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新冠疫情期间三级精神病医院的入院特征:一项回顾性观察研究

Characteristics of Admissions to a Tertiary Psychiatric Hospital During the COVID-19 Pandemic: A Retrospective Observational Study.

作者信息

Qamruddin Mohtasim, Bsaibes Rita Elena, Yanni Madonna Hani, Skaria Sheril Varkey, Sabri Mohamed Adel, Itani Lynn, Turki Amna

机构信息

Psychiatry Department, Al Amal Psychiatric Hospital, Emirates Health Services, Dubai, UAE.

Training and Development Centre, Emirates Health Services, Dubai, UAE.

出版信息

Oman Med J. 2022 Sep 30;37(5):e420. doi: 10.5001/omj.2022.83. eCollection 2022 Sep.

Abstract

OBJECTIVES

To study the effect of the COVID-19 pandemic on the socio-demographic and clinical profiles of patients who were admitted to a tertiary psychiatric hospital in the UAE during 2020 compared with the corresponding period in 2019, and to evaluate the effect of the pandemic on the mental healthcare system.

METHODS

Socio-demographic and clinical data of the patients from March 11 to June 11 in 2019 and 2020 was collected anonymously from hospital electronic medical records. The characteristics of the two patient cohorts were compared statistically.

RESULTS

A total of 337 patient admissions to the hospital during March 11 to June 11, 2020 against 189 admissions in the corresponding period in 2019. In the multiple logistic regression model, the admissions in 2020 were significantly more likely to be diagnosed with bipolar disorder (odds ratio (OR) = 1.902; 0.028) and were significantly to have no prior psychiatric history (OR = 4.255, < 0.001), compared to those cases admitted in 2019.

CONCLUSIONS

This study is unique for evaluating the patterns of hospitalization at a specific psychiatric hospital during the first three months of the pandemic in the UAE. The findings of this study will support the public health sector in designing mental health strategies in pandemic situations. A longitudinal multicenter study would give more insight into the overall impact of the pandemic on mental health.

摘要

目的

研究2020年新型冠状病毒肺炎疫情对阿联酋一家三级精神病医院收治患者的社会人口统计学和临床特征的影响,并与2019年同期进行比较,同时评估疫情对精神卫生保健系统的影响。

方法

从医院电子病历中匿名收集2019年和2020年3月11日至6月11日患者的社会人口统计学和临床数据。对两组患者的特征进行统计学比较。

结果

2020年3月11日至6月11日期间,该医院共收治337例患者,而2019年同期为189例。在多元逻辑回归模型中,与2019年收治的病例相比,2020年收治的患者被诊断为双相情感障碍的可能性显著更高(比值比(OR)=1.902;P=0.028),且无前精神病史的可能性也显著更高(OR=4.255,P<0.001)。

结论

本研究对于评估阿联酋疫情头三个月一家特定精神病医院的住院模式具有独特性。本研究结果将支持公共卫生部门制定疫情期间的心理健康策略。一项纵向多中心研究将更深入地了解疫情对心理健康的总体影响。

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