VA HSR&D Center to Improve Veteran Involvement in Care, VA Portland Health Care System, 3710 SW U.S. Veterans Hospital Road, R&D 66, Portland, OR 97239, USA; Department of Psychiatry, Oregon Health and Science University, Portland, OR, USA.
VA HSR&D Center to Improve Veteran Involvement in Care, VA Portland Health Care System, 3710 SW U.S. Veterans Hospital Road, R&D 66, Portland, OR 97239, USA.
Psychiatry Res. 2022 Jun;312:114570. doi: 10.1016/j.psychres.2022.114570. Epub 2022 Apr 22.
The goal of our study was to evaluate the development of new mental health diagnoses up to 6-months following COVID-19 hospitalization for in a large, national sample.
Data were extracted for all Veterans hospitalized at Veterans Health Administration hospitals for COVID-19 from March through August of 2020 utilizing national administrative data. After identifying the cohort, follow-up data were linked through six months post-hospitalization. Data were analyzed using logistic regression.
Eight percent of patients developed a new mental health diagnosis following hospitalization. The most common new mental health diagnoses involved depressive, anxiety, and adjustment disorders. Younger and rural patients were more likely to develop new mental health diagnoses. Women and those with more comorbidities were less likely to develop new diagnoses.
A subpopulation of patients hospitalized for COVID-19 developed new mental health diagnoses. Unique demographics predictors indicate the potential need for additional outreach and screening to groups at elevated risk of post-hospitalization, mental health sequelae.
本研究的目的是评估在大型全国样本中，COVID-19 住院后长达 6 个月新出现的心理健康诊断的发展情况。
利用国家行政数据，从 2020 年 3 月至 8 月，提取所有在退伍军人事务部医院因 COVID-19 住院的退伍军人的数据。在确定队列后，通过住院后 6 个月进行随访数据链接。使用逻辑回归分析数据。
8%的患者在住院后出现新的心理健康诊断。最常见的新心理健康诊断涉及抑郁、焦虑和适应障碍。年轻和农村患者更有可能出现新的心理健康诊断。女性和合并症较多的患者不太可能出现新的诊断。
住院治疗 COVID-19 的患者中有一部分出现了新的心理健康诊断。独特的人口统计学预测因素表明，需要针对有更高住院后心理健康后遗症风险的群体进行额外的外展和筛查。
