Kirchner Heribert, Bohn Andreas, Hulsmans Nik, Brzoska Patrick, Pajonk Frank-Gerald B
Universität Witten/Herdecke, Alfred-Herrhausen-Str. 50, 58455, Witten, Deutschland.
Klinik für Anästhesiologie, operative Intensivmedizin und Schmerztherapie, Universitätsklinikum Münster, Münster, Deutschland.
Anaesthesiologie. 2024 Jan;73(1):26-32. doi: 10.1007/s00101-023-01370-5. Epub 2024 Jan 12.
The coronavirus disease 2019 (COVID-19) pandemic represented a serious challenge for healthcare systems worldwide. Special psychiatric patients represent a vulnerable group and are particularly affected by lockdown interventions. Knowledge on the possible effects for this group of patients in an emergency physician setting is low.
The aim of this paper is to investigate the impact of the first lockdown during the COVID-19 pandemic in 2020 on emergency ambulance services for psychiatric patients in a large German city.
A retrospective analysis was conducted on all prehospital psychiatric emergencies in a large German city during the first pandemic-related lockdown from 22 March 2020 to 4 May 2020, with the same period in 2019 serving as a reference.
During the first lockdown there was a significant increase in the number of emergency missions with respect to psychiatric cases. A substantial rise in substance-associated deployments was observed. Moreover, there was an increase in the proportion of psychiatric patients who did not meet emergency criteria. Suicidal tendencies and agitation status played a minor role during the lockdown.
The lockdown had a notable impact on the frequency and profile of emergency physician calls in the metropolitan area studied. The substantial increase in substance-associated callouts can be interpreted as both a deterioration in access to the healthcare system and an expression of the increased stress faced by the general population and vulnerable groups in particular.
2019年冠状病毒病（COVID-19）大流行对全球医疗系统构成了严峻挑战。特殊精神病患者是弱势群体，尤其受到封锁措施的影响。在急诊医生环境中，对于这组患者可能产生的影响了解甚少。
本文旨在调查2020年COVID-19大流行期间首次封锁对德国一个大城市精神病患者紧急救护服务的影响。
对德国一个大城市在2020年3月22日至2020年5月4日与大流行相关的首次封锁期间的所有院前精神病紧急情况进行回顾性分析，并将2019年同期作为参考。
在首次封锁期间，精神病病例的紧急任务数量显著增加。观察到与物质相关的出诊次数大幅上升。此外，不符合紧急标准的精神病患者比例有所增加。封锁期间自杀倾向和激动状态起的作用较小。
封锁对所研究大都市地区急诊医生呼叫的频率和特征产生了显著影响。与物质相关的出诊次数大幅增加，既可以解释为医疗系统可及性的恶化，也可以看作是普通人群尤其是弱势群体面临的压力增加的一种表现。
