{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T17:55:21Z","timestamp":1790790921325,"version":"4.1.0"},"reference-count":71,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T00:00:00Z","timestamp":1715644800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Health Serv."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>During the COVID-19 pandemic individuals with mental illnesses faced challenges accessing psychiatric care. Our study aimed to describe patient characteristics and compare admissions and length of stay (LOS) for psychiatric-related hospitalizations before and during the COVID-19 pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective analysis using health administrative data comparing individuals with an acute psychiatric admission between two time periods: 1st March 2019 to 31st December 2019 (pre-COVID) and 1st March 2020 to 31st December 2020 (during-COVID). Multivariable negative binomial regression was used to model the association between most responsible diagnosis type and the two-time periods to hospital LOS, reporting the Rate Ratio (RR) as the measure of effect.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The cohort comprised 939 individuals who were predominately male (60.3%) with a severe mental illness (schizophrenia or mood-affective disorder) (72.7%) and a median age of 38 (IQR: 28.0, 52.0) years. In the multivariable analysis, anxiety disorders (RR: 0.63, CI: 0.4, 0.99) and personality disorders (RR: 0.52, CI: 0.32, 0.85) were significantly associated with a shorter LOS when compared to individuals without those disorders. Additionally, when compared to hospital admissions for non-substance related disorders the LOS for patients with substance-related disorders were significantly shorter during the COVID period (RR: 0.45, CI: 0.30, 0.67) and pre-COVID period (RR: 0.31, CI: 0.21, 0.46).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We observed a significant difference in the type and length of admissions for various psychiatric disorders during the COVID-19 period. These findings can support systems of care in adapting to utilization changes during pandemics or other global health events.<\/jats:p><\/jats:sec>","DOI":"10.3389\/frhs.2024.1365785","type":"journal-article","created":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T04:53:11Z","timestamp":1715662391000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":9,"title":["Adult psychiatric inpatient admissions and length of stay before and during the COVID-19 pandemic in a large urban hospital setting in Vancouver, British Columbia"],"prefix":"10.3389","volume":"4","author":[{"given":"Angela","family":"Russolillo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Carter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mejiao","family":"Guan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pulkit","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Kealy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Raudzus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,5,14]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1016\/j.apnu.2021.05.002","article-title":"The impact of the COVID-19 pandemic and its related restrictions on people with pre-existent mental health conditions: a scoping review","volume":"35","author":"Murphy","year":"2021","journal-title":"Arch Psychiatr Nurs"},{"key":"B2","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1016\/j.jad.2020.11.117","article-title":"Prevalence of mental health problems during the COVID-19 pandemic: a systematic review and meta-analysis","volume":"281","author":"Wu","year":"2021","journal-title":"J Affect Disord"},{"key":"B3","doi-asserted-by":"publisher","first-page":"636","DOI":"10.12688\/f1000research.24457.1","article-title":"Epidemiology of mental health problems in COVID-19: a review","volume":"9","author":"Hossain","year":"2020","journal-title":"F1000Res"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s12529-023-10192-z","article-title":"Exploring disparities in behavioral health service use in the early stages of the COVID-19 pandemic","author":"Hong","year":"2023","journal-title":"Int J Behav Med"},{"key":"B5","doi-asserted-by":"publisher","first-page":"M20","DOI":"10.7326\/M20-3026","article-title":"Reduced in-person and increased telehealth outpatient visits during the COVID-19 pandemic","volume":"174","author":"Baum","year":"2020","journal-title":"Ann Intern Med"},{"key":"B6","doi-asserted-by":"publisher","first-page":"778","DOI":"10.1089\/tmj.2020.0304","article-title":"Rapid conversion to telemental health services in response to COVID-19: experiences of two outpatient mental health clinics","volume":"27","author":"Mishkind","year":"2021","journal-title":"Telemed e-Heal"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1211","DOI":"10.1001\/jamapsychiatry.2020.1643","article-title":"Telepsychiatry and the coronavirus disease 2019 pandemic\u2014current and future outcomes of the rapid virtualization of psychiatric care","volume":"77","author":"Shore","year":"2020","journal-title":"JAMA Psychiatry"},{"key":"B8","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1007\/s00127-020-01924-7","article-title":"Early impacts of the COVID-19 pandemic on mental health care and on people with mental health conditions: framework synthesis of international experiences and responses","volume":"56","author":"Rains","year":"2021","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1048","DOI":"10.1186\/s12913-022-08374-8","article-title":"Patterns of adult and youth inpatient admissions before and after the COVID-19 pandemic in a psychiatric ward: an observational study","volume":"22","author":"Rodrigues","year":"2022","journal-title":"BMC Heal Serv Res"},{"key":"B10","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1017\/ipm.2020.29","article-title":"Psychiatric hospitalization rates in Italy before and during COVID-19: did they change? 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