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)
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