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KMID : 0897520220270010019
Journal of Korean Association of Social Psychiatry
2022 Volume.27 No. 1 p.19 ~ p.27
Impact of COVID-19 Pandemic on Emergency Hospitalization in Accordance With the Article 50 of Act on the Improvement of Mental Health and the Support for Welfare Services for Mental Patients
Park Pil-Seop

Byun Won-Tan
Joo Sae-Han
Kim Se-Hoon
Park Hyun-Woo
Jeong Jae-Woong
Kim Whi-Gon
Park Young-Min
Abstract
Objectives : The objective of this study was to determine the effect of COVID-19 on patients admitted by emergency hospitalization in accordance with the Article 50 of Act on the improvement of mental health and the support for welfare services for mental patients.

Methods : A retrospective cross-sectional study was conducted on data from Yangsan psychiatric hospital from January 20, 2019 to January 19, 2021. Pre-COVID-19 group included 100 patients who were hospitalized emergently from January 20, 2019 to January 19, 2020. Post-COVID-19 group included 96 patients who were hospitalized emergently from January 20, 2020 to January 19, 2021. The study compared sociodemographic and clinical characteristics between the two groups using independent sample t-test and Chi-square test.

Results : The number of patients who were discharged after emergency hospitalization in 72 hours and the frequency of visits during 09-18 hour were significantly higher in the pre-COVID-19 group. However, transition from emergency hospitalization to hospitalization by special self-Governing City Mayor, Special self-governing Province Governor, or Head of Si/Gun/ Gu, F2-type diagnosis, and the frequency of visits during 18-24 hours were significantly higher in the post-COVID-19 group.

Conclusion : This study revealed increased rates of transition from emergency hospitalization to hospitalization by special self-Governing City Mayor, Special self-governing Province Governor, or Head of Si/Gun/Gu, F2(Schizophrenia, schizotypal and delusional and other non-mood psyhotic disorders) diagnosis, and visits during 18-09 hour in the post COVID-19 group. These results can be used as a guideline to extend current understanding of emergency admission amid a crisis.
KEYWORD
COVID-19, Psychiatric Emergency hospitalization
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