Emergency Psychiatry before and during COVID-19 pandemia

Introduction The COVID-19 pandemic had a significant impact worldwide. Consultations in the Emergency Service of the Hospital Clínic of Barcelona varied in terms of reasons for consultations, psychopathology, and other aspects, before and after the pandemic. Objectives To examine changes in the pr...

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Main Authors: A. Giménez-Palomo, M. Sagué, G. Fico, M. Gómez-Ramiro, M. Vázquez
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S092493382200709X/type/journal_article
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author A. Giménez-Palomo
M. Sagué
G. Fico
M. Gómez-Ramiro
M. Vázquez
author_facet A. Giménez-Palomo
M. Sagué
G. Fico
M. Gómez-Ramiro
M. Vázquez
author_sort A. Giménez-Palomo
collection DOAJ
description Introduction The COVID-19 pandemic had a significant impact worldwide. Consultations in the Emergency Service of the Hospital Clínic of Barcelona varied in terms of reasons for consultations, psychopathology, and other aspects, before and after the pandemic. Objectives To examine changes in the profile of patients admitted before and during the COVID-19 pandemic to our Psychiatric Emergency Service. Methods All children, adolescent and adult psychiatric inpatients admitted from December 4th 2019 to March 31st 2021 to the Psychiatric Emergency Service of Hospital Clínic of Barcelona, Spain, were retrospectively included for analysis and divided into two groups –groups 1 or 2- including the first one all patients who attended before lockdown and the second group those who attended during the pandemic. Results A total of 1991 patients were included -1224 in the first group and 767 in the second group. The majority of patients were male (52.08%), with a mean age of 41.21 years (SD 16.53). A proportion significantly higher of men was found in the second group (p<0.05). The proportion of patients consulting with substance use disorders was significantly higher in the second group (p<0.05). Patients from the second group presented a significantly higher proportion of admissions in an acute psychiatric ward (p<0.05), and also a significantly higher proportion of consultations of patients with dementia (p<0.05). Conclusions The COVID-19 pandemic lead to a significant reduction in the overall consultations, with a higher proportion of severe cases. The lack of availability of caregivers and telework might have influenced the increase in consultations of patients with dementia. Disclosure AG has received travel and financial support from Janssen, Otsuka-Lundbeck and Angelini, and research support from Instituto de Salud Carlos III, and declares no support related with the subject of this presentation.
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spelling doaj.art-db5bc6ca8d14425b9c06e87ff988f12f2023-11-17T05:06:36ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S277S27710.1192/j.eurpsy.2022.709Emergency Psychiatry before and during COVID-19 pandemiaA. Giménez-Palomo0M. Sagué1G. Fico2M. Gómez-Ramiro3M. Vázquez4Hospital Clínic, Department Of Psychiatry And Psychology, University Of Barcelona, Barcelona, SpainHospital Clínic, Department Of Psychiatry And Psychology, University Of Barcelona, Barcelona, SpainHospital Clínic, Department Of Psychiatry And Psychology, University Of Barcelona, Barcelona, SpainComplejo Hospitalario Universitario de Pontevedra. SERGAS., Department Of Psychiatry, Pontevedra, SpainHospital Clínic, Department Of Psychiatry And Psychology, University Of Barcelona, Barcelona, Spain Introduction The COVID-19 pandemic had a significant impact worldwide. Consultations in the Emergency Service of the Hospital Clínic of Barcelona varied in terms of reasons for consultations, psychopathology, and other aspects, before and after the pandemic. Objectives To examine changes in the profile of patients admitted before and during the COVID-19 pandemic to our Psychiatric Emergency Service. Methods All children, adolescent and adult psychiatric inpatients admitted from December 4th 2019 to March 31st 2021 to the Psychiatric Emergency Service of Hospital Clínic of Barcelona, Spain, were retrospectively included for analysis and divided into two groups –groups 1 or 2- including the first one all patients who attended before lockdown and the second group those who attended during the pandemic. Results A total of 1991 patients were included -1224 in the first group and 767 in the second group. The majority of patients were male (52.08%), with a mean age of 41.21 years (SD 16.53). A proportion significantly higher of men was found in the second group (p<0.05). The proportion of patients consulting with substance use disorders was significantly higher in the second group (p<0.05). Patients from the second group presented a significantly higher proportion of admissions in an acute psychiatric ward (p<0.05), and also a significantly higher proportion of consultations of patients with dementia (p<0.05). Conclusions The COVID-19 pandemic lead to a significant reduction in the overall consultations, with a higher proportion of severe cases. The lack of availability of caregivers and telework might have influenced the increase in consultations of patients with dementia. Disclosure AG has received travel and financial support from Janssen, Otsuka-Lundbeck and Angelini, and research support from Instituto de Salud Carlos III, and declares no support related with the subject of this presentation. https://www.cambridge.org/core/product/identifier/S092493382200709X/type/journal_articleEmergency Servicesubstance use disorderspsychiatryCoronavirus
spellingShingle A. Giménez-Palomo
M. Sagué
G. Fico
M. Gómez-Ramiro
M. Vázquez
Emergency Psychiatry before and during COVID-19 pandemia
European Psychiatry
Emergency Service
substance use disorders
psychiatry
Coronavirus
title Emergency Psychiatry before and during COVID-19 pandemia
title_full Emergency Psychiatry before and during COVID-19 pandemia
title_fullStr Emergency Psychiatry before and during COVID-19 pandemia
title_full_unstemmed Emergency Psychiatry before and during COVID-19 pandemia
title_short Emergency Psychiatry before and during COVID-19 pandemia
title_sort emergency psychiatry before and during covid 19 pandemia
topic Emergency Service
substance use disorders
psychiatry
Coronavirus
url https://www.cambridge.org/core/product/identifier/S092493382200709X/type/journal_article
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