Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-25T16:56:27.846Z Has data issue: false hasContentIssue false
  • English
  • Français

Crowding analysis for patients with mental disorders during the first pandemic wave of 2019 coronavirus epidemic (CoViD-19) at a lombardy ED

Published online by Cambridge University Press:  13 August 2021

G. Savioli ,
S. Pesenti ,
I. Ceresa ,
E. Oddone  and
M.A. Bressan
G. Savioli
Affiliation:
Emergency Department, IRCCS Policlinico San Matteo, Pavia, Italy
S. Pesenti*
Affiliation:
Emergency Department, IRCCS Policlinico San Matteo, Pavia, Italy
I. Ceresa
Affiliation:
Emergency Department, IRCCS Policlinico San Matteo, Pavia, Italy
E. Oddone
Affiliation:
Department Of Public Health, University of Pavia, Pavia, Italy
M.A. Bressan
Affiliation:
Emergency Department, IRCCS Policlinico San Matteo, Pavia, Italy
*
*Corresponding author.

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Introduction

The 2019 coronavirus epidemic (CoViD-19) in Italy originated in Lombardy, on February 21, 2020. Crowding has been defined as a worldwide problem and causes reduced quality of care. It is due and identified by three orders of factors: those at the access (input); those related to the patient’s process (throughput); and those at the exit from the ED (output).

Objectives

We evaluated all the population who went to ED for mental disorder. Due to the high level of care needed and the simultaneous exposure to risk factors, an excessive duration of ED process can be counterproductive.

Methods

We evaluated all patients accessing our ED for mental disorder from February 22 to May 1, 2020 and during the same period of the previous year.

Results

We enrolled 345 patients. The Crowding input factors are lower in the pandemic period: reduced attenders (142 vs 203) and reduced average waiting times (40 min vs 54 min). The Crowding throughput factors have instead worsened: LOS (length of stay) for both visit rooms (383 vs 271 min) and holding area (1735 min vs 797 min). The Crowding output factors also worsened: the percentage of access block is higher during the pandemic (100% vs 20%). The Total Access Block Time is significantly higher in the CoViD period for both the visit rooms (3.239 vs 649 min) and the holding area (590 vs 185 min).

Conclusions

The pandemic period presented a worsened crowding for these patients due to the Access Block.

Keywords

metal disorderCOVID-19 pandemicEmergency departmentcrowding
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S363
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
Submit a response

Comments

No Comments have been published for this article.