UNASSIGNED: To evaluate the impact of the pandemic on hospitalizations in an acute psychiatric ward.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: During the pandemic, voluntary psychiatric hospitalizations decreased, but not involuntary ones, and the most vulnerable people in serious clinical conditions were hospitalized.
■评估大流行对急性精神病病房住院的影响。
■我们回顾性地确定并比较了在大流行前(n=1858)和大流行期间(n=1095)的AUSL-Modena精神病诊断和护理服务(SPDC)中的急性精神病住院情况。从01/01/2017到31/12/2022。使用STATA12对数据进行统计学分析。
■我们在大流行前收集了1858例住院治疗,在大流行中收集了1095例住院治疗。大流行期间,我们观察到自愿住院人数逐渐急剧减少,而非自愿的保持稳定,在2022年有所增加(p<0.001),住院时间更长(平均12.32天vs10.03天;p<0.001),非自愿住院时间更长(平均8.45天vs5.72天;p<0.001),更频繁的攻击行为(16.10%vs9.12%;p<0.001)和出院时转诊到精神病社区(11.04%vs6.13%;p<0.001);非意大利人(p=0.001),有残疾养老金(p<0.001)和支持管理员(p<0.001)的人住院的频率更高。
■在大流行期间,自愿住院的精神病患者减少了,但不是非自愿的,最脆弱的人在严重的临床条件下住院。