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Between the first and second wave of the 2019 coronavirus pandemic (COVID-19): Presentation and crowding of attenders for mentale disorder and intossication/substance abuse

Published online by Cambridge University Press:  13 August 2021

G. Savioli ,
S. Pesenti ,
I. Ceresa ,
E. Oddone  and
M.A. Bressan
G. Savioli
Affiliation:
Emergency Department, IRCCS Policlinico San Matteo, Pavia, Italy
S. Pesenti*
Affiliation:
In Cammino Social Cooperative Of San Pellegrino Terme (bg)., La Bonne Semence social cooperative of Oltre il Colle (BG), Bergamo, Italy
I. Ceresa
Affiliation:
Emergency Department, IRCCS Policlinico San Matteo, Pavia, Italy
E. Oddone
Affiliation:
Department Of Public Health, University of Pavia, Pavia, Italy
M.A. Bressan
Affiliation:
Emergency Department, IRCCS Policlinico San Matteo, Pavia, Italy
*
*Corresponding author.

Abstract

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Introduction

During the 1st wave of CoViD-19 pandemic there was a drastic reduction in total number of accesses, with more serious cases and a exorbitant increase in crowding, due to access block.

Objectives

evaluate population who went to ED for (1) mental disorders requesting a psychiatric visit and for (2) intossication and substance abuse, between the first and second wave of the coronavirus pandemic

Methods

We enrolled all patients who went at our ED from May 1 to October 20, 2020 and during the same period of 2019. We analized: vital parameters, age, sex, exit severity codes, hospitalization rate, Crowding input factors (number of access, waiting time, priority time to doc), Crowding throughput factors (LOS: Length Of ED Stay), Crowding output factors (percentage of access block; Total Access Block Time).

Results

The results are shown in table 1

Table 1Mental-disorderintossication/substance-abuse
May1-October 20,2020May1- October 20,2019May1-October 20,2020May1- October 20, 2019
number of ED access543564182254
higher (yellow and red) priority time to doc (%)28%29%50%39%
worse exit severity codes (%)10%6%16%11%
rate of hospitalization (%)26%20%16%9%
average waiting times (min)60647679
LOS lenght of stay (min)369326629506
access block (%)3%2%5%4%
Total Access Block Time: examination rooms (min)11.5388.3848.0598.889
Total Access Block Time: holding area (min)8.3823.963182254

Conclusions

We would like to thank all employees of the IRCCS Policlinico San Matteo Foundation for their extraordinary efforts during the pandemic.

Keywords

COVID-19 pandemicmetal disorderEmergency departmentintossication and substance abuse
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S364 - S365
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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