Skip to main content

Table 4 Multinomial logistic regression analysis of the relationships between potential explanatory variables and ED admissions for psychiatric consultation during the lockdown and post-lockdown periods with the interaction between frequent attendees and the type of disease

From: Psychiatric emergencies during, after, and before the COVID-19 lockdown: what happened to our patients? A naturalistic observational study

Reference group: pre-lockdown

Lockdown

Post-lockdown

Clinical variables

RRR

(95% CI)

p-values

RRR

(95% CI)

p-values

 Type of disease (base cat.: SMI)

  nSMI

1.42**

(1.01–1.98)

0.041

1.71***

(1.39–2.09)

0.000

  A&S

1.52*

(0.95–2.44)

0.079

1.41**

(1.01–1.99)

0.047

 Type of disease x frequent attendee

  SMI x frequent attendee

0.46

(0.18–1.21)

0.117

1.59*

(0.95–2.67)

0.077

  nSMI x frequent attendee

1.37

(0.55–3.42)

0.496

1.93**

(1.04–3.59)

0.037

  A&S x frequent attendee

1.43

(0.52–3.94)

0.489

0.68

(0.15–3.11)

0.615

 Triage (base cat.: major/urgent emergency)

0.55***

(0.40–0.76)

0.000

0.64***

(0.53–0.78)

0.000

 Reason for accessing (base cat.: psychomotor agitation)

1.40**

(1.02–1.91)

0.037

2.25***

(1.80–2.81)

0.000

 Mode of arrival (base cat.: ambulance)

2.17***

(1.51–3.13)

0.000

1.40***

(1.12–1.75)

0.003

 Local Health Agency (base cat.: Local Health Agency Rome 1)

1.58**

(1.11–2.24)

0.012

1.32**

(1.05–1.66)

0.016

 LOS

1.05***

(1.02–1.07)

0.000

1.08***

(1.06–1.10)

0.000

Socio-demographic variables

 Age (base cat.: below 35 years

  36–49

0.96

(0.63–1.47)

0.860

0.76**

(0.58–1.00)

0.049

  Over 50

0.82

(0.54–1.24)

0.353

0.77*

(0.58–1.02)

0.065

  Unknown

1.59

(0.74–3.42)

0.235

0.68

(0.38–1.22)

0.199

 Nationality (Italian)

1.06

(0.71–1.59)

0.763

1.11

(0.85–1.46)

0.431

 Gender (male)

1.53***

(1.11–2.11)

0.010

1.07

(0.86–1.34)

0.541

 Constant omitted

 Robust CI in parenthesis

  1. Frequent attendee: subject with 3 or more admission in ED for psychiatric consultation within the period in analysis
  2. LOS length of stay in ED (hours from admission to discharge), SMI severe mental illness, nSMI not severe mental illness, A&S alcohol and substance abuse disorder
  3. ***p < 0.01, **p < 0.05, *p < 0.1