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Demographic Trends in Emergency Department Visits for Psychiatric Concerns During the COVID-19 Pandemic
OBJECTIVE: To describe changes in emergency department (ED) psychiatric visits during the pandemic in both rural and nonrural regions in the United States. METHODS: This cohort study was performed across 22 EDs in the Midwest and Southern United States from January 1, 2019 to April 22, 2021. Prevale...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9359487/ https://www.ncbi.nlm.nih.gov/pubmed/35966029 http://dx.doi.org/10.1016/j.mayocpiqo.2022.07.003 |
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author | James, Jose K. Jeffery, Molly M. Campbell, Ronna L. Wieland, Mark L. Ryu, Alexander J. |
author_facet | James, Jose K. Jeffery, Molly M. Campbell, Ronna L. Wieland, Mark L. Ryu, Alexander J. |
author_sort | James, Jose K. |
collection | PubMed |
description | OBJECTIVE: To describe changes in emergency department (ED) psychiatric visits during the pandemic in both rural and nonrural regions in the United States. METHODS: This cohort study was performed across 22 EDs in the Midwest and Southern United States from January 1, 2019 to April 22, 2021. Prevalence of psychiatric visits before and after the COVID-19 pandemic, defined as starting on March 1, 2020, were compared. Psychiatric and nonpsychiatric visits were defined on the basis of primary clinician–assigned diagnosis. The primary end point was average daily visits normalized to the average daily visit count before the pandemic, labeled as relative mean daily visits (RMDVs). RESULTS: Psychiatric visits decreased by 9% [RMDVs, 0.91; 95% confidence interval (CI), 0.89-0.93] during the pandemic period, whereas nonpsychiatric visits decreased by 17% (RMDVs, 0.83; 95% CI, 0.81-0.84). Black patients were the only demographic group with a significant increase in psychiatric visits during the pandemic (RMDVs, 1.12; 95% CI, 1.04-1.19). Periods of outbreaks of psychiatric emergencies were identified in most demographic groups, including among male and pediatric patients. However, the outbreaks detected among Black patients sustained the longest at 6 months. Unlike older adults who experienced outbreaks in the spring and fall of 2020, outbreaks among pediatric patients were detected later in 2021. CONCLUSION: In this multisite study, total ED visits declined during the pandemic; however, psychiatric visits declined less than nonpsychiatric visits. Black patients experienced a greater increase in psychiatric emergencies than other demographic groups. There is also a concern for increasing outbreaks of pediatric psychiatric visits as the pandemic progresses. |
format | Online Article Text |
id | pubmed-9359487 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-93594872022-08-09 Demographic Trends in Emergency Department Visits for Psychiatric Concerns During the COVID-19 Pandemic James, Jose K. Jeffery, Molly M. Campbell, Ronna L. Wieland, Mark L. Ryu, Alexander J. Mayo Clin Proc Innov Qual Outcomes Original Article OBJECTIVE: To describe changes in emergency department (ED) psychiatric visits during the pandemic in both rural and nonrural regions in the United States. METHODS: This cohort study was performed across 22 EDs in the Midwest and Southern United States from January 1, 2019 to April 22, 2021. Prevalence of psychiatric visits before and after the COVID-19 pandemic, defined as starting on March 1, 2020, were compared. Psychiatric and nonpsychiatric visits were defined on the basis of primary clinician–assigned diagnosis. The primary end point was average daily visits normalized to the average daily visit count before the pandemic, labeled as relative mean daily visits (RMDVs). RESULTS: Psychiatric visits decreased by 9% [RMDVs, 0.91; 95% confidence interval (CI), 0.89-0.93] during the pandemic period, whereas nonpsychiatric visits decreased by 17% (RMDVs, 0.83; 95% CI, 0.81-0.84). Black patients were the only demographic group with a significant increase in psychiatric visits during the pandemic (RMDVs, 1.12; 95% CI, 1.04-1.19). Periods of outbreaks of psychiatric emergencies were identified in most demographic groups, including among male and pediatric patients. However, the outbreaks detected among Black patients sustained the longest at 6 months. Unlike older adults who experienced outbreaks in the spring and fall of 2020, outbreaks among pediatric patients were detected later in 2021. CONCLUSION: In this multisite study, total ED visits declined during the pandemic; however, psychiatric visits declined less than nonpsychiatric visits. Black patients experienced a greater increase in psychiatric emergencies than other demographic groups. There is also a concern for increasing outbreaks of pediatric psychiatric visits as the pandemic progresses. Elsevier 2022-08-08 /pmc/articles/PMC9359487/ /pubmed/35966029 http://dx.doi.org/10.1016/j.mayocpiqo.2022.07.003 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article James, Jose K. Jeffery, Molly M. Campbell, Ronna L. Wieland, Mark L. Ryu, Alexander J. Demographic Trends in Emergency Department Visits for Psychiatric Concerns During the COVID-19 Pandemic |
title | Demographic Trends in Emergency Department Visits for Psychiatric Concerns During the COVID-19 Pandemic |
title_full | Demographic Trends in Emergency Department Visits for Psychiatric Concerns During the COVID-19 Pandemic |
title_fullStr | Demographic Trends in Emergency Department Visits for Psychiatric Concerns During the COVID-19 Pandemic |
title_full_unstemmed | Demographic Trends in Emergency Department Visits for Psychiatric Concerns During the COVID-19 Pandemic |
title_short | Demographic Trends in Emergency Department Visits for Psychiatric Concerns During the COVID-19 Pandemic |
title_sort | demographic trends in emergency department visits for psychiatric concerns during the covid-19 pandemic |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9359487/ https://www.ncbi.nlm.nih.gov/pubmed/35966029 http://dx.doi.org/10.1016/j.mayocpiqo.2022.07.003 |
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