1. Characteristics and Outcomes of Psychiatric Inpatients With Severe Mental Illness and COVID-19: Experience From a COVID-19-Specific Acute Psychiatric Ward in Istanbul.
- Author
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Yalçin M, Sönmez Güngör E, Ergelen M, Beşikçi Keleş D, Yerebakan Tüzer M, Öcek Baş T, Güneş M, Genç D, Kirşavoğlu B, Metin M, Bülbül A, and Kayacan A
- Subjects
- Acute Disease, Adult, Aged, Case-Control Studies, Chronic Disease, Comorbidity, Female, Humans, Male, Middle Aged, Prospective Studies, Psychiatric Department, Hospital statistics & numerical data, Recurrence, Symptom Flare Up, Turkey epidemiology, COVID-19 epidemiology, Mental Disorders epidemiology
- Abstract
Abstract: Recent studies indicated that psychiatric inpatients with severe mental illness (SMI) are at a greater risk of morbidity and mortality from COVID-19. However, there is still little data about the impact of comorbid COVID-19 infection on the course and outcome of acute exacerbations in this population. We conducted a prospective historically matched case control study. The sociodemographic and clinical characteristics of acute psychiatric inpatients with SMI and comorbid COVID-19 (n = 21) were compared with those of historically-matched non-COVID-19 controls with SMI (n = 42). The outcomes for acute inpatients with SMI and COVID-19 were also investigated. The new-onset SMI rate was relatively higher (23.8%) in the COVID-19 group, which has characteristics similar to those of the non-COVID-19 group except for working status (p < 0.05). The COVID-19 group had a high rate of relapse (47.6%) within 6 months of discharge. Our study suggests that patients with SMI who contracted SARS-CoV-2 may have a higher rate of new-onset mental disorder. Considering the high rate of relapse during the pandemic, chronically ill patients with SMI and COVID-19 should be closely monitored after discharge., (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)
- Published
- 2021
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