Increase in urgent care for patients with an eating disorder during the COVID-19 pandemic in a Spanish province.

INTRODUCTION: The COVID-19 pandemic has had a great impact on people's mental health. Patients with eating disorders (ED) are also highly sensitive to the pandemic situation due to their physical and mental health. The objective of this study is to evaluate the impact that the COVID-19 pandemic may have had on the reasons for the urgent care of patients with an eating disorder, comparing the reasons for care with those from a previous period. METHOD: We compared the visits to the emergency room and their characteristics before and after the pandemic of patients with an eating disorder in the province of Lleida. Information regarding sociodemographic status, reason for consultation, diagnosis, characteristics of suicidal behaviour, and other data were obtained from the electronic medical records. RESULTS: Within the total emergency attendances, eating disorders increased from 1.7% in the pre-pandemic period to 3.1% during the pandemic (p=0.030). Regarding the reason for consultation, a change in the pattern is observed, decreasing consultations for anxious decompensation (p<0.001) and increasing suicidal behaviour (p=0.016) and behavioural disorder (p=0.022). CONCLUSIONS: In our study we ascertained an increase in urgent care given to patients with an eating disorder during the two states of alarm, while consultations for anxiety symptoms decreased notably. However, care for suicidal behaviour increased, especially in women with comorbidity of personality disorders and who were unemployed.

Increase in urgent care for patients with an eating disorder during the COVID-19 pandemic in a Spanish province / Incremento de la atención de urgencia para los pacientes con trastornos de la alimentación durante la pandemia de COVID-19 en una provincia española

Introduction: The COVID-19 pandemic has had a great impact on people's mental health. Patients with eating disorders (ED) are also highly sensitive to the pandemic situation due to their physical and mental health. The objective of this study is to evaluate the impact that the COVID-19 pandemic may have had on the reasons for the urgent care of patients with an eating disorder, comparing the reasons for care with those from a previous period.Method: We compared the visits to the emergency room and their characteristics before and after the pandemic of patients with an eating disorder in the province of Lleida. Information regarding sociodemographic status, reason for consultation, diagnosis, characteristics of suicidal behaviour, and other data were obtained from the electronic medical records.Results: Within the total emergency attendances, eating disorders increased from 1.7% in the pre-pandemic period to 3.1% during the pandemic (p=0.030). Regarding the reason for consultation, a change in the pattern is observed, decreasing consultations for anxious decompensation (p<0.001) and increasing suicidal behaviour (p=0.016) and behavioural disorder (p=0.022).Conclusions: In our study we ascertained an increase in urgent care given to patients with an eating disorder during the two states of alarm, while consultations for anxiety symptoms decreased notably. However, care for suicidal behaviour increased, especially in women with comorbidity of personality disorders and who were unemployed. (AU)

Introducción: La pandemia de COVID-19 ha tenido un gran impacto en la salud mental de las personas. Los pacientes con trastornos de la alimentación (TA) también son altamente sensibles a la situación de la pandemia, debido a su salud física y mental. El objetivo de este estudio es evaluar el impacto que puede haber tenido la COVID-19 en los motivos de la atención de urgencia de los pacientes con TA, y comparar los motivos de dicha atención con los correspondientes a un periodo anterior.Método: Comparamos las visitas a la unidad de urgencias y sus características antes y después de la pandemia por parte de los pacientes con un TA en la provincia de Lleida. Se obtuvo información relativa al estatus sociodemográfico, el motivo de la consulta, el diagnóstico, las características del comportamiento suicida y otros datos, de la historia clínica digital.Resultados: Dentro de las visitas totales a urgencias, los TA se incrementaron del 1,7% en el periodo previo a la pandemia al 3,1% durante la pandemia (p=0,030). Con relación al motivo de la consulta, se observó un cambio de patrón, reduciéndose las consultas por descompensación por ansiedad (p<0,001) e incrementándose el comportamiento suicida (p=0,016) y el trastorno de conducta (p=0,022).Conclusiones: En nuestro estudio comprobamos un incremento de la atención de urgencia prestada a los pacientes con TA durante los 2 estados de alarma, reduciéndose notablemente las consultas por síntomas de ansiedad. Sin embargo, la atención por comportamiento suicida experimentó un aumento, especialmente en mujeres con comorbilidad por trastorno de la personalidad y en situación de desempleo. (AU)

Increase in urgent care for patients with an eating disorder during the COVID-19 pandemic in a Spanish province.

Introduction: The COVID-19 pandemic has had a great impact on people's mental health. Patients with eating disorders (ED) are also highly sensitive to the pandemic situation due to their physical and mental health. The objective of this study is to evaluate the impact that the COVID-19 pandemic may have had on the reasons for the urgent care of patients with an eating disorder, comparing the reasons for care with those from a previous period. Method: We compared the visits to the emergency room and their characteristics before and after the pandemic of patients with an eating disorder in the province of Lleida. Information regarding sociodemographic status, reason for consultation, diagnosis, characteristics of suicidal behaviour, and other data were obtained from the electronic medical records. Results: Within the total emergency attendances, eating disorders increased from 1.7% in the pre-pandemic period to 3.1% during the pandemic (p = 0.030). Regarding the reason for consultation, a change in the pattern is observed, decreasing consultations for anxious decompensation (p < 0.001) and increasing suicidal behaviour (p = 0.016) and behavioural disorder (p = 0.022). Conclusions: In our study we ascertained an increase in urgent care given to patients with an eating disorder during the two states of alarm, while consultations for anxiety symptoms decreased notably. However, care for suicidal behaviour increased, especially in women with comorbidity of personality disorders and who were unemployed.

Introducción: La pandemia de COVID-19 ha tenido un gran impacto en la salud mental de las personas. Los pacientes con trastornos de la alimentación (TA) también son altamente sensibles a la situación de la pandemia, debido a su salud física y mental. El objetivo de este estudio es evaluar el impacto que puede haber tenido la COVID-19 en los motivos de la atención de urgencia de los pacientes con TA, y comparar los motivos de dicha atención con los correspondientes a un periodo anterior. Método: Comparamos las visitas a la unidad de urgencias y sus características antes y después de la pandemia por parte de los pacientes con un TA en la provincia de Lleida. Se obtuvo información relativa al estatus sociodemográfico, el motivo de la consulta, el diagnóstico, las características del comportamiento suicida y otros datos, de la historia clínica digital. Resultados: Dentro de las visitas totales a urgencias, los TA se incrementaron del 1,7% en el periodo previo a la pandemia al 3,1% durante la pandemia (p = 0,030). Con relación al motivo de la consulta, se observó un cambio de patrón, reduciéndose las consultas por descompensación por ansiedad (p < 0,001) e incrementándose el comportamiento suicida (p = 0,016) y el trastorno de conducta (p = 0,022). Conclusiones: En nuestro estudio comprobamos un incremento de la atención de urgencia prestada a los pacientes con TA durante los 2 estados de alarma, reduciéndose notablemente las consultas por síntomas de ansiedad. Sin embargo, la atención por comportamiento suicida experimentó un aumento, especialmente en mujeres con comorbilidad por trastorno de la personalidad y en situación de desempleo.

Actuaciones de enfermeria inmediatas en situaciones de emergencia en HD / Nursing actions in haemodyalisis emergency situations

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