Impact of the SARS-CoV-2 Pandemic on Hospitalizations in an Acute Psychiatric Ward.
Risk Manag Healthc Policy
; 17: 1713-1723, 2024.
Article
em En
| MEDLINE
| ID: mdl-38953036
ABSTRACT
Background:
The Sars-CoV-2 pandemic imposed unprecedented and drastic changes in health care organizations all over the world.Purpose:
To evaluate the impact of the pandemic on hospitalizations in an acute psychiatric ward. Patients andMethods:
We retrospectively identified and compared acute psychiatric hospitalizations in the Service for Psychiatric Diagnosis and Care (SPDC) of AUSL-Modena during the pre-pandemic (n = 1858) and pandemic period (n = 1095), from 01/01/2017 to 31/12/2022. Data were statistically analyzed using STATA12.Results:
We collected 1858 hospitalizations in the pre-pandemic and 1095 in the pandemic. During the pandemic, we observed a progressively sharp reduction in voluntary hospitalizations, whereas involuntary ones remained stable with an increase in 2022 (p < 0.001), longer hospital stays (12.32 mean days vs 10.03; p < 0.001), longer periods of involuntary hospitalizations (8.45 mean days vs 5.72; p < 0.001), more frequent aggressive behaviour (16.10% vs 9.12%; p < 0.001) and referral to psychiatric communities at discharge (11.04% vs 6.13%; p < 0.001); non-Italians (p = 0.001), people with disability pension (p < 0.001) and Support Administrator (p < 0.001) were more frequently hospitalized.Conclusion:
During the pandemic, voluntary psychiatric hospitalizations decreased, but not involuntary ones, and the most vulnerable people in serious clinical conditions were hospitalized.
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MEDLINE
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En
Ano de publicação:
2024
Tipo de documento:
Article