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Changes in Psychiatric Inpatient Service Utilization During the First and Second Waves of the COVID-19 Pandemic

The COVID-19 pandemic has caused societal restrictions and public fear which may have impacted the pattern of seeking psychiatric care. There has generally been a decrease in the numbers seeking acute psychiatric care. It is important to investigate which groups seeking psychiatric treatment have de...

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Autores principales: Hamlin, Matilda, Ymerson, Thérèse, Carlsen, Hanne Krage, Dellepiane, Marzia, Falk, Örjan, Ioannou, Michael, Steingrimsson, Steinn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8891754/
https://www.ncbi.nlm.nih.gov/pubmed/35250673
http://dx.doi.org/10.3389/fpsyt.2022.829374
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author Hamlin, Matilda
Ymerson, Thérèse
Carlsen, Hanne Krage
Dellepiane, Marzia
Falk, Örjan
Ioannou, Michael
Steingrimsson, Steinn
author_facet Hamlin, Matilda
Ymerson, Thérèse
Carlsen, Hanne Krage
Dellepiane, Marzia
Falk, Örjan
Ioannou, Michael
Steingrimsson, Steinn
author_sort Hamlin, Matilda
collection PubMed
description The COVID-19 pandemic has caused societal restrictions and public fear which may have impacted the pattern of seeking psychiatric care. There has generally been a decrease in the numbers seeking acute psychiatric care. It is important to investigate which groups seeking psychiatric treatment have decreased in number. The aim of our investigation was to identify which groups have a changed pattern in acute psychiatric service utilization during the first two waves of the COVID-19 pandemic. The study investigated changes in the rate and pattern of visits and hospital admissions for psychiatric disorders at a large Swedish hospital. A register-based study was conducted using administrative data on adult psychiatric emergency department visits (PEVs) and hospital admission rates. Data during the first two COVID-19 waves were compared to corresponding control periods in 2018–2019. Furthermore, a survey was performed among patients visiting the Psychiatric Emergency Department on their views of COVID-19 and acute psychiatric care. During the COVID-19 periods, PEVs were reduced overall by 16 and 15% during the first and second wave, respectively (p < 0.001 in both cases), while the rate of admissions remained unaltered. PEVs were significantly reduced for most psychiatric diagnosis subgroups except for patients with schizophrenia and other related psychotic disorders as well as for those who required ongoing outpatient care. Most of the survey respondents disagreed that the pandemic affected their visit and about a quarter thought a video call with a doctor could have replaced their visit. In conclusion, there was a significant reduction in overall PEVs during both COVID-19 waves but this did not affect the numbers requiring admission for psychiatric inpatient care.
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spelling pubmed-88917542022-03-04 Changes in Psychiatric Inpatient Service Utilization During the First and Second Waves of the COVID-19 Pandemic Hamlin, Matilda Ymerson, Thérèse Carlsen, Hanne Krage Dellepiane, Marzia Falk, Örjan Ioannou, Michael Steingrimsson, Steinn Front Psychiatry Psychiatry The COVID-19 pandemic has caused societal restrictions and public fear which may have impacted the pattern of seeking psychiatric care. There has generally been a decrease in the numbers seeking acute psychiatric care. It is important to investigate which groups seeking psychiatric treatment have decreased in number. The aim of our investigation was to identify which groups have a changed pattern in acute psychiatric service utilization during the first two waves of the COVID-19 pandemic. The study investigated changes in the rate and pattern of visits and hospital admissions for psychiatric disorders at a large Swedish hospital. A register-based study was conducted using administrative data on adult psychiatric emergency department visits (PEVs) and hospital admission rates. Data during the first two COVID-19 waves were compared to corresponding control periods in 2018–2019. Furthermore, a survey was performed among patients visiting the Psychiatric Emergency Department on their views of COVID-19 and acute psychiatric care. During the COVID-19 periods, PEVs were reduced overall by 16 and 15% during the first and second wave, respectively (p < 0.001 in both cases), while the rate of admissions remained unaltered. PEVs were significantly reduced for most psychiatric diagnosis subgroups except for patients with schizophrenia and other related psychotic disorders as well as for those who required ongoing outpatient care. Most of the survey respondents disagreed that the pandemic affected their visit and about a quarter thought a video call with a doctor could have replaced their visit. In conclusion, there was a significant reduction in overall PEVs during both COVID-19 waves but this did not affect the numbers requiring admission for psychiatric inpatient care. Frontiers Media S.A. 2022-02-17 /pmc/articles/PMC8891754/ /pubmed/35250673 http://dx.doi.org/10.3389/fpsyt.2022.829374 Text en Copyright © 2022 Hamlin, Ymerson, Carlsen, Dellepiane, Falk, Ioannou and Steingrimsson. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Hamlin, Matilda
Ymerson, Thérèse
Carlsen, Hanne Krage
Dellepiane, Marzia
Falk, Örjan
Ioannou, Michael
Steingrimsson, Steinn
Changes in Psychiatric Inpatient Service Utilization During the First and Second Waves of the COVID-19 Pandemic
title Changes in Psychiatric Inpatient Service Utilization During the First and Second Waves of the COVID-19 Pandemic
title_full Changes in Psychiatric Inpatient Service Utilization During the First and Second Waves of the COVID-19 Pandemic
title_fullStr Changes in Psychiatric Inpatient Service Utilization During the First and Second Waves of the COVID-19 Pandemic
title_full_unstemmed Changes in Psychiatric Inpatient Service Utilization During the First and Second Waves of the COVID-19 Pandemic
title_short Changes in Psychiatric Inpatient Service Utilization During the First and Second Waves of the COVID-19 Pandemic
title_sort changes in psychiatric inpatient service utilization during the first and second waves of the covid-19 pandemic
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8891754/
https://www.ncbi.nlm.nih.gov/pubmed/35250673
http://dx.doi.org/10.3389/fpsyt.2022.829374
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