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Article ; Online: Effects of COVID-19 pandemic on mental health outcomes in a cohort of early psychosis patients.

Szmulewicz, Alejandro G / Benson, Nicole M / Hsu, John / Hernán, Miguel A / Öngür, Dost

Early intervention in psychiatry

2021  Volume 15, Issue 6, Page(s) 1799–1802

Abstract: Aim: To evaluate the impact of the COVID-19 pandemic on clinical outcomes, we used data ... from Electronic Health Records from 128 patients receiving care at a First Episode Psychosis clinic.: Methods: Rates ... of significant interruptions of care were found.: Conclusions: We report that patients have avoided accessing ...

Abstract Aim: To evaluate the impact of the COVID-19 pandemic on clinical outcomes, we used data from Electronic Health Records from 128 patients receiving care at a First Episode Psychosis clinic.
Methods: Rates of admission or emergency room (ER) visits from January 2020 to July 2020 were analysed using difference-in-difference regression. We used the same weeks in 2019 to control for seasonality.
Results: We found 17 hospitalizations or ER visits between 1 January 2020 and 13 March 2020 (incidence rate: 71.4 events/1000 person-weeks) and 6 between 14 March 2020 and 20 June 2020 (incidence rate: 18.5 events/1000 person-weeks) for an incidence rate ratio of 0.26. The severity of presentation worsened after transition to telemedicine. No signs of significant interruptions of care were found.
Conclusions: We report that patients have avoided accessing higher levels of care, except in extreme cases. We argue that this is not a sustainable trajectory and that public health actions are required.
MeSH term(s) COVID-19 ; Humans ; Outcome Assessment, Health Care ; Pandemics ; Psychotic Disorders/epidemiology ; SARS-CoV-2
Language English
Publishing date 2021-01-11
Publishing country Australia
Document type Journal Article
ZDB-ID 2272425-4
ISSN 1751-7893 ; 1751-7885
ISSN (online) 1751-7893
ISSN 1751-7885
DOI 10.1111/eip.13113
Database MEDical Literature Analysis and Retrieval System OnLINE

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