[Mental health consequences of isolation of patients with COVID-19.] / Consecuencias en la salud mental del aislamiento de pacientes con COVID-19.

OBJECTIVE: The COVID-19 pandemic has had a negative effect on the mental health on the population. It is unknown if the different types of patient isolation affect them equally. The objective of the study was to determine if the effect on the psychological discomfort caused by the isolation of the population with COVID-19 in a hotel supervised by health professionals was different compared with those who were isolated at home. METHODS: Patients diagnosed with COVID-19 during the first pandemic wave in Barcelona, consecutively selected from the Primary Care lists. A telephone survey was carried out to collect information about mental health in patients who were isolated in a hotel compared to those isolated at their homes. Descriptive statistics were performed and the study variables were analyzed using mean and standard deviation, count (percentage), Chi-square test, and Student's t-test. Logistic regression models were carried out selecting frustration and anger/irritability as response variables. RESULTS: Of the 89 patients included, 45 (50.6%) were isolated at their homes and 44 (49.4%) at the hotel. Frustration was identified in 48.3% and irritability in 29.2% of the most patients. Most of those who presented frustration were between 45 and 65 years old, while 50% of those who felt irritability were younger. Multivariate models confirmed that patients isolated at home showed a higher risk of frustration (Odds ratio 4,12; 95% Confidence interval 1,60-11,49) and irritability (Odds ratio 3,81; 95% Confidence interval 1,32-12,10), respectively. CONCLUSIONS: Patients isolated at home show a higher risk of presenting feelings of frustration and irritability than isolated patients in supervised hotels.

OBJETIVO: La pandemia de la COVID-19 ha tenido un efecto negativo en la salud mental de la población. Se desconoce si los distintos tipos de aislamiento de los pacientes afecta a estos por igual. El objetivo del estudio fue determinar si el efecto sobre el malestar psíquico originado por el aislamiento de la población con COVID-19 en un hotel supervisado por profesionales sanitarios fue diferente respecto al de las personas aisladas en su domicilio. METODOS: Los sujetos a estudio fueron pacientes diagnosticados de la COVID-19 durante la primera ola pandémica en Barcelona, seleccionados consecutivamente de los listados de Atención Primaria. Se realizó una encuesta telefónica para recoger información sobre salud mental en los pacientes que fueron aislados en un hotel frente a los aislados en sus domicilios. Se realizó estadística descriptiva y las variables de estudio fueron analizadas mediante media y desviación estándar, contaje (porcentaje), test Chi-cuadrado y t-Student. Se llevaron a cabo modelos de regresión logística seleccionando frustración e ira/irritabilidad como variables respuesta. RESULTADOS: De los 89 pacientes incluidos, 45 (50,6%) fueron aislados en sus domicilios y 44 (49,4%) en el hotel. Se identificó frustración en el 48,3% e irritabilidad en el 29,2% de los pacientes. El sentimiento de frustración se concentraba principalmente en la franja de edad entre 45 y 65 años, mientras que el 50% de los que sentían irritabilidad eran todavía más jóvenes. Los modelos multivariados confirmaron que los pacientes en aislamiento domiciliario mostraron mayor riesgo de frustración (Odds ratio 4,12; 95% Intervalo de confianza 1,60-11,49) y de ira (Odds ratio 3,81; 95% Intervalo de confianza 1,32-12,10), respectivamente. CONCLUSIONES: Los pacientes con COVID-19 aislados en su domicilio tienen mayor riesgo de presentar sentimientos de frustración e ira que los aislados en hoteles supervisados por profesionales sanitarios.

Consecuencias en la saludmental del aislamientode pacientes con COVID-19 / Mental health consequences of isolation of patients with COVID-19

FUNDAMENTOS: La pandemia de la COVID-19 ha tenido un efecto negativo en la salud mental de la población. Se desconoce si los distintos tipos de aislamiento de los pacientes afecta a estos por igual. El objetivo del estudio fue determinar si el efecto sobre el malestar psíquico originado por el aislamiento de la población con COVID-19 en un hotel supervisado por profesionales sanitarios fue diferente respecto al de las personas aisladas en su domicilio. MÉTODOS: Los sujetos a estudio fueron pacientes diagnosticados de la COVID-19 durante la primera ola pandémica en Barcelona, seleccionados consecutivamente de los listados de Atención Primaria. Se realizó una encuesta telefónica para recoger información sobre salud mental en los pacientes que fueron aislados en un hotel frente a los aislados en sus domicilios. Se realizó estadística descriptiva y las variables de estudio fueron analizadas mediante media y desviación estándar, contaje (porcentaje), test Chi-cuadrado y t-Student. Se llevaron a cabo modelos de regresión logística seleccionando frustración e ira/irritabilidad como variables respuesta. RESULTADOS: De los 89 pacientes incluidos, 45 (50,6%) fueron aislados en sus domicilios y 44 (49,4%) en el hotel. Se identificó frustración en el 48,3% e irritabilidad en el 29,2% de los pacientes. El sentimiento de frustración se concentraba principalmente en la franja de edad entre 45 y 65 años, mientras que el 50% de los que sentían irritabilidad eran todavía más jóvenes. Los modelos multivariados confirmaron que los pacientes en aislamiento domiciliario mostraron mayor riesgo de frustración (Odds ratio 4,12; 95%Intervalo de confianza 1,60-11,49) y de ira (Odds ratio 3,81; 95% Intervalo de confianza 1,32-12,10), respectivamente. CONCLUSIONES: Los pacientes con COVID-19 aislados en su domicilio tienen mayor riesgo de presentar sentimientos de frustración e ira que los aislados en hoteles supervisados por profesionales sanitarios.(AU)

BACKGROUND: The COVID-19 pandemic has had a negative effect on the mental health on the population. It is unknown if the different types of patient isolation affect them equally. The objective of the study was to determine if the effect on the psychological discomfort caused by the isolation of the population with COVID-19 in a hotel supervised by health professionals was different compared with those who were isolated at home. METHODS: Patients diagnosed with COVID-19 during the first pandemic wave in Barcelona, consecutively selected from the Primary Care lists. A telephone survey was carried out to collect information about mental health in patients who were isolated in a hotel compared to those isolated at their homes. Descriptive statistics were performed and the study variables were analyzed using mean and standard deviation, count (percentage), Chi-square test, and Student’s t-test. Logistic regression models were carried out selecting frustration and anger/irritability as response variables. RESULTS: Of the 89 patients included, 45 (50.6%) were isolated at their homes and 44 (49.4%) at the hotel. Frustration was identified in 48.3% and irritability in 29.2% of the most patients. Most of those who presented frustration were between 45 and 65 years old, while 50% of those who felt irritability were younger. Multivariate models confirmed that patients isolated at home showed a higher risk of frustration (Odds ratio 4,12; 95% Confidence interval 1,60-11,49) and irritability (Odds ratio 3,81; 95% Confidence interval 1,32-12,10), respectively. CONCLUSIONS: Patients isolated at home show a higher risk of presenting feelings of frustration and irritability than isolated patients in supervised hotels.(AU)

Impact of isolating COVID-19 patients in a supervised community facility on transmission reduction among household members.

BACKGROUND: Isolation of COVID-19 patients has been universally implemented to control transmission of the outbreak. Hotels and other facilities have been adapted to help appropriate isolation be achieved. Our study tested the efficacy of isolating patients in a reconditioned hotel versus isolation in their domiciles to reduce infection transmission. METHODS: Observational cohort study based on a survey to COVID-19 patients between April and June 2020. One cohort had been isolated in a hotel and the other in their domiciles. Multivariate regression models analyzed the factors related to the occurrence of COVID-19 infection among the household members. RESULTS: A total of 229 household members of COVID-19 patients were analyzed, 139 of them belonging to the group of hotel-isolated patients and 90 in the group of domicile-isolated ones. More than half of the household members became infected (53.7%). Higher risk of infection was found in the household members of domicile-isolated patients isolated and in those reporting overcrowding at home, (odds ratio [OR] 1.67, 95% confidence interval [CI] 0.89-3.12) and (OR 1.44, 95% CI 0.81; 2.56), respectively. CONCLUSIONS: The isolation of COVID-19 patients in community-supervised facilities may protect their household members from transmission of the disease. Overcrowded homes may contribute to the transmission of the infection.