澳大利亚悉尼COVID-19大流行期间儿童和年轻人急诊科心理健康表现的临床特征

IF 1.7 4区 医学 Q2 EMERGENCY MEDICINE
Saartje Berendsen Russell BHscNsg, MEd, Shanti Pun BN, Farina Jeyaraj BN, MN, Margaret Murphy MHlscEd, PhD, Nicole Bohlken BN, Emma Jenkins BN, Kerrie Bubb BN, Naomi Derrick BN, William Royle MPH, Radhika V Seimon PhD, Kendall Bein MBBS, Michael M Dinh MBBS, MPH, MD, PhD
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引用次数: 0

摘要

最近的研究表明,在澳大利亚和海外,患有精神健康(MH)相关问题的儿童和年轻人在急诊科的患病率正在上升。本研究旨在研究2021年悉尼COVID-19长期封锁期前后10-24岁儿童和年轻人MH - ED表现的临床特征和影响因素。方法回顾性分析2021年1 - 4月(第1阶段)和2021年10 - 12月(第2阶段)3个城市急诊科收治的MH电子病历(eMR)。结果在1748例ED患者中,19%的患者年龄≤16岁,超过一半的患者为女性(63%),60%的患者在夜间就诊。三分之一(37%)是根据《精神卫生法》被拘留的。最常见的问题是“自杀意念”(33%),其次是药物或酒精中毒(18%)和“自残”(15%)。在第2阶段,COVID-19作为导致就诊的因素有所增加(从5%增加到25%)。在这项针对儿童和年轻人的多中心回顾性研究中,我们发现2021年COVID-19大流行期间,儿童和年轻人的再表现率相对较高,与COVID-19相关的问题增加,这是导致ED表现的具体因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Clinical characteristics of mental health presentations of children and young adults to the emergency department during the COVID-19 pandemic in Sydney, Australia

Clinical characteristics of mental health presentations of children and young adults to the emergency department during the COVID-19 pandemic in Sydney, Australia

Objectives

Recent studies have demonstrated the prevalence of children and young adults with mental health (MH)-related problems presenting to EDs is increasing in Australia and overseas. The present study aimed to examine clinical characteristics and contributing factors in relation to MH ED presentations of children and young adults, aged 10–24 years, before and after the long Sydney COVID-19 lockdown period in 2021.

Methods

This was a retrospective chart review of electronic medical records (eMR) of MH presentations to three metropolitan EDs during January to April 2021 (phase 1) and October to December 2021 (phase 2).

Results

Of the 1748 total ED presentations, 19% were ≤16 years, over half were female (63%) and 60% presented after hours. A third (37%) were detained under the Mental Health Act. The most common presenting problems were ‘suicidal ideation’ (33%), followed by drug or alcohol poisoning or intoxication (18%) and ‘self-harm’ (15%). COVID-19 as a contributing factor for presentation increased in phase 2 (from 5% to 25%).

Conclusion

In this multicentre retrospective study of children and young adults, we found a relatively high re-presentation rate and an increase in COVID-19-related issues as specific contributing factors to ED presentation during the COVID-19 pandemic in 2021.

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来源期刊
Emergency Medicine Australasia
Emergency Medicine Australasia 医学-急救医学
CiteScore
3.70
自引率
13.00%
发文量
217
审稿时长
6-12 weeks
期刊介绍: Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine. Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.
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