<b>Changes and Inequities in Adult Mental Health–Related Emergency Department Visits During the COVID-19 Pandemic in the US</b>

Anderson, Kayla N.; Radhakrishnan, Lakshmi; Lane, Rashon I.; Sheppard, Michael; DeVies, Jourdan; Azondékon, Roseric; Smith, Amanda R.; Bitsko, Rebecca H.; Hartnett, Kathleen P.; Lopes-Cardozo, Barbara; Leeb, Rebecca T.; Santen, Katharina L. van; Carey, Kelly; Crossen, Sophia; Dias, Taylor; Wotiz, Sam; Adjemian, Jennifer; Rodgers, Loren; Njai, Rashid; Thomas, Cheryll C.

doi:10.1001/jamapsychiatry.2022.0164

Cited by 45 publications

(46 citation statements)

References 34 publications

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“…Despite this, there is no clear evidence that individuals with pre-existing mental disorders are disproportionately affected by pandemic-related societal disruptions; the effect size for pandemic impact on self-reported mental health problems was similar in psychiatric patients and the general population 13 . In the United States, emergency visits for ten different mental disorders were generally stable during the pandemic compared to earlier periods 53 . In a large Dutch study 22,54 with multiple pre-pandemic and during-pandemic assessments, there was no difference in symptom increase among patients relative to controls (see Fig.…”

Section: Which Individuals Are Most Affected By the Covid-19 Pandemic?mentioning

confidence: 93%

How COVID-19 shaped mental health: from infection to pandemic effects

Penninx

Benros

Mann³

et al. 2022

Nat Med

252

129

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Section: Which Individuals Are Most Affected By the Covid-19 Pandemic?mentioning

confidence: 93%

How COVID-19 shaped mental health: from infection to pandemic effects

Penninx

Benros

Mann³

et al. 2022

Nat Med

252

129

View full text Add to dashboard Cite

“…Anderson et al [ 27 ▪ ] used the National Syndromic Surveillance Program database to evaluate the number of mental-health-related emergency department visits of adults aged 18–64 years at 3600 US medical centers between January 2019 and August 2021. After a peak in COVID-19 cases, ED-related emergency department visit counts increased by 11.1% in the period February-March 2021 compared to the same (prepandemic) period in 2019.…”

Section: Hospital Admissions and Emergency Department Visitsmentioning

confidence: 99%

Review of the unprecedented impact of the COVID-19 pandemic on the occurrence of eating disorders

Meier

Hoeken

Hoek

2022

Current Opinion in Psychiatry

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Purpose of reviewTo review the recent literature on the impact of the coronavirus disease-2019 (COVID-19) pandemic on incidence and severity of symptoms of eating disorders (EDs).Recent findingsA worrying increase of EDs in- and outpatients has been reported since the COVID-19 pandemic began in 2019/2020. Restrictions implemented during the pandemic to protect populations against COVID-19 increased the risk for onset and for worsening of EDs by disrupting eating and exercise routines, social isolation, lack of support, and limited access to healthcare. Substantial increases since the start of the pandemic have been reported for overall incidence (15%), hospital admissions (48%) and emergency department visits (11%) for EDs, with even higher increases among women and children or adolescents with an ED. During the pandemic, ED patients reported increased severity of ED-specific symptoms and increased anxiety, depression and suicidal ideations and -attempts. Treatments shifted largely toward online methods for continuity of care, despite concerns about the quality of care provided and difficulties in self-monitoring. Our review provides preliminary evidence for a similar effectiveness of online treatment to prepandemic face-to-face treatment. In-person assessment remains essential for detecting EDs and for those requiring medical admission.SummaryAlthough the ongoing COVID-2019 pandemic affected mental health globally, research shows that it particularly affected individuals with an ED diagnosis or at risk for an ED, especially women, children and adolescents, and those with anorexia nervosa.

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“…The subgroup analysis showed a difference in the performance between the pandemic and pre-pandemic periods. This could be due to the different patient mix during the pandemic 27 , 28 . We also identified differences in feature importance between the pandemic and pre-pandemic periods.…”

Section: Discussionmentioning

confidence: 99%

An external validation study of the Score for Emergency Risk Prediction (SERP), an interpretable machine learning-based triage score for the emergency department

Xie

Liu

et al. 2022

Sci Rep

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Emergency departments (EDs) are experiencing complex demands. An ED triage tool, the Score for Emergency Risk Prediction (SERP), was previously developed using an interpretable machine learning framework. It achieved a good performance in the Singapore population. We aimed to externally validate the SERP in a Korean cohort for all ED patients and compare its performance with Korean triage acuity scale (KTAS). This retrospective cohort study included all adult ED patients of Samsung Medical Center from 2016 to 2020. The outcomes were 30-day and in-hospital mortality after the patients’ ED visit. We used the area under the receiver operating characteristic curve (AUROC) to assess the performance of the SERP and other conventional scores, including KTAS. The study population included 285,523 ED visits, of which 53,541 were after the COVID-19 outbreak (2020). The whole cohort, in-hospital, and 30 days mortality rates were 1.60%, and 3.80%. The SERP achieved an AUROC of 0.821 and 0.803, outperforming KTAS of 0.679 and 0.729 for in-hospital and 30-day mortality, respectively. SERP was superior to other scores for in-hospital and 30-day mortality prediction in an external validation cohort. SERP is a generic, intuitive, and effective triage tool to stratify general patients who present to the emergency department.

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Changes and Inequities in Adult Mental Health–Related Emergency Department Visits During the COVID-19 Pandemic in the US

Cited by 45 publications

References 34 publications

How COVID-19 shaped mental health: from infection to pandemic effects

How COVID-19 shaped mental health: from infection to pandemic effects

Review of the unprecedented impact of the COVID-19 pandemic on the occurrence of eating disorders

An external validation study of the Score for Emergency Risk Prediction (SERP), an interpretable machine learning-based triage score for the emergency department

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