About: Impact of COVID-19 on psychiatric assessment in emergency and outpatient settings measured using electronic health records

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Impact of COVID-19 on psychiatric assessment in emergency and outpatient settings measured using electronic health records
Creator	Castro, Victor Perlis, Roy
source	MedRxiv
abstract	Importance: As with other traumatic events, pandemics such as coronavirus-19 (COVID-19) may precipitate or exacerbate psychiatric symptoms such as anxiety and depression, while potentially interfering with health systems' capacity to treat such symptoms. Objective: To quantify the impact of increasing COVID-19 infection on extent of psychiatric assessment across 5 Eastern Massachusetts hospitals. Design: In silico cohort using narrative clinical notes generated between 1/2/2020 and 3/25/2020 Setting: Emergency department and outpatient settings from 2 academic medical centers and 3 community hospitals Participants: All individuals age 13 and older presenting to emergency department or outpatient clinics Main Outcome or Measure: Documentation of psychiatric symptoms reflecting depression, anxiety, psychosis, or suicide, and documentation of violence, was drawn from previously-validated term lists. Results: A total of 2,483,159 outpatient and 205,957 emergency department visit notes were analyzed. Instances of notes referencing depression or anxiety decreased 75-81% in outpatient settings with onset of coronavirus in March 2019, and by 44-45% in emergency departments. In adjusted logistic regression, presence of individual psychiatric symptoms in outpatient notes was associated with significant decreases in likelihood of coronavirus testing (for depression, OR=0.636, 95% CI 0.606-0.667). Conversely, presence of violence in an emergency department note was associated with greater likelihood of testing (OR=1.487, 95% CI 1.249-1.761). Conclusions and Relevance: Documentation of psychiatric symptoms in both outpatient and emergency department settings diminished sharply in the context of increasing coronavirus infection in Massachusetts, suggesting that efforts to provide additional resources to manage psychiatric symptoms will be needed. Funding: none.
has issue date	2020-04-01(xsd:dateTime)
bibo:doi	10.1101/2020.03.30.20048207
has license	medrxiv
sha1sum (hex)	57c835ba3055a11c699ff4074c074936d8180c7b
schema:url	https://doi.org/10.1101/2020.03.30.20048207
resource representing a document's title	Impact of COVID-19 on psychiatric assessment in emergency and outpatient settings measured using electronic health records
resource representing a document's body	covid:57c835ba3055a11c699ff4074c074936d8180c7b#body_text
is schema:about of	named entity 'Title' named entity 'electronic health records' named entity 'COVID-19' named entity 'electronic health records' named entity 'northeast United States' »more»

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