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精神障碍急诊入院的季节性影响:两年临床经验。

Effects of seasonality in emergency admissions for mental disorders: two years of clinical experience.

机构信息

Department of Emergency Medicine, San Luigi Gonzaga University Hospital, Turin, Italy.

Department of Psychiatry, San Luigi Gonzaga University Hospital, Turin, Italy.

出版信息

Int J Psychiatry Clin Pract. 2024 Mar;28(1):45-52. doi: 10.1080/13651501.2024.2331481. Epub 2024 Apr 8.

Abstract

OBJECTIVES

This retrospective study, conducted in Turin, Italy, between January 2021 and February 2023, investigates the impact of seasonal heatwaves on emergency department (ED) admissions for mental disorders.

METHODS

Through the analysis of data from 2,854 patients, this research found a significant link between the occurrence of heatwaves, especially from June to August, and an elevated rate of ED admissions for psychiatric conditions.

RESULTS

The data indicate a clear seasonal pattern, with admissions peaking during the hot months and diminishing in the colder months. Particularly, the study delineates an enhanced correlation between heatwaves and admissions for severe psychiatric disorders, such as bipolar disorder, major depression, personality disorders, and schizophrenia, accounting for 1,868 of the cases examined. This correlation was most pronounced among individuals aged 50-59 years.

CONCLUSIONS

The results of this study highlight a critical association between the incidence of seasonal heatwaves and an uptick in ED visits for psychiatric disorders, with a distinct impact on severe cases. It underscores the urgency for healthcare systems to anticipate seasonal fluctuations in psychiatric ED admissions and to allocate resources effectively to support patients during peak periods.

摘要

目的

本回顾性研究于 2021 年 1 月至 2023 年 2 月在意大利都灵进行,旨在探讨季节性热浪对精神障碍急诊就诊的影响。

方法

通过对 2854 名患者数据的分析,该研究发现热浪(尤其是 6 月至 8 月)的发生与精神科疾病急诊就诊率升高之间存在显著关联。

结果

数据显示出明显的季节性模式,就诊高峰出现在炎热月份,而在寒冷月份减少。特别是,该研究描绘了热浪与严重精神障碍(如双相情感障碍、重度抑郁症、人格障碍和精神分裂症)就诊之间的相关性增强,在检查的病例中占 1868 例。这种相关性在 50-59 岁的个体中最为明显。

结论

本研究结果强调了季节性热浪的发生与精神科急诊就诊增加之间存在关联,对严重病例有明显影响。这凸显了医疗保健系统在预测精神科急诊就诊的季节性波动方面的紧迫性,并在高峰期为患者提供有效资源支持的重要性。

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