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[严重急性呼吸综合征冠状病毒2型(SARS-CoV2)-19大流行第二波期间的儿童和青少年精神科急诊:图宾根大学医院的研究结果]

[Child and Adolescent Psychiatric Emergencies During the Second Wave of the SARS-CoV2-19 Pandemic: Findings from the Tübingen University Hospital].

作者信息

Allgaier Katharina, Schneider Priska S, Buck Simone, Reusch Pauline A, Hagmann Daniela, Barth Gottfried M, Renner Tobias J

机构信息

Abteilung für Psychiatrie, Psychosomatik und Psychotherapie im Kindes- und Jugendalter, Universitätsklinik für Psychiatrie und Psychotherapie, Zentrum für Psychische Gesundheit, Tübingen, Deutschland.

LEAD Graduate School and Research Network, Universität Tübingen, Deutschland.

出版信息

Z Kinder Jugendpsychiatr Psychother. 2022 Jul;50(4):275-285. doi: 10.1024/1422-4917/a000858. Epub 2022 Feb 28.

Abstract

Child and Adolescent Psychiatric Emergencies During the Second Wave of the SARS-CoV2-19 Pandemic: Findings from the Tübingen University Hospital Child and adolescent psychiatric emergencies during the SARS-CoV2-19 pandemic are part of a controversial discussion. This study investigates the volume of such emergencies, the age of the patients, and the diagnoses of eating disorders and obsessive-compulsive disorders (OCD) that occurred at the Child and Adolescent Psychiatric Center (CAP) Tübingen during the second wave of the pandemic compared to the year before. We evaluated data on all emergencies at CAP Tübingen (telephone calls, outpatients, patient admissions) from 10/2019-01/2020 (first time period) and 10/2020-01/2021 (second wave). The volume of emergencies during the second wave (319 presentations) was 29.7 % higher than during the first time period, and the number of patients (172 presentations) increased by 10.3 %. Compared to the first time period, the number of inpatients was 27.9 % higher, and the emergency admissions increased by 27.8 %. Patients in the second wave were somewhat older, with an average age of 14.8 years (first period: 14.2 years). Eating disorders were more frequent during the second wave, whereas OCD were more frequent in the first time period. Almost 30 % more emergencies were recorded in the second wave of the pandemic, with especially eating disorders increasing. Systematic emergency records should be documented at all German CAPs to enable demand-oriented planning.

摘要

严重急性呼吸综合征冠状病毒2型(SARS-CoV2)-19大流行第二波期间的儿童和青少年精神科急诊:图宾根大学医院的研究结果 严重急性呼吸综合征冠状病毒2型(SARS-CoV2)-19大流行期间的儿童和青少年精神科急诊是一个存在争议的讨论话题。本研究调查了在大流行第二波期间,与前一年相比,图宾根儿童和青少年精神科中心(CAP)发生的此类急诊数量、患者年龄以及饮食失调和强迫症(OCD)的诊断情况。我们评估了图宾根儿童和青少年精神科中心2019年10月至2020年1月(第一个时间段)和2020年10月至2021年1月(第二波)所有急诊的数据(电话咨询、门诊、住院患者)。第二波期间的急诊数量(319例)比第一个时间段高出29.7%,患者数量(172例)增加了10.3%。与第一个时间段相比,住院患者数量高出27.9%,急诊入院人数增加了27.8%。第二波中的患者年龄稍大,平均年龄为14.8岁(第一个时间段:14.2岁)。饮食失调在第二波期间更为常见,而强迫症在第一个时间段更为常见。在大流行的第二波中记录的急诊数量增加了近30%,尤其是饮食失调有所增加。德国所有儿童和青少年精神科中心都应进行系统的急诊记录,以便进行以需求为导向的规划。

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