EVALUATION OF DIAGNOSIS AND TREATMENT PROCESSES OF PATIENTS HOSPITALIZED AND TREATED IN A PSYCHIATRIC CLINIC BEFORE AND AFTER THE COVID-19 PANDEMIC


Demircan F., Köşger F.

Türkiye Psikiyatri Derneği Yıllık Toplantısı ve 2. Uluslararası 26. Ulusal Klinik Eğitim Sempozyumu, Mersin, Türkiye, 9 - 12 Mayıs 2024, cilt.35, sa.1, ss.21, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Cilt numarası: 35
  • Basıldığı Şehir: Mersin
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.21
  • Eskişehir Osmangazi Üniversitesi Adresli: Evet

Özet

BACKGROUND AND AIM: For future epidemics, it is crucial to look into the pandemic’s consequences, particularly on people receiving treatment in psychiatric institutions due to severe mental illness. The aim of this study is to assess and compare the clinical features, therapeutic approaches, and sociodemographic traits of patients receiving inpatient care in a psychiatric ward pre-pandemic with those receiving inpatient care in the same psychiatric ward post-pandemic. METHODS: The study was approved by the Ethics Committee of Eskişehir Osmangazi University with decision number 38 on 20.12.2022. The study comprised 344 hospitalizations from the pandemic period and 547 hospitalizations from the pre-pandemic period. The data forms were completed using the records of the epicrisis, retrospectively. RESULTS: In the post-COVID-19 period, there was a significant increase in the application of depot antipsychotic medication (p<0.05). There was a statistically significant difference (p<0.05) between the two groups for the average number of ECT sessions used: 7.13 (±2.69) sessions were applied in the post-COVID-19 period, compared to 11.18 (±4.38) sessions in the pre-COVID-19 period. It’s shown that a considerably larger percentage of hospitalizations in the postCOVID-19 group occurred through the emergency department, and that this was associated with a higher likelihood of suicide ideation during hospitalization (p<0.05). In the psychiatric ward, patients in the pre-Covid-19 group spent an average of 27.42 (±20.82) days; patients in the post-Covid-19 group spent an average of 21.90 days (±16.63) days and a statistical difference between the two groups was found (p<0.05). The diagnostic distribution, clinical features and sociodemographic information of patients admitted to the mental unit were shown to be unaffected by the pandemic (p>0.05). CONCLUSIONS: We believe that our study’s findings are important for analyzing how the COVID-19 epidemic has affected patients with severe mental illness undergoing inpatient care in the psychiatric hospital and how it has affected the therapeutic options available to physicians. Keywords: COVID-19 pandemic, psychiatric ward, severe mental illness