Psychiatric hospitalization rates in Italy before and during COVID-19: did they change? An analysis of register data.
Identifieur interne : 000A81 ( Main/Corpus ); précédent : 000A80; suivant : 000A82Psychiatric hospitalization rates in Italy before and during COVID-19: did they change? An analysis of register data.
Auteurs : M. Clerici ; F. Durbano ; F. Spinogatti ; A. Vita ; G. De Girolamo ; R. MiccioloSource :
- Irish journal of psychological medicine [ 2051-6967 ] ; 2020.
Abstract
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.
DOI: 10.1017/ipm.2020.29
PubMed: 32368994
PubMed Central: PMC7264453
Links to Exploration step
pubmed:32368994Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Psychiatric hospitalization rates in Italy before and during COVID-19: did they change? An analysis of register data.</title><author><name sortKey="Clerici, M" sort="Clerici, M" uniqKey="Clerici M" first="M" last="Clerici">M. Clerici</name><affiliation><nlm:affiliation>Department of Mental Health and Addiction, ASST of Monza, Monza, Italy.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Psychiatric Clinic, University of Milan Bicocca, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Durbano, F" sort="Durbano, F" uniqKey="Durbano F" first="F" last="Durbano">F. Durbano</name><affiliation><nlm:affiliation>Department of Mental Health and Addiction, ASST of Melegnano e della Martesana, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Spinogatti, F" sort="Spinogatti, F" uniqKey="Spinogatti F" first="F" last="Spinogatti">F. Spinogatti</name><affiliation><nlm:affiliation>Department of Mental Health and Addiction, ASST of Cremona, Cremona CR, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Vita, A" sort="Vita, A" uniqKey="Vita A" first="A" last="Vita">A. Vita</name><affiliation><nlm:affiliation>Department of Mental Health and Addiction, ASST of Brescia, Brescia, Italy.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Psychiatric Clinic, University of Brescia, Brescia, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="De Girolamo, G" sort="De Girolamo, G" uniqKey="De Girolamo G" first="G" last="De Girolamo">G. De Girolamo</name><affiliation><nlm:affiliation>UOPEV, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Micciolo, R" sort="Micciolo, R" uniqKey="Micciolo R" first="R" last="Micciolo">R. Micciolo</name><affiliation><nlm:affiliation>Department of Psychology and Cognitive Sciences, University of Trento, Trento, Italy.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32368994</idno><idno type="pmid">32368994</idno><idno type="doi">10.1017/ipm.2020.29</idno><idno type="pmc">PMC7264453</idno><idno type="wicri:Area/Main/Corpus">000A81</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000A81</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Psychiatric hospitalization rates in Italy before and during COVID-19: did they change? An analysis of register data.</title><author><name sortKey="Clerici, M" sort="Clerici, M" uniqKey="Clerici M" first="M" last="Clerici">M. Clerici</name><affiliation><nlm:affiliation>Department of Mental Health and Addiction, ASST of Monza, Monza, Italy.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Psychiatric Clinic, University of Milan Bicocca, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Durbano, F" sort="Durbano, F" uniqKey="Durbano F" first="F" last="Durbano">F. Durbano</name><affiliation><nlm:affiliation>Department of Mental Health and Addiction, ASST of Melegnano e della Martesana, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Spinogatti, F" sort="Spinogatti, F" uniqKey="Spinogatti F" first="F" last="Spinogatti">F. Spinogatti</name><affiliation><nlm:affiliation>Department of Mental Health and Addiction, ASST of Cremona, Cremona CR, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Vita, A" sort="Vita, A" uniqKey="Vita A" first="A" last="Vita">A. Vita</name><affiliation><nlm:affiliation>Department of Mental Health and Addiction, ASST of Brescia, Brescia, Italy.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Psychiatric Clinic, University of Brescia, Brescia, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="De Girolamo, G" sort="De Girolamo, G" uniqKey="De Girolamo G" first="G" last="De Girolamo">G. De Girolamo</name><affiliation><nlm:affiliation>UOPEV, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Micciolo, R" sort="Micciolo, R" uniqKey="Micciolo R" first="R" last="Micciolo">R. Micciolo</name><affiliation><nlm:affiliation>Department of Psychology and Cognitive Sciences, University of Trento, Trento, Italy.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Irish journal of psychological medicine</title><idno type="eISSN">2051-6967</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES.</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS.</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS.</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS.</b></p><p>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.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32368994</PMID><DateRevised><Year>2020</Year><Month>06</Month><Day>04</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2051-6967</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>May</Month><Day>05</Day></PubDate></JournalIssue><Title>Irish journal of psychological medicine</Title><ISOAbbreviation>Ir J Psychol Med</ISOAbbreviation></Journal><ArticleTitle>Psychiatric hospitalization rates in Italy before and during COVID-19: did they change? An analysis of register data.</ArticleTitle><Pagination><MedlinePgn>1-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1017/ipm.2020.29</ELocationID><Abstract><AbstractText Label="OBJECTIVES." NlmCategory="UNASSIGNED">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.</AbstractText><AbstractText Label="METHODS." NlmCategory="UNASSIGNED">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.</AbstractText><AbstractText Label="RESULTS." NlmCategory="UNASSIGNED">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.</AbstractText><AbstractText Label="CONCLUSIONS." NlmCategory="UNASSIGNED">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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y" EqualContrib="Y"><LastName>Clerici</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Mental Health and Addiction, ASST of Monza, Monza, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Psychiatric Clinic, University of Milan Bicocca, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y" EqualContrib="Y"><LastName>Durbano</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Mental Health and Addiction, ASST of Melegnano e della Martesana, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y" EqualContrib="Y"><LastName>Spinogatti</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Mental Health and Addiction, ASST of Cremona, Cremona CR, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y" EqualContrib="Y"><LastName>Vita</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Mental Health and Addiction, ASST of Brescia, Brescia, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Psychiatric Clinic, University of Brescia, Brescia, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y" EqualContrib="Y"><LastName>de Girolamo</LastName><ForeName>G</ForeName><Initials>G</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-1611-8324</Identifier><AffiliationInfo><Affiliation>UOPEV, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y" EqualContrib="Y"><LastName>Micciolo</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Psychology and Cognitive Sciences, University of Trento, Trento, Italy.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>05</Month><Day>05</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Ir J Psychol Med</MedlineTA><NlmUniqueID>8900208</NlmUniqueID><ISSNLinking>0790-9667</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">disaster</Keyword><Keyword MajorTopicYN="N">hospital admission</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>5</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>5</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>5</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32368994</ArticleId><ArticleId IdType="pii">S0790966720000294</ArticleId><ArticleId IdType="doi">10.1017/ipm.2020.29</ArticleId><ArticleId IdType="pmc">PMC7264453</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Psychiatr Q. 1953 Jan;27(1):19-37</Citation><ArticleIdList><ArticleId IdType="pubmed">13014197</ArticleId></ArticleIdList></Reference><Reference><Citation>Psychiatr Serv. 2009 Jan;60(1):113-6</Citation><ArticleIdList><ArticleId IdType="pubmed">19114581</ArticleId></ArticleIdList></Reference><Reference><Citation>Psychiatr Serv. 2005 Nov;56(11):1367-73</Citation><ArticleIdList><ArticleId IdType="pubmed">16282254</ArticleId></ArticleIdList></Reference><Reference><Citation>Psychiatr Serv. 2008 Jan;59(1):91-5</Citation><ArticleIdList><ArticleId IdType="pubmed">18182545</ArticleId></ArticleIdList></Reference><Reference><Citation>J Psychiatr Res. 2007 Jan-Feb;41(1-2):119-30</Citation><ArticleIdList><ArticleId IdType="pubmed">16460760</ArticleId></ArticleIdList></Reference><Reference><Citation>Asia Pac Psychiatry. 2018 Sep;10(3):e12307</Citation><ArticleIdList><ArticleId IdType="pubmed">29285896</ArticleId></ArticleIdList></Reference><Reference><Citation>Gen Hosp Psychiatry. 2010 Nov-Dec;32(6):590-8</Citation><ArticleIdList><ArticleId IdType="pubmed">21112450</ArticleId></ArticleIdList></Reference><Reference><Citation>Acta Psychiatr Scand. 1966;42(1):1-23</Citation><ArticleIdList><ArticleId IdType="pubmed">5959639</ArticleId></ArticleIdList></Reference><Reference><Citation>JAMA Psychiatry. 2020 Apr 30;:</Citation><ArticleIdList><ArticleId IdType="pubmed">32352480</ArticleId></ArticleIdList></Reference><Reference><Citation>JAMA. 2013 Aug 7;310(5):507-18</Citation><ArticleIdList><ArticleId IdType="pubmed">23925621</ArticleId></ArticleIdList></Reference><Reference><Citation>Am J Psychiatry. 2003 Sep;160(9):1684-90</Citation><ArticleIdList><ArticleId IdType="pubmed">12944346</ArticleId></ArticleIdList></Reference><Reference><Citation>Acad Emerg Med. 2006 Nov;13(11):1228-31</Citation><ArticleIdList><ArticleId IdType="pubmed">16807399</ArticleId></ArticleIdList></Reference><Reference><Citation>Aust N Z J Psychiatry. 2015 Apr;49(4):346-50</Citation><ArticleIdList><ArticleId IdType="pubmed">25480653</ArticleId></ArticleIdList></Reference><Reference><Citation>Lancet. 2020 Mar 14;395(10227):912-920</Citation><ArticleIdList><ArticleId IdType="pubmed">32112714</ArticleId></ArticleIdList></Reference><Reference><Citation>Can J Psychiatry. 2009 May;54(5):302-11</Citation><ArticleIdList><ArticleId IdType="pubmed">19497162</ArticleId></ArticleIdList></Reference><Reference><Citation>Ir J Med Sci. 2016 Nov;185(4):935-940</Citation><ArticleIdList><ArticleId IdType="pubmed">26833488</ArticleId></ArticleIdList></Reference><Reference><Citation>CMAJ. 2004 Mar 2;170(5):793-8</Citation><ArticleIdList><ArticleId IdType="pubmed">14993174</ArticleId></ArticleIdList></Reference><Reference><Citation>N Engl J Med. 2020 Apr 28;:</Citation><ArticleIdList><ArticleId IdType="pubmed">32343497</ArticleId></ArticleIdList></Reference><Reference><Citation>Epidemiol Infect. 2008 Jul;136(7):997-1007</Citation><ArticleIdList><ArticleId IdType="pubmed">17662167</ArticleId></ArticleIdList></Reference><Reference><Citation>Eur Arch Psychiatry Clin Neurosci. 2004 Oct;254(5):330-4</Citation><ArticleIdList><ArticleId IdType="pubmed">15365709</ArticleId></ArticleIdList></Reference><Reference><Citation>Soc Psychiatry. 1987;22(3):160-6</Citation><ArticleIdList><ArticleId IdType="pubmed">3498223</ArticleId></ArticleIdList></Reference><Reference><Citation>Can J Psychiatry. 2007 Apr;52(4):233-40</Citation><ArticleIdList><ArticleId IdType="pubmed">17500304</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/CovidPsychoV1/Data/Main/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000A81 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd -nk 000A81 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= CovidPsychoV1
|flux= Main
|étape= Corpus
|type= RBID
|clé= pubmed:32368994
|texte= Psychiatric hospitalization rates in Italy before and during COVID-19: did they change? An analysis of register data.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Corpus/RBID.i -Sk "pubmed:32368994" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a CovidPsychoV1
| This area was generated with Dilib version V0.6.35. |  |