Emergency department utilization for mental health conditions before and after the COVID-19 outbreak.

Szczegóły
Abstrakt

Tytuł:: Emergency department utilization for mental health conditions before and after the COVID-19 outbreak.
Autorzy:: Stroever S; Department of Innovation and Research, Nuvance Health, Danbury, CT, United States of America. Electronic address: .
Brett C; Department of Innovation and Research, Nuvance Health, Danbury, CT, United States of America.
Michael K; Department of Psychiatry, Nuvance Health, Danbury, CT, United States of America.
Petrini J; Department of Innovation and Research, Nuvance Health, Danbury, CT, United States of America.
Źródło:: The American journal of emergency medicine [Am J Emerg Med] 2021 Sep; Vol. 47, pp. 164-168. Date of Electronic Publication: 2021 Mar 31.
Typ publikacji:: Journal Article; Multicenter Study
Język:: English
Imprint Name(s):: Publication: 1983- : Philadelphia, PA : W B Saunders
Original Publication: [Philadelphia, PA. : Centrum Philadelphia, c1983]-
MeSH Terms:: COVID-19/*epidemiology
Emergency Service, Hospital/*statistics & numerical data
Mental Disorders/*therapy
Patient Acceptance of Health Care/*statistics & numerical data
Adult ; Aged ; Anxiety Disorders/epidemiology ; Anxiety Disorders/therapy ; Chi-Square Distribution ; Connecticut/epidemiology ; Cross-Sectional Studies ; Female ; Humans ; Male ; Mental Disorders/epidemiology ; Middle Aged ; Sex Factors ; Substance-Related Disorders/epidemiology ; Substance-Related Disorders/therapy
References:: Lancet Psychiatry. 2015 Mar;2(3):239-45. (PMID: 26359902)
Australas Psychiatry. 2020 Dec;28(6):627-631. (PMID: 32961096)
Ann Intern Med. 2020 Jul 7;173(1):59-60. (PMID: 32240291)
Psychiatr Serv. 2020 Dec 1;71(12):1225-1231. (PMID: 32988323)
Psychiatry Res. 2020 Nov;293:113419. (PMID: 32861098)
Psychol Sci Public Interest. 2017 Sep;18(2):72-145. (PMID: 29211974)
Asian J Psychiatr. 2020 Aug;52:102066. (PMID: 32302935)
MMWR Morb Mortal Wkly Rep. 2020 Jun 12;69(23):699-704. (PMID: 32525856)
Emerg Med Australas. 2021 Apr;33(2):324-330. (PMID: 33078509)
J Psychiatr Res. 2011 Aug;45(8):1027-35. (PMID: 21439576)
Am J Emerg Med. 2021 Mar;41:233-234. (PMID: 32507569)
Iran J Psychiatry Behav Sci. 2011 Fall;5(2):83-90. (PMID: 24644451)
Drug Alcohol Depend. 2020 Sep 1;214:108176. (PMID: 32717504)
QJM. 2020 Oct 1;113(10):707-712. (PMID: 32539153)
Ann Transl Med. 2020 May;8(9):576. (PMID: 32566603)
Disaster Med Public Health Prep. 2012 Mar;6(1):67-71. (PMID: 22490939)
Am J Public Health. 2020 Nov;110(11):1628-1634. (PMID: 32941066)
J Clin Psychiatry. 2020 Jul 28;81(5):. (PMID: 32726001)
Ann Intern Med. 2020 Jul 7;173(1):57-58. (PMID: 32240283)
Psychol Med. 2001 Jan;31(1):127-38. (PMID: 11200951)
Contributed Indexing:: Keywords: COVID-19; Emergency service; Hospital; Mental health; Mental health services
Entry Date(s):: Date Created: 20210404 Date Completed: 20210824 Latest Revision: 20221221
Update Code:: 20240105
PubMed Central ID:: PMC8010358
DOI:: 10.1016/j.ajem.2021.03.084
PMID:: 33813148
: Czasopismo naukowe

Full Text Finder

Introduction: The outbreak of COVID-19 disrupted lives across the United States. Evidence shows that such a climate is deleterious to mental health and may increase demand for mental health services in emergency departments. The purpose of this study was to determine the difference in emergency department utilization for mental health diagnoses before and after the COVID-19 surge.
Methods: We conducted a cross-sectional study between January-August 2019 and January-August 2020 with emergency department encounter as the sampling unit. The primary outcome was the proportion of all emergency department encounters attributed to mental health. We performed chi-square analyses to evaluate the differences between 2019 and 2020.
Results: We found that overall emergency department volume declined between 2019 and 2020, while the proportion attributable to mental health conditions increased (p < 0.01). Substance abuse, anxiety, and mood disorders accounted for nearly 90% of mental health diagnoses during both periods. When stratified by sex, substance abuse was the leading mental health diagnosis for males and anxiety and substance abuse disorders combined accounted for the largest proportion for females.
Discussion: The emergency department is an important community resource for the identification and triage of mental health emergencies. This role is even more important during disasters and extended crises, making it imperative that emergency departments employ experienced mental health staff. This study provides a comparison of emergency department utilization for mental health diagnoses before the pandemic and during the spring 2020 surge and may serve as a useful guide for hospitals, health systems and communities in future planning.
Competing Interests: Declaration of Competing Interest None.
(Copyright © 2021 Elsevier Inc. All rights reserved.)

Informacja