Association between COVID-19 restrictions and emergency department presentations for paediatric mental health in Victoria, Australia

被引:13
作者
Hiscock, Harriet [1 ,2 ,3 ]
Chu, Wanyu [1 ,2 ]
O'Reilly, Gerard [4 ,5 ]
Freed, Gary L. [6 ]
White, Mary [1 ,2 ,7 ]
Danchin, Margie [8 ,9 ]
Craig, Simon [10 ,11 ]
机构
[1] Royal Childrens Hosp, Hlth Serv Res Unit, 50 Flemington Rd, Melbourne, Vic 3052, Australia
[2] Murdoch Childrens Res Inst, Hlth Serv, Melbourne, Vic, Australia
[3] Univ Melbourne, Dept Paediat, Melbourne, Vic, Australia
[4] Monash Univ, Sch Publ Hlth & Prevent Med, Melbourne, Vic, Australia
[5] The Alfred, Emergency & Trauma Ctr, Melbourne, Vic, Australia
[6] Univ Michigan, Susan B Meister Child Hlth Evaluat & Res Ctr, Ann Arbor, MI 48109 USA
[7] Royal Childrens Hosp, Dept Endocrinol & Diabet, Melbourne, Vic, Australia
[8] Murdoch Childrens Res Inst, Vaccine Uptake Grp, Melbourne, Vic, Australia
[9] Royal Childrens Hosp, Dept Gen Med, Melbourne, Vic, Australia
[10] Monash Univ, Sch Clin Sci, Dept Paediat, Clayton, Vic, Australia
[11] Monash Hlth, Emergency Serv, Monash Med Ctr, Paediat Emergency Dept, Clayton, Vic, Australia
关键词
anxiety; COVID-19; eating disorders; emergency services; healthcare; health services research; mental health; paediatric; self-harm; CHILDREN;
D O I
10.1071/AH22015
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective. To determine the association between coronavirus disease 2019 (COVID-19) restrictions and paediatric mental health emergency department presentations. Methods. Secondary analysis of Victorian Emergency Minimum Dataset data from 38 Victorian public hospital emergency departments. Paediatric patients (birth to <18 years) attending emergency departments with an International Classification of Disease-Australian Modification (ICD-10-AM) diagnosis of a mental health problem between 1 January 2018 and 31 October 2020 were included. We compared preCOVID-19 (1 January 2018-27 March 2020) to the COVID-19 period (28 March-26 October 2020) to examine the number of mental health presentations by patient age, socioeconomic status, location, and emergency department triage category. A Poisson regression prediction model was built for each diagnosis group to predict the presentation number in the COVID-19 period, assuming the pandemic and associated restrictions had not happened. Results. There were 15 898 presentations (589 presentations/month on average) in the pre-COVID-19 period and 4747 presentations (678 presentations/month on average) in the COVID-19 period. Compared with predicted presentations, there was an increase in observed presentations for eating disorders throughout lockdown (on average, an increase of 36 presentations/month) and for anxiety (11/month) and self-harm (18/month). There were no meaningful changes for mood disorders or developmental and behavioural problems, and presentations for substance abuse mostly fell. Conclusions. Pandemic restrictions were associated with increased emergency department presentations for eating disorders and, to a lesser extent, anxiety and self-harm. Given the ongoing pandemic, clinicians and policy makers must work together to find timely, accessible solutions to better manage these conditions.
引用
收藏
页码:529 / 536
页数:8
相关论文
共 23 条
[1]  
Adegboye D, 2021, JCPP ADV, V1, DOI 10.1111/jcv2.12005
[2]  
[Anonymous], 2010, National Centre for Classification in Health International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM), the Australian Classification of Health Interventions (ACHI) and the Australian Coding Standards (ACS)
[3]  
Australasian College for Emergency Medicine, 2016, GUIDELINES IMPLEMENT
[4]  
Australian Bureau of Statistics, 2016, AUSTR STAND GEOGR CL
[5]  
Australian Bureau of Statistics, 2018, SOCIO EC INDEXES ARE
[6]  
Australian Institute of Health and Welfare, 2020, IMPACTS COVID 19 MED IMP COVID 19 MED BEN
[7]   Use of Kids Helpline by Children and Young People in Australia During the COVID-19 Pandemic [J].
Batchelor, Samantha ;
Stoyanov, Stoyan ;
Pirkis, Jane ;
Kolves, Kairi .
JOURNAL OF ADOLESCENT HEALTH, 2021, 68 (06) :1067-1074
[8]   Emergency department utilisation by vulnerable paediatric populations during theCOVID-19 pandemic [J].
Cheek, John A. ;
Craig, Simon S. ;
West, Adam ;
Lewena, Stuart ;
Hiscock, Harriet .
EMERGENCY MEDICINE AUSTRALASIA, 2020, 32 (05) :870-871
[9]   Disappearing act: COVID-19 and paediatric emergency department attendances [J].
Dann, Lisa ;
Fitzsimons, John ;
Gorman, Kathleen M. ;
Hourihane, Jonathan ;
Okafor, Ikechukwu .
ARCHIVES OF DISEASE IN CHILDHOOD, 2020, 105 (08) :810-811
[10]   Children Witnessing Domestic and Family Violence: A Widespread Occurrence during the Coronavirus Disease 2019 (COVID-19) Pandemic [J].
Ferrara, Pietro ;
Franceschini, Giulia ;
Corsello, Giovanni ;
Mestrovic, Julije ;
Giardino, Ida ;
Vural, Mehmet ;
Pop, Tudor Lucian ;
Namazova-Baranova, Leyla ;
Somekh, Eli ;
Indrio, Flavia ;
Pettoello-Mantovani, Massimo .
JOURNAL OF PEDIATRICS, 2021, 235 :305-+