Unknown

Dataset Information

0

In-patient psychiatry management of COVID-19: rates of asymptomatic infection and on-unit transmission.


ABSTRACT: BACKGROUND:New York City's first case of SARS-associated coronavirus (SARS-CoV-2) disease 2019 (COVID-19) was identified on 1 March 2020, prompting rapid restructuring of hospital-based services to accommodate the increasing numbers of medical admissions. Non-essential services were eliminated but in-patient treatment of psychiatric illnesses was necessarily maintained. AIMS:To detail the response of the NYU Langone Health in-patient psychiatric services to the COVID-19 outbreak from 1 March to 1 May 2020. METHOD:Process improvement/quality improvement study. RESULTS:Over this time period, our two in-patient psychiatric units (57 total beds) treated 238 patients, including COVID-19-positive and -negative individuals. Testing for COVID-19 was initially limited to symptomatic patients but expanded over the 62-day time frame. In total, 122 SARS-CoV-2 polymerase chain reaction (PCR) tests were performed in 98 patients. We observed an overall rate of COVID-19 infection of 15.6% in the patients who were tested, with an asymptomatic positive rate of 13.7%. Although phased roll-out of testing impaired the ability to fully track on-unit transmission of COVID-19, 3% of cases were clearly identified as results of on-unit transmission. CONCLUSIONS:Our experience indicates that, with appropriate precautions, patients in need of in-patient psychiatric admission who have COVID-19 can be safely managed. We provide suggested guidelines for COVID-19 management on in-patient psychiatric units which incorporate our own experiences as well as published recommendations.

SUBMITTER: Zhang E 

PROVIDER: S-EPMC7463133 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

altmetric image

Publications

In-patient psychiatry management of COVID-19: rates of asymptomatic infection and on-unit transmission.

Zhang Emily E   LeQuesne Elizabeth E   Fichtel Katherine K   Ginsberg David D   Frankle W Gordon WG  

BJPsych open 20200901 5


<h4>Background</h4>New York City's first case of SARS-associated coronavirus (SARS-CoV-2) disease 2019 (COVID-19) was identified on 1 March 2020, prompting rapid restructuring of hospital-based services to accommodate the increasing numbers of medical admissions. Non-essential services were eliminated but in-patient treatment of psychiatric illnesses was necessarily maintained.<h4>Aims</h4>To detail the response of the NYU Langone Health in-patient psychiatric services to the COVID-19 outbreak f  ...[more]

Similar Datasets

| S-EPMC8150094 | biostudies-literature
| S-EPMC7264617 | biostudies-literature
| S-EPMC8025627 | biostudies-literature
| S-EPMC8271352 | biostudies-literature
| S-EPMC7258648 | biostudies-literature
| S-BSST563 | biostudies-other
| S-EPMC8111879 | biostudies-literature
| S-EPMC9578336 | biostudies-literature
| S-EPMC7982642 | biostudies-literature
| S-EPMC7357466 | biostudies-literature