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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Ir+J+Psychol+Med
2020 ; 37
(4
): 283-290
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Psychiatric hospitalization rates in Italy before and during COVID-19: did they
change? An analysis of register data
#MMPMID32368994
Clerici M
; Durbano F
; Spinogatti F
; Vita A
; de Girolamo G
; Micciolo R
Ir J Psychol Med
2020[Dec]; 37
(4
): 283-290
PMID32368994
show ga
OBJECTIVES. To assess admission rates to seven General Hospital Psychiatric Wards
(GHPWs) located in the Lombardy Region in the 40 days after the start of
Coronavirus disease 2019 (COVID-19) epidemic, compared to similar periods of 2020
and 2019. METHODS. Anonymized data from the regional psychiatric care register
have been obtained and analyzed. The seven GHPWs care for approximately 1.4
million inhabitants and have a total of 119 beds. RESULTS. In the 40-day period
(February 21-March 31, 2020) after the start of the COVID-19 epidemic in Italy,
compared to a similar 40-day period prior to February 21, and compared to two
40-day periods of 2019, there has been a marked reduction in psychiatric
admission rates. The reduction was explained by voluntary admissions, while there
was not a noticeable reduction for involuntary admissions. The reduction was
visible for all diagnostic groups, except for a group of 'Other' diagnoses, which
includes anxiety disorders, neurocognitive disorders, etc. CONCLUSIONS.
Large-scale pandemics can modify voluntary admission rates to psychiatric
facilities in the early phases following pandemic onset. We suggest that the
reduction in admission rates may be due to fear of hospitals, seen as possible
sites of contagion, as well as to a change in thresholds of behavioral problems
acting as a trigger for admission requests from family relatives or referrals
from treating clinicians. It is unclear from the study whether the reduction in
admissions was contributed to most by the current pandemic or the lockdown
imposed due to the pandemic.
|COVID-19/*epidemiology
[MESH]
|Hospitalization/*statistics & numerical data
[MESH]
|Humans
[MESH]
|Italy
[MESH]
|Mental Disorders/*epidemiology/therapy
[MESH]
|Mental Health Services/statistics & numerical data
[MESH]
|Patient Admission/statistics & numerical data
[MESH]