scholarly journals The Medium-Term Impact of COVID-19 Lockdown on Referrals to Secondary Care Mental Health Services: A Controlled Interrupted Time Series Study

2020 ◽  
Vol 11 ◽  
Author(s):  
Shanquan Chen ◽  
Rui She ◽  
Pei Qin ◽  
Anne Kershenbaum ◽  
Emilio Fernandez-Egea ◽  
...  
Keyword(s):  
Mental Health ◽  
Time Series ◽  
Secondary Care ◽  
Interrupted Time Series ◽  
Service Planning ◽  
Chronic Obstructive ◽  
Medium Term ◽  
Health Crisis ◽  
Time Series Study ◽  
Series Study

To date, there is a paucity of information regarding the effect of COVID-19 or lockdown on mental disorders. We aimed to quantify the medium-term impact of lockdown on referrals to secondary care mental health clinical services. We conducted a controlled interrupted time series study using data from Cambridgeshire and Peterborough NHS Foundation Trust (CPFT), UK (catchment population ~0.86 million). The UK lockdown resulted in an instantaneous drop in mental health referrals but then a longer-term acceleration in the referral rate (by 1.21 referrals per day per day, 95% confidence interval [CI] 0.41–2.02). This acceleration was primarily for urgent or emergency referrals (acceleration 0.96, CI 0.39–1.54), including referrals to liaison psychiatry (0.68, CI 0.35–1.02) and mental health crisis teams (0.61, CI 0.20–1.02). The acceleration was significant for females (0.56, CI 0.04–1.08), males (0.64, CI 0.05–1.22), working-age adults (0.93, CI 0.42–1.43), people of White ethnicity (0.98, CI 0.32–1.65), those living alone (1.26, CI 0.52–2.00), and those who had pre-existing depression (0.78, CI 0.19–1.38), severe mental illness (0.67, CI 0.19–1.15), hypertension/cardiovascular/cerebrovascular disease (0.56, CI 0.24–0.89), personality disorders (0.32, CI 0.12–0.51), asthma/chronic obstructive pulmonary disease (0.28, CI 0.08–0.49), dyslipidemia (0.26, CI 0.04–0.47), anxiety (0.21, CI 0.08–0.34), substance misuse (0.21, CI 0.08–0.34), or reactions to severe stress (0.17, CI 0.01–0.32). No significant post-lockdown acceleration was observed for children/adolescents, older adults, people of ethnic minorities, married/cohabiting people, and those who had previous/pre-existing dementia, diabetes, cancer, eating disorder, a history of self-harm, or intellectual disability. This evidence may help service planning and policy-making, including preparation for any future lockdown in response to outbreaks.

scholarly journals Evaluating the impact of minimum unit pricing (MUP) on off‐trade alcohol sales in Scotland: a controlled interrupted time series study

Addiction ◽  
2021 ◽  
Author(s):  
Mark Robinson ◽  
Daniel Mackay ◽  
Lucie Giles ◽  
Jim Lewsey ◽  
Elizabeth Richardson ◽  
...  
Keyword(s):  
Time Series ◽  
Interrupted Time Series ◽  
Time Series Study ◽  
Unit Pricing ◽  
The Impact ◽  
Series Study ◽  
Alcohol Sales

scholarly journals Impact of Defaulting to Single-Lumen Peripherally Inserted Central Catheters on Patient Outcomes: An Interrupted Time Series Study

2018 ◽  
Vol 67 (6) ◽  
pp. 954-957 ◽  
Author(s):  
Philip W Lam ◽  
Cheryl Volling ◽  
Tiffany Chan ◽  
J Bradley Wiggers ◽  
Lucas Castellani ◽  
...  
Keyword(s):  
Time Series ◽  
Patient Outcomes ◽  
Interrupted Time Series ◽  
Peripherally Inserted Central Catheters ◽  
Time Series Study ◽  
Single Lumen ◽  
Series Study ◽  
Central Catheters

Impact of recommendations on sodium valproate prescription among women with epilepsy: An interrupted time-series study

2021 ◽  
Vol 125 ◽  
pp. 108449
Author(s):  
Adeline Degremont ◽  
Elisabeth Polard ◽  
Sandrine Kerbrat ◽  
Olivier Grimaud ◽  
Annie-Pierre Jonville-Béra ◽  
...  
Keyword(s):  
Time Series ◽  
Sodium Valproate ◽  
Interrupted Time Series ◽  
Time Series Study ◽  
Series Study

scholarly journals The effect of a pharmaceutical transitional care program on rehospitalisations in internal medicine patients: an interrupted-time-series study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Fatma Karapinar-Çarkıt ◽  
Sander D. Borgsteede ◽  
Marjo J. A. Janssen ◽  
Marlies Mak ◽  
Nimet Yildirim ◽  
...  
Keyword(s):  
Time Series ◽  
Usual Care ◽  
Medication Reconciliation ◽  
Primary Outcome ◽  
Transitional Care ◽  
Care Program ◽  
Interrupted Time Series ◽  
Time Series Study ◽  
Hospital Visits ◽  
Series Study

Abstract Background Medication errors at transition of care can adversely affect patient safety. The objective of this study is to determine the effect of a transitional pharmaceutical care program on unplanned rehospitalisations. Methods An interrupted-time-series study was performed, including patients from the Internal Medicine department using at least one prescription drug. The program consisted of medication reconciliation, patient counselling at discharge, and communication to healthcare providers in primary care. The primary outcome was the proportion of patients with an unplanned rehospitalisation within six months post-discharge. Secondary outcomes were drug-related hospital visits, drug-related problems (DRPs), adherence, believes about medication, and patient satisfaction. Interrupted time series analysis was used for the primary outcome and descriptive statistics were performed for the secondary outcomes. Results In total 706 patients were included. At 6 months, the change in trend for unplanned rehospitalisations between usual care and the program group was non-significant (− 0.2, 95% CI -4.9;4.6). There was no significant difference for drug-related visits although visits due to medication reconciliation problems occurred less often (4 usual care versus 1 intervention). Interventions to prevent DRPs were present for all patients in the intervention group (mean: 10 interventions/patient). No effect was seen on adherence and beliefs about medication. Patients were significantly more satisfied with discharge counselling (68.9% usual care vs 87.1% program). Conclusions The transitional pharmaceutical care program showed no effect on unplanned rehospitalisations. This lack of effect is probably because the reason for rehospitalisations are multifactorial while the transitional care program focused on medication. There were less hospital visits due to medication reconciliation problems, but further large scale studies are needed due to the small number of drug-related visits. (Dutch trial register: NTR1519).

Reduction in ‘Just in Case’ cannula rates with a structured assessment and decision tool: An interrupted time-series study

2018 ◽  
Vol 23 ◽  
pp. S10
Author(s):  
Gillian Ray-Barruel ◽  
Marie Cooke ◽  
Marion Mitchell ◽  
Vineet Chopra ◽  
Claire Rickard
Keyword(s):  
Time Series ◽  
Interrupted Time Series ◽  
Decision Tool ◽  
Time Series Study ◽  
Series Study
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