COVID-19 对澳大利亚昆士兰州精神疾病急诊就诊率的影响:时间序列分析。

IF 2.8 3区 医学 Q2 PSYCHIATRY
Philip M. Jones BSc, MBBS, MBiostat, FACEM, Amy Sweeny BSc, RN, MPH, Grace Branjerdporn PhD, BOccThy(Hons I), CHIA, CertIV Tesol, Gerben Keijzers MBBS, MSc, FACEM, PhD, Andrea P. Marshall RN, PhD, Ya-Ling Huang RN, PhD, Emma J. Hall BN, GradCertCritCareNurs, Jamie Ranse BNurs, GradCertClinEd, GradCertClinEpi, MCritCareNurs, PhD, Dinesh Palipana OAM, LLB, GradDipLP, MD, EMC, Yang D. Teng PhD, MD, Julia Crilly OAM, BN, MEmergN(Hons), PhD, the COVERED COVID study investigators
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引用次数: 0

摘要

背景:COVID-19 大流行对精神健康和心理健康产生了不利影响。尽管多项研究显示,在 COVID-19 大流行的早期,与精神健康相关的急诊科(ED)就诊人数有所减少,但对与精神健康相关的急诊科就诊人数的中期影响仍不太清楚。本研究旨在通过比较观察到的就诊人数和大流行前的数据预测,评估大流行对精神健康急诊就诊人数的影响:这项回顾性队列研究从全州最低数据集中统计了每周与精神疾病相关的急诊就诊人数。研究确定了三个时间段:大流行前(2018 年 1 月 1 日至 2020 年 3 月 8 日)、全州封锁(2020 年 3 月 9 日至 2020 年 6 月 28 日)和限制放松(2020 年 6 月 29 日至 2021 年 6 月 27 日)。通过时间序列分析,利用疫情发生前的数据生成了每周演示预测。结果:结果:在全州封锁期的 16 周中,有 11 周的每周就诊人数低于预测人数;在限制放宽期的 52 周中,有 52 周的每周就诊人数低于预测人数。下降幅度最大的是焦虑症(全州封锁期:76.8%;限制放宽期:52.8%):为预测值的 76.8%;放松限制为预测值的 36.4%):36.4%),而饮食失调症的就诊人数则有所增加(全州范围内的封锁:预测的 139.5%;放松限制:预测的 36.4%):预测的 139.5%;放宽限制:预测的 194.4%):结论:结论:在 COVID-19 大流行的前 16 个月中,昆士兰公共急诊室每周与精神健康相关的就诊人数总体低于预期。这些发现凸显了急诊科在提供心理健康护理方面的局限性,以及在大流行病背景下采用其他护理方式的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The impact of COVID-19 on emergency department presentations for mental health disorders in Queensland, Australia: A time series analysis

The impact of COVID-19 on emergency department presentations for mental health disorders in Queensland, Australia: A time series analysis

Background

The COVID-19 pandemic has been associated with detrimental effects on mental health and psychological well-being. Although multiple studies have shown decreases in mental health-related Emergency Department (ED) presentations early in the COVID-19 pandemic, the medium-term effects on mental health-related ED presentations have remained less clear. This study aimed to evaluate the effect of the pandemic on mental health ED presentations by comparing observed presentation numbers to predictions from pre-pandemic data.

Methods

This retrospective cohort study tallied weekly ED presentations associated with mental health disorders from a state-wide minimum dataset. Three time periods were identified: Pre-Pandemic (January 1, 2018–March 8, 2020), Statewide Lockdown (March 9, 2020–June 28, 2020), and Restrictions Easing (June 29, 2020–June 27, 2021). Time series analysis was used to generate weekly presentation forecasts using pre-pandemic data. Observed presentation numbers were compared to these forecasts.

Results

Weekly presentation numbers were lower than predicted in 11 out of 16 weeks in the Statewide Lockdown period and 52 out of 52 weeks in the Restrictions Easing period. The largest decrease was seen for anxiety disorders (Statewide Lockdown: 76.8% of forecast; Restrictions Easing: 36.4% of forecast), while an increase was seen in presentations for eating disorders (Statewide Lockdown: 139.5% of forecast; Restrictions Easing: 194.4% of forecast).

Conclusions

Overall weekly mental health-related presentations across Queensland public EDs were lower than expected for the first 16 months of the COVID-19 pandemic. These findings underline the limitations of emergency department provision of mental health care and the importance of alternate care modalities in the pandemic context.

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来源期刊
CiteScore
7.80
自引率
0.00%
发文量
17
审稿时长
>12 weeks
期刊介绍: Asia-Pacific Psychiatry is an international psychiatric journal focused on the Asia and Pacific Rim region, and is the official journal of the Pacific Rim College of Psychiatrics. Asia-Pacific Psychiatry enables psychiatric and other mental health professionals in the region to share their research, education programs and clinical experience with a larger international readership. The journal offers a venue for high quality research for and from the region in the face of minimal international publication availability for authors concerned with the region. This includes findings highlighting the diversity in psychiatric behaviour, treatment and outcome related to social, ethnic, cultural and economic differences of the region. The journal publishes peer-reviewed articles and reviews, as well as clinically and educationally focused papers on regional best practices. Images, videos, a young psychiatrist''s corner, meeting reports, a journal club and contextual commentaries differentiate this journal from existing main stream psychiatry journals that are focused on other regions, or nationally focused within countries of Asia and the Pacific Rim.
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