[Impact of the 2020 lockdown on prehospital psychiatric emergencies in a large city].

Die Anaesthesiologie Pub Date : 2024-01-01 Epub Date: 2024-01-12 DOI:10.1007/s00101-023-01370-5
Heribert Kirchner, Andreas Bohn, Nik Hulsmans, Patrick Brzoska, Frank-Gerald B Pajonk
{"title":"[Impact of the 2020 lockdown on prehospital psychiatric emergencies in a large city].","authors":"Heribert Kirchner, Andreas Bohn, Nik Hulsmans, Patrick Brzoska, Frank-Gerald B Pajonk","doi":"10.1007/s00101-023-01370-5","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The coronavirus disease 2019 (COVID-19) pandemic represented a serious challenge for healthcare systems worldwide. Special psychiatric patients represent a vulnerable group and are particularly affected by lockdown interventions. Knowledge on the possible effects for this group of patients in an emergency physician setting is low.</p><p><strong>Objective: </strong>The aim of this paper is to investigate the impact of the first lockdown during the COVID-19 pandemic in 2020 on emergency ambulance services for psychiatric patients in a large German city.</p><p><strong>Material and methods: </strong>A retrospective analysis was conducted on all prehospital psychiatric emergencies in a large German city during the first pandemic-related lockdown from 22 March 2020 to 4 May 2020, with the same period in 2019 serving as a reference.</p><p><strong>Results: </strong>During the first lockdown there was a significant increase in the number of emergency missions with respect to psychiatric cases. A substantial rise in substance-associated deployments was observed. Moreover, there was an increase in the proportion of psychiatric patients who did not meet emergency criteria. Suicidal tendencies and agitation status played a minor role during the lockdown.</p><p><strong>Conclusion: </strong>The lockdown had a notable impact on the frequency and profile of emergency physician calls in the metropolitan area studied. The substantial increase in substance-associated callouts can be interpreted as both a deterioration in access to the healthcare system and an expression of the increased stress faced by the general population and vulnerable groups in particular.</p>","PeriodicalId":72805,"journal":{"name":"Die Anaesthesiologie","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Die Anaesthesiologie","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s00101-023-01370-5","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/12 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Background: The coronavirus disease 2019 (COVID-19) pandemic represented a serious challenge for healthcare systems worldwide. Special psychiatric patients represent a vulnerable group and are particularly affected by lockdown interventions. Knowledge on the possible effects for this group of patients in an emergency physician setting is low.

Objective: The aim of this paper is to investigate the impact of the first lockdown during the COVID-19 pandemic in 2020 on emergency ambulance services for psychiatric patients in a large German city.

Material and methods: A retrospective analysis was conducted on all prehospital psychiatric emergencies in a large German city during the first pandemic-related lockdown from 22 March 2020 to 4 May 2020, with the same period in 2019 serving as a reference.

Results: During the first lockdown there was a significant increase in the number of emergency missions with respect to psychiatric cases. A substantial rise in substance-associated deployments was observed. Moreover, there was an increase in the proportion of psychiatric patients who did not meet emergency criteria. Suicidal tendencies and agitation status played a minor role during the lockdown.

Conclusion: The lockdown had a notable impact on the frequency and profile of emergency physician calls in the metropolitan area studied. The substantial increase in substance-associated callouts can be interpreted as both a deterioration in access to the healthcare system and an expression of the increased stress faced by the general population and vulnerable groups in particular.

[2020 年封锁对一个大城市院前精神病急诊的影响]。
背景:2019 年冠状病毒病(COVID-19)大流行是对全球医疗系统的严峻挑战。特殊精神病患者是弱势群体,尤其受到封锁干预措施的影响。人们对这一群体在急诊医生环境中可能受到的影响知之甚少:本文旨在调查 2020 年 COVID-19 大流行期间首次封锁对德国某大城市精神病患者紧急救护服务的影响:在2020年3月22日至2020年5月4日与大流行相关的首次封锁期间,对德国某大城市的所有院前精神病急诊进行了回顾性分析,并以2019年同期作为参考:结果:在第一次封锁期间,与精神病病例有关的急救任务数量显著增加。据观察,与药物有关的部署大幅增加。此外,不符合急救标准的精神病患者比例也有所增加。自杀倾向和躁动状态在封锁期间的作用较小:结论:在所研究的大都会地区,封锁对急诊医生呼叫的频率和概况产生了显著影响。与药物有关的呼叫大幅增加,既可以解释为医疗保健系统的使用情况恶化,也可以解释为普通人群尤其是弱势群体面临的压力增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信