital during 2020, while this number increased for the ED of Fatebenefratelli Hospital, confirming the hypothesis that the overload of the Sacco Hospital ED significantly influenced the possibility to receive a psychiatric evaluation there. Moreover, we found a significant difference between diagnosis at discharge of the different samples. Elsevier B.V. 2022-01 2021-11-28 /pmc/articles/PMC8627594/ /pubmed/34896844 http://dx.doi.org/10.1016/j.psychres.2021.114303 Text en © 2021 Elsevier B.V. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Cafaro, Rita
Piccoli, Eleonora
Ferrara, Luca
Russo, Stefania
Dragogna, Filippo
Viganò, Caterina
Mencacci, Claudio
Dell'Osso, Bernardo
The impact of COVID-19 on the psychiatric emergency departments of two Italian hospitals in Milan
title The impact of COVID-19 on the psychiatric emergency departments of two Italian hospitals in Milan
title_full The impact of COVID-19 on the psychiatric emergency departments of two Italian hospitals in Milan
title_fullStr The impact of COVID-19 on the psychiatric emergency departments of two Italian hospitals in Milan
title_full_unstemmed The impact of COVID-19 on the psychiatric emergency departments of two Italian hospitals in Milan
title_short The impact of COVID-19 on the psychiatric emergency departments of two Italian hospitals in Milan
title_sort impact of covid-19 on the psychiatric emergency departments of two italian hospitals in milan
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8627594/
https://www.ncbi.nlm.nih.gov/pubmed/34896844
http://dx.doi.org/10.1016/j.psychres.2021.114303
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