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Mental health service requirements after hospitalization due to COVID-19: a 1- year follow-up study

Published online by Cambridge University Press:  01 September 2022

J. Andreo Jover ,
M.P. Vidal-Villegas ,
R. Mediavilla ,
I. Louzao Rojas ,
S. Cebolla Lorenzo ,
E. Fernández Jiménez ,
A. Muñoz-Sanjosé ,
M.F. Bravo-Ortiz ,
G. Martinez-Ales  and
C. Bayón-Pérez
J. Andreo Jover*
Affiliation:
Autonomous University of Madrid, Department Of Psychiatry, Madrid, Spain Hospital La Paz Institute for Health Research (IdiPAZ), Psychiatry And Mental Health, Madrid, Spain
M.P. Vidal-Villegas
Affiliation:
Autonomous University of Madrid, Department Of Psychiatry, Madrid, Spain Hospital La Paz Institute for Health Research (IdiPAZ), Psychiatry And Mental Health, Madrid, Spain
R. Mediavilla
Affiliation:
Autonomous University of Madrid, Department Of Psychiatry, Madrid, Spain Centro de Investigación Biomédica en Red de Salud Mental, Cibersam, Madrid, Spain
I. Louzao Rojas
Affiliation:
La Paz University Hospital, Psychiatry, Clinical Psychology And Mental Health, Madrid, Spain
S. Cebolla Lorenzo
Affiliation:
La Paz University Hospital, Psychiatry, Clinical Psychology And Mental Health, Madrid, Spain
E. Fernández Jiménez
Affiliation:
Hospital La Paz Institute for Health Research (IdiPAZ), Psychiatry And Mental Health, Madrid, Spain
A. Muñoz-Sanjosé
Affiliation:
Hospital La Paz Institute for Health Research (IdiPAZ), Psychiatry And Mental Health, Madrid, Spain La Paz University Hospital, Psychiatry, Clinical Psychology And Mental Health, Madrid, Spain
M.F. Bravo-Ortiz
Affiliation:
Autonomous University of Madrid, Department Of Psychiatry, Madrid, Spain Hospital La Paz Institute for Health Research (IdiPAZ), Psychiatry And Mental Health, Madrid, Spain Centro de Investigación Biomédica en Red de Salud Mental, Cibersam, Madrid, Spain La Paz University Hospital, Psychiatry, Clinical Psychology And Mental Health, Madrid, Spain
G. Martinez-Ales
Affiliation:
Centro de Investigación Biomédica en Red de Salud Mental, Cibersam, Madrid, Spain La Paz University Hospital, Psychiatry, Clinical Psychology And Mental Health, Madrid, Spain Columbia University Mailman School of Public Health, Departament Of Epidemiology, Columbia, United States of America
C. Bayón-Pérez
Affiliation:
Autonomous University of Madrid, Department Of Psychiatry, Madrid, Spain Hospital La Paz Institute for Health Research (IdiPAZ), Psychiatry And Mental Health, Madrid, Spain La Paz University Hospital, Psychiatry, Clinical Psychology And Mental Health, Madrid, Spain
*
*Corresponding author.

Abstract

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Introduction

Long-term COVID-19 effects has been recently described as persistent and prolonged symptoms after an acute and severe SARS-COV-2 (1). An important concern is that the sequelae of severe COVID-19 may suppose a substantial outpatient 's burden for the specialized services in reopening pandemic phase (2).

Objectives

To describe the frequency of mental health service use in COVID-19 hospitalized patients after discharge and to estimate the costs associated to the post- discharge consultations.

Methods

We used a 1-year follow-up cohort of 1455 COVID-19 inpatients hospitalized in La Paz University Hospital of Madrid, Spain between March 16th and April 15th, 2020. Data were retrieved from Psychiatry Service (PS) electronic health records and we described the frequency of mental health reason for consultation. We used information published by the Madrid health Office to estimate the cost of initial and following appointments.

Results

Our sample consisted of 1,455 patients admitted with a COVID-19 diagnosis between March 16th and April 15th, 2020, and then discharged. Roughly half of them were men (776, 53%), 238 (16%) had a prior history of mental health problems, and 44 (3%) died. 193 participants (13%) visited the mental health department after being discharged. The total cost was estimated in 103,581 USD, of which two-thirds corresponded to patients with prior history of mental health problems.

Conclusions

Our results indicate that the mental health burden of severe COVID-19 inpatient s after discharge was substantial during the first year of follow-up. This generate important economic impact to mental health providers and society at large.

Disclosure

No significant relationships.

Keywords

Hospitalized1-year Follow-upCovid-19psychiatry
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S381
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), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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