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Mental disorders, psychopharmacological treatments, and mortality in 2150 COVID-19 Spanish inpatients.
Diez-Quevedo, Crisanto; Iglesias-González, Maria; Giralt-López, Maria; Rangil, Teresa; Sanagustin, David; Moreira, Mónica; López-Ramentol, Maite; Ibáñez-Caparrós, Ana; Lorán, Maria-Eulalia; Bustos-Cardona, Tatiana; Menéndez-Cuiñas, Inés; Mundo-Cid, Pilar; Blanco-Presas, Laura; de Pablo, Joan; Cuevas-Esteban, Jorge.
  • Diez-Quevedo C; Psychiatry Service, Hospital Universitari Germans Trias i Pujol, IGTP Campus Can Ruti, Badalona, Spain.
  • Iglesias-González M; Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, Bellaterra, Spain.
  • Giralt-López M; Psychiatry Service, Hospital Universitari Germans Trias i Pujol, IGTP Campus Can Ruti, Badalona, Spain.
  • Rangil T; Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, Bellaterra, Spain.
  • Sanagustin D; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública, CIBERESP, Madrid, Spain.
  • Moreira M; Psychiatry Service, Hospital Universitari Germans Trias i Pujol, IGTP Campus Can Ruti, Badalona, Spain.
  • López-Ramentol M; Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, Bellaterra, Spain.
  • Ibáñez-Caparrós A; Psychiatry Service, Hospital Universitari Germans Trias i Pujol, IGTP Campus Can Ruti, Badalona, Spain.
  • Lorán ME; Psychiatry Service, Hospital Universitari Germans Trias i Pujol, IGTP Campus Can Ruti, Badalona, Spain.
  • Bustos-Cardona T; Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, Bellaterra, Spain.
  • Menéndez-Cuiñas I; Psychiatry Service, Hospital Universitari Germans Trias i Pujol, IGTP Campus Can Ruti, Badalona, Spain.
  • Mundo-Cid P; Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, Bellaterra, Spain.
  • Blanco-Presas L; Psychiatry Service, Hospital Universitari Germans Trias i Pujol, IGTP Campus Can Ruti, Badalona, Spain.
  • de Pablo J; Psychiatry Service, Hospital Universitari Germans Trias i Pujol, IGTP Campus Can Ruti, Badalona, Spain.
  • Cuevas-Esteban J; Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, Bellaterra, Spain.
Acta Psychiatr Scand ; 143(6): 526-534, 2021 06.
Article in English | MEDLINE | ID: covidwho-1180758
ABSTRACT

OBJECTIVE:

To determine how mental disorders and psychopharmacological treatments before and during COVID-19 hospital admissions are related to mortality.

METHODS:

Subjects included in the study were all adult patients with a diagnosis of COVID-19, confirmed clinically and by PCR, who were admitted to a tertiary university hospital in Badalona (Spain) between March 1 and November 17, 2020. Data were extracted anonymously from computerized clinical records.

RESULTS:

2,150 subjects were included, 57% males, mean age 61 years. History of mental disorders was registered in 957 (45%). Throughout admission, de novo diagnosis of mood or anxiety, stress, or adjustment disorder was made in 12% of patients without previous history. Delirium was diagnosed in 10% of cases. 1011 patients (47%) received a psychotropic prescription during admission (36% benzodiazepines, 22% antidepressants, and 21% antipsychotics). Mortality rate was 17%. Delirium during admission and history of mood disorder were independently associated with higher mortality risk (hazard ratios, 1.39 and 1.52 respectively), while previous year's treatments with anxiolytics/hypnotics and antidepressants were independently associated with lower mortality risk (hazard ratios, 0.47 and 0.43, respectively).

CONCLUSION:

Mental symptoms are very common in patients hospitalized for COVID-19 infection. Detecting, diagnosing, and treating them is key to determining the prognosis of the disease and functional recovery.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Psychotropic Drugs / COVID-19 / Inpatients / Mental Disorders Type of study: Diagnostic study / Observational study / Prognostic study / Qualitative research Limits: Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Acta Psychiatr Scand Year: 2021 Document Type: Article Affiliation country: Acps.13304

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Psychotropic Drugs / COVID-19 / Inpatients / Mental Disorders Type of study: Diagnostic study / Observational study / Prognostic study / Qualitative research Limits: Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Acta Psychiatr Scand Year: 2021 Document Type: Article Affiliation country: Acps.13304