Increased Prevalence of Neuropsychiatric Disorders during COVID-19 Pandemic in People Needing a Non-Deferrable Neurological Evaluation

Background: The novel coronavirus disease of 2019 (COVID-19) outbreak provoked a profound healthcare system reorganization. This study aimed to compare the reasons for requesting a non-deferrable neurological evaluation before the COVID-19 pandemic and during the lockdown. Methods: Retrospective obs...

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Autores principales:	Giacomo Tondo, Davide Aprile, Fabiana Tesser, Cristoforo Comi
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	neuropsychiatric symptoms behavioral symptoms psychological symptoms quarantine coronavirus disease neurology unit Medicine R
Acceso en línea:	https://doaj.org/article/562b4a40996d4eb5a29413f5daa47042
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spelling	oai:doaj.org-article:562b4a40996d4eb5a29413f5daa470422021-11-11T17:46:59ZIncreased Prevalence of Neuropsychiatric Disorders during COVID-19 Pandemic in People Needing a Non-Deferrable Neurological Evaluation10.3390/jcm102151692077-0383https://doaj.org/article/562b4a40996d4eb5a29413f5daa470422021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5169https://doaj.org/toc/2077-0383Background: The novel coronavirus disease of 2019 (COVID-19) outbreak provoked a profound healthcare system reorganization. This study aimed to compare the reasons for requesting a non-deferrable neurological evaluation before the COVID-19 pandemic and during the lockdown. Methods: Retrospective observational study including non-deferrable neurological outpatients before the pandemic (pre-COVID-19 group, <i>n</i> = 223) and during the Italian second wave of the COVID-19 pandemic (LOCKDOWN group, <i>n</i> = 318). Results: The number of patients sent for cerebrovascular disorders, headache, and vertigo significantly dropped between the pre-COVID-19 era and the lockdown period. While in the pre-COVID-19 group, the most frequent diagnosis was cerebrovascular disorder; neuropsychiatric disorders ranked first in the LOCKDOWN group. Moreover, the percentage of appropriate non-deferrable neurological evaluations significantly increased in the LOCKDOWN group compared with the pre-COVID-19 group. Discussion: Our study shows a significant increase of neuropsychiatric disorders in non-deferrable neurologic evaluations during the Italian second wave of the COVID-19. Overall, cases were more severe and required a more complex management during the lockdown compared with the pre-COVID era. These findings confirm that a careful approach to prevent the psychological consequences of the pandemic is needed, and long-term rearrangements of the healthcare system are desirable to guarantee appropriate management.Giacomo TondoDavide AprileFabiana TesserCristoforo ComiMDPI AGarticleneuropsychiatric symptomsbehavioral symptomspsychological symptomsquarantinecoronavirus diseaseneurology unitMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5169, p 5169 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	neuropsychiatric symptoms behavioral symptoms psychological symptoms quarantine coronavirus disease neurology unit Medicine R
spellingShingle	neuropsychiatric symptoms behavioral symptoms psychological symptoms quarantine coronavirus disease neurology unit Medicine R Giacomo Tondo Davide Aprile Fabiana Tesser Cristoforo Comi Increased Prevalence of Neuropsychiatric Disorders during COVID-19 Pandemic in People Needing a Non-Deferrable Neurological Evaluation
description	Background: The novel coronavirus disease of 2019 (COVID-19) outbreak provoked a profound healthcare system reorganization. This study aimed to compare the reasons for requesting a non-deferrable neurological evaluation before the COVID-19 pandemic and during the lockdown. Methods: Retrospective observational study including non-deferrable neurological outpatients before the pandemic (pre-COVID-19 group, <i>n</i> = 223) and during the Italian second wave of the COVID-19 pandemic (LOCKDOWN group, <i>n</i> = 318). Results: The number of patients sent for cerebrovascular disorders, headache, and vertigo significantly dropped between the pre-COVID-19 era and the lockdown period. While in the pre-COVID-19 group, the most frequent diagnosis was cerebrovascular disorder; neuropsychiatric disorders ranked first in the LOCKDOWN group. Moreover, the percentage of appropriate non-deferrable neurological evaluations significantly increased in the LOCKDOWN group compared with the pre-COVID-19 group. Discussion: Our study shows a significant increase of neuropsychiatric disorders in non-deferrable neurologic evaluations during the Italian second wave of the COVID-19. Overall, cases were more severe and required a more complex management during the lockdown compared with the pre-COVID era. These findings confirm that a careful approach to prevent the psychological consequences of the pandemic is needed, and long-term rearrangements of the healthcare system are desirable to guarantee appropriate management.
format	article
author	Giacomo Tondo Davide Aprile Fabiana Tesser Cristoforo Comi
author_facet	Giacomo Tondo Davide Aprile Fabiana Tesser Cristoforo Comi
author_sort	Giacomo Tondo
title	Increased Prevalence of Neuropsychiatric Disorders during COVID-19 Pandemic in People Needing a Non-Deferrable Neurological Evaluation
title_short	Increased Prevalence of Neuropsychiatric Disorders during COVID-19 Pandemic in People Needing a Non-Deferrable Neurological Evaluation
title_full	Increased Prevalence of Neuropsychiatric Disorders during COVID-19 Pandemic in People Needing a Non-Deferrable Neurological Evaluation
title_fullStr	Increased Prevalence of Neuropsychiatric Disorders during COVID-19 Pandemic in People Needing a Non-Deferrable Neurological Evaluation
title_full_unstemmed	Increased Prevalence of Neuropsychiatric Disorders during COVID-19 Pandemic in People Needing a Non-Deferrable Neurological Evaluation
title_sort	increased prevalence of neuropsychiatric disorders during covid-19 pandemic in people needing a non-deferrable neurological evaluation
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/562b4a40996d4eb5a29413f5daa47042
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Increased Prevalence of Neuropsychiatric Disorders during COVID-19 Pandemic in People Needing a Non-Deferrable Neurological Evaluation

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