Reduction in hospitalizations and emergency psychiatric care due to social distancing measures during the COVID-19 pandemic
ABSTRACT Objetivo: Assess the impact of the lockdown measures on hospitalizations and emergency psychiatric care in a capital of a Brazilian state. Methods: Psychiatric hospitalizations and emergency psychiatric attendances carried out between January 7th and May 28th, 2020, were evaluated, coveri...
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| Format: | Article |
| Language: | English |
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Universidade Federal do Rio de Janeiro
2021-03-01
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| Series: | Jornal Brasileiro de Psiquiatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852021000100054&tlng=en |
| _version_ | 1819284547341123584 |
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| author | Maximiliano Loiola Ponte de Souza Everton do Carmo Barbosa Davi Queiroz de Carvalho Rocha Fernando José Herkrath |
| author_facet | Maximiliano Loiola Ponte de Souza Everton do Carmo Barbosa Davi Queiroz de Carvalho Rocha Fernando José Herkrath |
| author_sort | Maximiliano Loiola Ponte de Souza |
| collection | DOAJ |
| description | ABSTRACT Objetivo: Assess the impact of the lockdown measures on hospitalizations and emergency psychiatric care in a capital of a Brazilian state. Methods: Psychiatric hospitalizations and emergency psychiatric attendances carried out between January 7th and May 28th, 2020, were evaluated, covering the periods before and after lockdown due to COVID-19 pandemic in the city of Fortaleza, capital of the state of Ceará, Brazil. The data in the two periods were described and presented in time series graphs. Attendances were also described according to the severity categories. Comparisons were performed using Mann-Whitney U test and test for proportions. Results: The daily average of hospitalizations and of attendances decreased in the evaluated periods from 16.0 to 10.8 (p < 0.001) and 67.9 to 35.0 (p < 0.001), respectively. This absolute reduction was observed in all categories of severity. No difference was observed in the proportion of severe attendances (2.3% vs. 2.8%; p = 0.207). The proportion of mild cases decreased from 18.6% to 10.7% (p < 0.001) and of intermediate severity cases increased from 79.1% to 86.5% (p < 0.001). Conclusion: The findings showed both a decrease in emergency psychiatric attendances and hospitalizations, which can lead to severe impacts in the absence of counterpart mitigation measures by the local mental health system. |
| first_indexed | 2024-12-24T01:49:07Z |
| format | Article |
| id | doaj.art-ace3778abcd344b0b0c6d574f7fc34e6 |
| institution | Directory Open Access Journal |
| issn | 1982-0208 |
| language | English |
| last_indexed | 2024-12-24T01:49:07Z |
| publishDate | 2021-03-01 |
| publisher | Universidade Federal do Rio de Janeiro |
| record_format | Article |
| series | Jornal Brasileiro de Psiquiatria |
| spelling | doaj.art-ace3778abcd344b0b0c6d574f7fc34e62022-12-21T17:21:46ZengUniversidade Federal do Rio de JaneiroJornal Brasileiro de Psiquiatria1982-02082021-03-01701545810.1590/0047-2085000000307Reduction in hospitalizations and emergency psychiatric care due to social distancing measures during the COVID-19 pandemicMaximiliano Loiola Ponte de Souzahttps://orcid.org/0000-0002-4373-7016Everton do Carmo Barbosahttps://orcid.org/0000-0003-2964-2157Davi Queiroz de Carvalho Rochahttps://orcid.org/0000-0003-4032-0626Fernando José Herkrathhttps://orcid.org/0000-0003-4439-0189ABSTRACT Objetivo: Assess the impact of the lockdown measures on hospitalizations and emergency psychiatric care in a capital of a Brazilian state. Methods: Psychiatric hospitalizations and emergency psychiatric attendances carried out between January 7th and May 28th, 2020, were evaluated, covering the periods before and after lockdown due to COVID-19 pandemic in the city of Fortaleza, capital of the state of Ceará, Brazil. The data in the two periods were described and presented in time series graphs. Attendances were also described according to the severity categories. Comparisons were performed using Mann-Whitney U test and test for proportions. Results: The daily average of hospitalizations and of attendances decreased in the evaluated periods from 16.0 to 10.8 (p < 0.001) and 67.9 to 35.0 (p < 0.001), respectively. This absolute reduction was observed in all categories of severity. No difference was observed in the proportion of severe attendances (2.3% vs. 2.8%; p = 0.207). The proportion of mild cases decreased from 18.6% to 10.7% (p < 0.001) and of intermediate severity cases increased from 79.1% to 86.5% (p < 0.001). Conclusion: The findings showed both a decrease in emergency psychiatric attendances and hospitalizations, which can lead to severe impacts in the absence of counterpart mitigation measures by the local mental health system.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852021000100054&tlng=enPsychiatric emergency servicessocial isolationCOVID-19 |
| spellingShingle | Maximiliano Loiola Ponte de Souza Everton do Carmo Barbosa Davi Queiroz de Carvalho Rocha Fernando José Herkrath Reduction in hospitalizations and emergency psychiatric care due to social distancing measures during the COVID-19 pandemic Jornal Brasileiro de Psiquiatria Psychiatric emergency services social isolation COVID-19 |
| title | Reduction in hospitalizations and emergency psychiatric care due to social distancing measures during the COVID-19 pandemic |
| title_full | Reduction in hospitalizations and emergency psychiatric care due to social distancing measures during the COVID-19 pandemic |
| title_fullStr | Reduction in hospitalizations and emergency psychiatric care due to social distancing measures during the COVID-19 pandemic |
| title_full_unstemmed | Reduction in hospitalizations and emergency psychiatric care due to social distancing measures during the COVID-19 pandemic |
| title_short | Reduction in hospitalizations and emergency psychiatric care due to social distancing measures during the COVID-19 pandemic |
| title_sort | reduction in hospitalizations and emergency psychiatric care due to social distancing measures during the covid 19 pandemic |
| topic | Psychiatric emergency services social isolation COVID-19 |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852021000100054&tlng=en |
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