Evidence map›Paper›PMID 33866383›Full record

ArticleSocial psychiatry and psychiatric epidemiology2021

Emergency hospital admissions for psychiatric disorders in a German-wide hospital network during the COVID-19 outbreak.

Jonathan Mathias Fasshauer, Andreas Bollmann, Sven Hohenstein, Gerhard Hindricks, Andreas Meier-Hellmann, Ralf Kuhlen, Andreas Broocks, Georg Schomerus, Katarina Stengler

Open access · bronzeAbstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
7.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Utilization of mental health services during the first year of the COVID-19 pandemic - a systematic review and meta-analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Jonathan Mathias FasshauerDepartment of Psychiatry, Psychotherapy and Psychosomatics, Helios Park Hospital Leipzig, Morawitzstraße 2, 04289, Leipzig, Germany.
Andreas BollmannHeart Center Leipzig At University of Leipzig and Leipzig Heart Institute, Leipzig, Germany.
Sven HohensteinHeart Center Leipzig At University of Leipzig and Leipzig Heart Institute, Leipzig, Germany.
Gerhard HindricksHeart Center Leipzig At University of Leipzig and Leipzig Heart Institute, Leipzig, Germany.
Andreas Meier-HellmannHelios Hospitals, Berlin, Germany.
Ralf KuhlenHelios Health, Berlin, Germany.
Andreas BroocksDepartment of Psychiatry and Psychotherapy, Carl-Friedrich-Flemming-Klinik, Schwerin, Germany.
Georg SchomerusDepartment of Psychiatry, University of Leipzig, Leipzig, Germany.
Katarina StenglerDepartment of Psychiatry, Psychotherapy and Psychosomatics, Helios Park Hospital Leipzig, Morawitzstraße 2, 04289, Leipzig, Germany. katarina.stengler@helios-gesundheit.de.ORCID http://orcid.org/0000-0002-6571-574X
Leipzig Heart Institute · DEHelios Hospital Berlin-Buch · DEHelios Park-Klinikum Leipzig · DEHelios Hospital Schwerin · DELeipzig University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePsychiatric emergency hospital admissions for distinct psychiatric disorders and length of inpatient stay in the hospital during the Coronavirus disease 2019 (COVID-19) outbreak have not been thoroughly assessed.

methodsA retrospective study was performed analyzing claims data from a large German Hospital network during the COVID-19 outbreak (study period: March 13-May 21, 2020) as compared to periods directly before the outbreak (same year control: January 1-March 12, 2020) and one year earlier (previous year control: March 13-May 21, 2019).

resultsA total of 13,151 emergency hospital admissions for psychiatric diagnoses were included in the analysis. For all psychiatric diagnoses combined, emergency admissions significantly decreased during the study period with mean (interquartile range) incidence rate ratios (IRRs) of 0.68 (0.65, 0.71) and 0.70 (0.67, 0.73) as compared to the same and previous year controls, respectively (both p < 0.00001). IRR ranged from 0.56 for mood affective disorders (F30-F39) to 0.75 for mental disorders due to psychoactive substance use (F10-F19; all p < 0.00001). Mean (standard deviation) length of hospital stay for all psychiatric diagnoses was significantly shorter during the study period [9.8 (11.6) days] as compared to same [14.7 (18.7) days] and previous [16.4 (23.9) days] year controls (both p < 0.00001).

conclusionBoth emergency hospital admissions and length of hospital stay significantly decreased for psychiatric disorders during the COVID-19 outbreak. It needs to be assessed in further studies whether healthcare systems will face increased demand for the provision of mental health care in the nearer future.

Indexed as

COVID-19Mental DisordersDisease OutbreaksEmergency Service, HospitalHospitalsHumansRetrospective StudiesSARS-CoV-2COVID-19Emergency admissionLength of stayPsychiatric disorders

Identifiers

PMID33866383
PMCPMC8053025
OpenAlexW3156097686

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.