COVID-19 crisis and the incidence of hospital admissions for psychosis in France
Copyright © 2023 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved..
OBJECTIVES: We aimed to assess the impact of the COVID-19 crisis on the occurrence of new hospital admissions for cases of psychosis in France.
METHOD: We conducted a retrospective observational study from the French national PMSI database. We included patients hospitalized between 2018 and 2020 with a principal diagnosis of schizophrenia or delusional disorder with no history of psychosis in the previous 10 years. In total, we included 77,172 inpatients at crisis centers and/or in full-time hospitalization at 465 French hospitals. We assessed the number of inpatients during the year of the Covid crisis (2020) and the two years prior (2018, 2019).
RESULTS: The number of inpatients in full-time hospitalization decreased gradually from 2018 to 2020 by 10.6%. This downward trend was observed in all age groups. In contrast, in crisis centers the number of inpatients increased by 13.4% between 2019 and 2020, while a 7.6% decrease was seen between 2018 and 2019. The greatest increase was observed in the 31-60-year age category, and particularly amongst 46-60-year-olds, i.e. 38.0%.
CONCLUSION: The COVID-19 crisis was associated with an increase in the number of inpatients with a new episode of psychosis in crisis centers but not in full-time hospitalization. The profile of patients in crisis centers was different from that seen in preceding years and included more middle-to-late age adults. Particular attention should be given to this category of patients in the crisis environment to prevent the occurrence of new cases of psychosis in France.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2023 |
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| Enthalten in: |
L'Encephale - (2023) vom: 23. Sept. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Danan, Lara-Noëmie [VerfasserIn] |
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| Links: |
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| Themen: |
Épidémie COVID-19 |
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| Anmerkungen: |
Date Revised 25.09.2023 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1016/j.encep.2023.08.003 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM362453632 |
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| 245 | 1 | 0 | |a COVID-19 crisis and the incidence of hospital admissions for psychosis in France |
| 264 | 1 | |c 2023 | |
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| 500 | |a Date Revised 25.09.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a Copyright © 2023 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved. | ||
| 520 | |a OBJECTIVES: We aimed to assess the impact of the COVID-19 crisis on the occurrence of new hospital admissions for cases of psychosis in France | ||
| 520 | |a METHOD: We conducted a retrospective observational study from the French national PMSI database. We included patients hospitalized between 2018 and 2020 with a principal diagnosis of schizophrenia or delusional disorder with no history of psychosis in the previous 10 years. In total, we included 77,172 inpatients at crisis centers and/or in full-time hospitalization at 465 French hospitals. We assessed the number of inpatients during the year of the Covid crisis (2020) and the two years prior (2018, 2019) | ||
| 520 | |a RESULTS: The number of inpatients in full-time hospitalization decreased gradually from 2018 to 2020 by 10.6%. This downward trend was observed in all age groups. In contrast, in crisis centers the number of inpatients increased by 13.4% between 2019 and 2020, while a 7.6% decrease was seen between 2018 and 2019. The greatest increase was observed in the 31-60-year age category, and particularly amongst 46-60-year-olds, i.e. 38.0% | ||
| 520 | |a CONCLUSION: The COVID-19 crisis was associated with an increase in the number of inpatients with a new episode of psychosis in crisis centers but not in full-time hospitalization. The profile of patients in crisis centers was different from that seen in preceding years and included more middle-to-late age adults. Particular attention should be given to this category of patients in the crisis environment to prevent the occurrence of new cases of psychosis in France | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a COVID-19 epidemics | |
| 650 | 4 | |a France | |
| 650 | 4 | |a Mental health | |
| 650 | 4 | |a New episode psychosis | |
| 650 | 4 | |a Nouvel épisode psychotique | |
| 650 | 4 | |a Santé mentale | |
| 650 | 4 | |a Schizophrenia | |
| 650 | 4 | |a Épidémie COVID-19 | |
| 700 | 1 | |a Poullé, Jessica |e verfasserin |4 aut | |
| 700 | 1 | |a Bannay, Aurélie |e verfasserin |4 aut | |
| 700 | 1 | |a Baillot, Sylvain |e verfasserin |4 aut | |
| 700 | 1 | |a Laprévote, Vincent |e verfasserin |4 aut | |
| 700 | 1 | |a Dobre, Daniela |e verfasserin |4 aut | |
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