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Mental-health-related admissions to the acute medical unit during COVID-19

Ben Grimshaw1, Ella Chaudhuri2

  • 1North Bristol NHS Trust, Bristol, UK ben.grimshaw@nbt.nhs.uk.

Clinical Medicine (London, England)
|December 23, 2020
PubMed

Insights

During COVID-19, acute medical units (AMUs) saw more mental health admissions. This study compared 2020 pandemic admissions to 2019, finding a significant increase in both absolute numbers and proportion of total medical cases.

Area of Science:

  • Medical research
  • Public health
  • Psychiatry

Background:

  • The COVID-19 pandemic significantly increased global demand for mental health services.
  • Acute medical units (AMUs) often manage patients with co-occurring mental health conditions.
  • Understanding admission trends during the pandemic is crucial for service planning.

Purpose of the Study:

  • To compare patient admissions with mental health problems to an AMU during the COVID-19 pandemic (April-June 2020) versus the same period in 2019.
  • To identify changes in the volume and proportion of these admissions.
  • To share strategies implemented to enhance care for this patient group.

Main Methods:

  • Retrospective analysis of AMU admission data.
  • Comparison of patient cohorts admitted between April-June 2020 and April-June 2019.
  • Analysis of absolute admission numbers and proportion relative to the total medical take.

Main Results:

  • An increase in the absolute number of admissions for patients with mental health problems was observed in 2020 compared to 2019.
  • These patients also represented a larger proportion of the overall medical admissions in 2020.
  • The findings highlight a growing demand on AMUs for mental health care during the pandemic.

Conclusions:

  • Acute medical units experienced a rise in patients with mental health conditions during the initial phase of the COVID-19 pandemic.
  • This trend indicates increased pressure on healthcare systems to manage complex patient needs.
  • Local strategies were developed to address and improve care for this patient cohort.

Keywords:
AMUCOVID-19acute medicinemental health

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