Haseena B Sablay, Qhama Z Cossie, Deirdre I Pieterse
{"title":"COVID-19 in patients with severe mental illness: An analysis of in-patients at a psychiatric hospital in Cape Town.","authors":"Haseena B Sablay, Qhama Z Cossie, Deirdre I Pieterse","doi":"10.4102/sajpsychiatry.v31i0.2286","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Psychiatric patients in specialist units are more vulnerable to infections such as SARS-COV-2 (severe acute respiratory syndrome coronavirus 2) because of hospital infrastructure and patients' mental health.</p><p><strong>Aim: </strong>This study aimed to describe the psychiatric and medical profile, and the risk factors associated with more severe disease and clinical outcomes of coronavirus disease 2019 (COVID-19) in patients with severe mental illness (SMI) admitted to a specialist psychiatric hospital in South Africa between 01 April 2020 and 30 September 2021.</p><p><strong>Setting: </strong>The study was executed at the Vàlkenberg Hospital (VBH), which is a government-funded, specialised psychiatric hospital. The hospital comprises 370 beds made up of 145 forensic service beds and 225 acute service beds. It provides in-patient and out-patient services.</p><p><strong>Methods: </strong>Demographic and clinical information were collected for all VBH in-patients who tested positive for SARS-COV-2 from 01 April 2020 to 30 September 2021.</p><p><strong>Results: </strong>A total of 254 participants tested positive for SARS-COV-2. The sample comprised 75% (<i>n</i> = 191) males with a mean age of 35.7 years. Most patients were diagnosed with schizophrenia (37%, <i>n</i> = 94), bipolar disorder (21%, <i>n</i> = 54) and schizoaffective disorder (19%, <i>n</i> = 49). Reported comorbidities included nicotine use (71%, <i>n</i> = 181), hypertension (11%, <i>n</i> = 28) and human immunodeficiency virus (7%, <i>n</i> = 18). Most patients (62%, <i>n</i> = 156) were symptomatic for COVID-19. Seven per cent (<i>n</i> = 17) required transfer to a medical ward. Almost all patients (99%, <i>n</i> = 252) recovered and 1% (<i>n</i> = 2) died.</p><p><strong>Conclusion: </strong>Contrary to early fears of high mortality among institutionalised SMI patients, most experienced mild COVID-19 illness and recovered.</p><p><strong>Contribution: </strong>This descriptive study provided information on in-patients with COVID-19 disease at a specialised psychiatric hospital during the pandemic.</p>","PeriodicalId":51156,"journal":{"name":"South African Journal of Psychiatry","volume":"31 ","pages":"2286"},"PeriodicalIF":1.0000,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830877/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"South African Journal of Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4102/sajpsychiatry.v31i0.2286","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Psychiatric patients in specialist units are more vulnerable to infections such as SARS-COV-2 (severe acute respiratory syndrome coronavirus 2) because of hospital infrastructure and patients' mental health.
Aim: This study aimed to describe the psychiatric and medical profile, and the risk factors associated with more severe disease and clinical outcomes of coronavirus disease 2019 (COVID-19) in patients with severe mental illness (SMI) admitted to a specialist psychiatric hospital in South Africa between 01 April 2020 and 30 September 2021.
Setting: The study was executed at the Vàlkenberg Hospital (VBH), which is a government-funded, specialised psychiatric hospital. The hospital comprises 370 beds made up of 145 forensic service beds and 225 acute service beds. It provides in-patient and out-patient services.
Methods: Demographic and clinical information were collected for all VBH in-patients who tested positive for SARS-COV-2 from 01 April 2020 to 30 September 2021.
Results: A total of 254 participants tested positive for SARS-COV-2. The sample comprised 75% (n = 191) males with a mean age of 35.7 years. Most patients were diagnosed with schizophrenia (37%, n = 94), bipolar disorder (21%, n = 54) and schizoaffective disorder (19%, n = 49). Reported comorbidities included nicotine use (71%, n = 181), hypertension (11%, n = 28) and human immunodeficiency virus (7%, n = 18). Most patients (62%, n = 156) were symptomatic for COVID-19. Seven per cent (n = 17) required transfer to a medical ward. Almost all patients (99%, n = 252) recovered and 1% (n = 2) died.
Conclusion: Contrary to early fears of high mortality among institutionalised SMI patients, most experienced mild COVID-19 illness and recovered.
Contribution: This descriptive study provided information on in-patients with COVID-19 disease at a specialised psychiatric hospital during the pandemic.
期刊介绍：
The journal is the leading psychiatric journal of Africa. It provides open-access scholarly reading for psychiatrists, clinical psychologists and all with an interest in mental health. It carries empirical and conceptual research articles, reviews, editorials, and scientific letters related to psychiatry. It publishes work from various places in the world, and makes special provision for the interests of Africa. It seeks to serve its readership and researchers with the most topical content in psychiatry for clinical practice and academic pursuits, including work in the subspecialty areas of psychiatry.
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