Napoli Giovanni, Garzitto Marco, Magliulo Vincenzo, Carnemolla Rossana, Anzallo Calogero, Balestrieri Matteo, Colizzi Marco
General Hospital Psychiatric Unit, Department of Mental Health, Friuli Centrale Health University Authority, 33100 Udine, Italy.
Unit of Psychiatry, Department of Medicine (DAME), University of Udine, 33100 Udine, Italy.
J Clin Med. 2023 Apr 4;12(7):2681. doi: 10.3390/jcm12072681.
This study assessed changes in revolving-door (RD) mental health hospitalizations during the COVID-19 pandemic. A 5-year retrospective hospital chart review was performed, collecting revolving-door hospitalization, sociodemographic, and clinical data. Out of 1036 patients, 5.69% had RD hospitalizations, which accounted for 10.38% of all recorded hospitalizations. Further, a higher number of RD hospitalizations occurred following the pandemic outbreak, which is unlikely to have been a result of the confounding effect of trimester and month of hospitalization. Finally, several sociodemographic and clinical characteristics recurred more frequently in the context of RD hospitalizations, such as being younger, being compulsorily admitted, being an absconding patient, and being referred by a public service. Certain diagnostic categories occurred more frequently among RD hospitalizations, including psychotic, personality, and substance use disorders, as well as intellectual disability. Patients with specific characteristics are more likely to incur in RD hospitalizations, requiring the implementation of supportive treatment plans, especially following the pandemic outbreak.
本研究评估了新冠疫情期间精神科医院的反复住院情况。我们进行了一项为期5年的回顾性医院病历审查，收集反复住院、社会人口统计学和临床数据。在1036名患者中，5.69%有反复住院情况，占所有记录在案住院病例的10.38%。此外，疫情爆发后反复住院的人数更多，这不太可能是住院 trimester和月份混杂效应的结果。最后，在反复住院的情况下，一些社会人口统计学和临床特征更为常见，例如年龄较小、被强制收治、逃跑患者以及由公共服务机构转诊。某些诊断类别在反复住院中更为常见，包括精神病性、人格和物质使用障碍，以及智力残疾。具有特定特征的患者更有可能出现反复住院情况，需要实施支持性治疗计划，尤其是在疫情爆发之后。
