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Inpatient psychiatry care during coronavirus 2019 pandemic lockdown: Results from a department of psychiatry in northern Portugal

Published online by Cambridge University Press:  13 August 2021

A. Vieira ,
F. Andrade ,
A.S. Machado ,
D. Barbosa ,
A. Sousa ,
I. Soares Da Costa  and
A. Silva
A. Vieira*
Affiliation:
Psychiatry And Mental Health Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
F. Andrade
Affiliation:
Psychiatry And Mental Health Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
A.S. Machado
Affiliation:
Psychiatry And Mental Health Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
D. Barbosa
Affiliation:
Psychiatry And Mental Health Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
A. Sousa
Affiliation:
Psychiatry And Mental Health Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
I. Soares Da Costa
Affiliation:
Psychiatry And Mental Health Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
A. Silva
Affiliation:
Psychiatry And Mental Health Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
*
*Corresponding author.

Abstract

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Introduction

COVID-19 pandemic and the consequent containment measures have a negative impact on mental health. Simultaneously, the fear of infection can discourage patients from seeking necessary care.

Objectives

We aim to compare sociodemographic and clinical characteristics of inpatients admitted during the COVID-19 confinement period in Portugal vs. inpatients admitted in the same period the previous year.

Methods

Retrospective observational study of inpatients admitted between March 19th 2020 and May 1st 2020 and the analog period of 2019 in a psychiatry inpatient unit of a tertiary hospital. Descriptive analysis of the results was performed using the SPSS software, version 26.0.

Results

During the lockdown period, there were 30 admissions to the psychiatry inpatient unit, 55.2% less than the same period last year (n=67). The proportion of compulsory admissions and the average length of stay did not differ between the two periods. Regarding sociodemographic characteristics, in the confinement period inpatients were similar to the ones in the same period of 2019. In both periods, the majority of patients had previous psychiatric history (lockdown vs. same period last year: 95.5% and 90.0%) and a similar proportion of readmissions rate (previous year) was similar in the two groups (49.9% vs 47.6%). At discharge, the most frequent diagnostic groups were mood disorders (33.3% (n=10) and 34.3% (n=23)) and schizophrenia, schizotypal and delusional disorders (26,7% (n=8) and 31.3% (n=21)).

Conclusions

Although there was an expressive reduction of admissions to the psychiatry inpatient unit during lockdown, the clinical characteristics of these patients were analogous to the same period in the previous year.

Keywords

COVID-19inpatient care
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S308
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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