COVID-19 大流行对儿童心理健康的影响：儿科急诊的观点。
The aftermath of the COVID-19 pandemic on pediatric mental health: A pediatric emergency department's perspective.
机构信息
Department of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY, USA.
Department of Psychiatry, Maimonides Medical Center, Brooklyn, NY, USA.
出版信息
Am J Emerg Med. 2023 Sep;71:95-98. doi: 10.1016/j.ajem.2023.06.021. Epub 2023 Jun 15.
BACKGROUND
Pediatric mental health visits in the United States has become a public health crisis. Pediatric emergency departments (PED) encounter these patients during mental health emergencies. The COVID-19 pandemic disrupted the social environment of pediatric patients which potentially lead to new and worsening mental health issues. This study examined the proportion of mental health visits to PED around the first wave of the COVID-19 pandemic.
METHODS
This retrospective cohort study assessed the proportion of mental health visits at a urban, PED between September 2019 to February 2022. Inclusion criteria were subjects aged 6 to 18 years with a holding order assigned, and one of identified mental health International Classification of Disease, Tenth Division (ICD-10) codes: F01-F99, T14.19, R45, R46.89. Proportion of mental health visits were compared in 6-month periods with the first 6-months representing the pre-COVID-19 period. Secondary analysis compared demographic information and ICD-10 codes.
RESULTS
A total of 1036 charts were studied: 126 charts from 2019 to 2020, 512 from 2020 to 2021, and 398 from 2021 to 2022. The proportion of mental health visits from September 2019 to February 2020 was 1.4%, and for the following 6-month periods, the proportion of mental health visits was 1.2%, 7.5%, 4.9%, and 5.7%. There was a statistically significant difference (p < 0.001) demonstrating a higher proportion of mental health visits after the start of the COVID-19 pandemic. Secondary analysis demonstrated statistically significant difference in both median age (p < 0.001) and median length of hospitalization (p < 0.001).
CONCLUSION
This study demonstrated a significant increase in pediatric mental health visits following the start of the COVID-19 pandemic. We believe further investigation into the needs and management during acute surges will improve the care we provide to this vulnerable population.
背景
美国儿科心理健康就诊已成为公共卫生危机。儿科急诊部（PED）在处理精神健康紧急情况时会遇到这些患者。COVID-19 大流行扰乱了儿科患者的社会环境，这可能导致新的和恶化的心理健康问题。本研究检查了 COVID-19 大流行第一波前后 PED 心理健康就诊的比例。
方法
这项回顾性队列研究评估了城市 PED 在 2019 年 9 月至 2022 年 2 月期间的心理健康就诊比例。纳入标准为年龄在 6 至 18 岁之间、有拘留令和一个或多个已识别的精神健康国际疾病分类，第十版（ICD-10）代码的患者：F01-F99、T14.19、R45、R46.89。将 6 个月期间的心理健康就诊比例与前 6 个月（即 COVID-19 前时期）进行比较。次要分析比较了人口统计学信息和 ICD-10 代码。
结果
共研究了 1036 份图表：2019 年至 2020 年 126 份，2020 年至 2021 年 512 份，2021 年至 2022 年 398 份。2019 年 9 月至 2020 年 2 月期间心理健康就诊的比例为 1.4%，而随后 6 个月期间的心理健康就诊比例为 1.2%、7.5%、4.9%和 5.7%。差异有统计学意义（p<0.001），表明 COVID-19 大流行开始后心理健康就诊比例更高。次要分析表明，中位数年龄（p<0.001）和中位数住院时间（p<0.001）均有统计学差异。
结论
本研究表明，COVID-19 大流行开始后，儿科心理健康就诊显著增加。我们认为，进一步调查急性激增期间的需求和管理将改善我们为这一弱势群体提供的护理。
Zotero 插件