PDF(Pubmed)
Abstract：
UNASSIGNED: The Sars-CoV-2 pandemic imposed unprecedented and drastic changes in health care organizations all over the world.
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.
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.
摘要：
■SARS-CoV-2大流行在世界各地的医疗保健组织中造成了前所未有的急剧变化。
■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。
■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。
