The impact of the second wave of COVID-19 on liaison psychiatry: a comparative retrospective study with the homologous non-pandemic period.

IF 2.9 4区医学 Q2 PSYCHIATRY

International Journal of Psychiatry in Clinical Practice Pub Date : 2023-09-01 DOI:10.1080/13651501.2022.2158108

Filipa Caldas, Margarida Vasconcelos Araújo, Palmira Coya, Rodrigo Valido, Catarina Oliveira

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引用次数: 0

Abstract

Objective: To determine the impact of COVID-19 pandemic (COVID-19-P) on clinical and health organisational variables of patients evaluated by Liaison Psychiatry (LP).

Methods: Revision of all collaboration requests (CR) to LP for patients hospitalised in a Portuguese General Hospital during the second wave of COVID-19-P, from 1 October to 31 December of 2020. Medical charts were analysed and selected variables were compared with those of the homologous non-pandemic period. Data were statistically analysed.

Results: There was a 22.3% decrease in the number of CR in 2020. The most frequently given reasons for CR were depressive symptoms, psychomotor agitation, and difficulties in adapting to the disease in both years. However, 5.9% more patients reported suicidal ideation in 2020. The hospitalisation length before CR was smaller in 2020 than in 2019 (9 vs 11). There was a higher proportion of patients followed in a psychiatric consultation and previously taking psychotropic medication before hospitalisation in 2020 than in 2019. After the assessment, the trend was that both groups did not meet diagnostic criteria for any disorder and no pharmacological adjustment was needed.

Conclusion: This study highlights the need to better characterise the indirect repercussion of COVID-19-P, and focus on the prevention and treatment of mental illness particularly in adverse contexts.Key PointsFewer collaboration requests to liaison psychiatry during the second wave of COVID-19;Collaboration requests were made earlier in the hospitalisation;For patients with more medical comorbidities, psychiatric history, and psychotropic medication;Most because of depressive symptoms and more with suicidal ideation;Fewer collaboration requests to liaison psychiatry during COVID-19;Made earlier in the hospitalisation;For patients with more medical comorbidities, psychiatric history, and medication;Most because of depressive symptoms and more with suicidal ideation.

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第二波COVID-19对联络精神病学的影响:与同期非大流行时期的比较回顾性研究

目的:探讨新冠肺炎大流行(COVID-19- p)对联络精神病学(LP)评估患者临床和卫生组织变量的影响。方法:将2020年10月1日至12月31日第二波COVID-19-P期间葡萄牙一家综合医院住院患者的所有协作请求(CR)修改为LP。对医学图表进行分析，并将所选变量与同期非大流行时期的数据进行比较。对资料进行统计学分析。结果:2020年CR数下降22.3%。在这两年中，最常见的CR原因是抑郁症状、精神运动性躁动和难以适应疾病。然而，在2020年，有自杀念头的患者增加了5.9%。2020年CR前住院时间比2019年短(9比11)。与2019年相比，2020年接受精神科咨询并在住院前服用过精神药物的患者比例更高。评估后的趋势是两组均不符合任何疾病的诊断标准，不需要进行药物调整。结论:本研究强调有必要更好地描述COVID-19-P的间接影响，并重点关注精神疾病的预防和治疗，特别是在不利环境下。第二波疫情期间联络精神科协作请求较少，住院时间较早;合并症、精神病史、精神药物较多的患者，合作请求多因抑郁症状，多因有自杀意念;COVID-19期间联络精神科协作请求较少，住院时间较早;大多数是因为抑郁症状，更多是因为自杀意念。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Psychiatry in Clinical Practice 医学-精神病学

CiteScore

6.00

自引率

3.30%

发文量

审稿时长

>12 weeks

期刊介绍： International Journal of Psychiatry in Clinical Practice provides an international forum for communication among health professionals with clinical, academic and research interests in psychiatry. The journal gives particular emphasis to papers that integrate the findings of academic research into realities of clinical practice. Focus on the practical aspects of managing and treating patients. Essential reading for the busy psychiatrist, trainee and interested physician. Includes original research papers, comprehensive review articles and short communications. Key words: Psychiatry, Neuropsychopharmacology, Mental health, Neuropsychiatry, Clinical Neurophysiology, Psychophysiology, Psychotherapy, Addiction, Schizophrenia, Depression, Bipolar Disorders and Anxiety.