{"id":20491,"date":"2021-11-04T05:47:00","date_gmt":"2021-11-03T21:47:00","guid":{"rendered":"http:\/\/csccm.org.cn\/?p=20491"},"modified":"2021-11-04T06:05:15","modified_gmt":"2021-11-03T22:05:15","slug":"icu-management-practice-%e7%b2%be%e7%a5%9e%e9%9a%9c%e7%a2%8d%e4%b8%8e%e9%87%8d%e7%97%87%e6%96%b0%e5%86%a0%e8%82%ba%e7%82%8e%e7%9a%84%e9%a3%8e%e9%99%a9","status":"publish","type":"post","link":"https:\/\/csccm.org.cn\/?p=20491","title":{"rendered":"[ICU Management &#038; Practice]: \u7cbe\u795e\u969c\u788d\u4e0e\u91cd\u75c7\u65b0\u51a0\u80ba\u708e\u7684\u98ce\u9669"},"content":{"rendered":"\n<h1 class=\"wp-block-heading\">Mental Disorders and Risk of Severe COVID-19<\/h1>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/res.cloudinary.com\/healthmanagement-org\/image\/upload\/f_auto,fl_lossy\/v1626775206\/cw\/00119381_cw_image.jpg\" alt=\"\"\/><\/figure>\n\n\n\n<p>Over the last few months, several risk factors have been identified for severe COVID-19 illness and mortality. These include age, male sex, obesity and cardiovascular disease. Recent evidence from a meta-analysis also demonstrates an increased risk of severe or fatal COVID-19 among patients with a pre-existing mental disorder.&nbsp; Since then, several studies have found that patients with psychiatric disorders are also at an increased risk of severe COVID-19. However, results remain conflicting.<\/p>\n\n\n\n<p>A study was conducted to assess the risks of COVID-19-related mortality, hospitalisation and ICU admission associated with pre-existing mental disorders and specific diagnostic categories of mental disorders as well as exposure to certain specific psychopharmacological drugs.<\/p>\n\n\n\n<p>Eight hundred forty-one studies were identified for the purpose of this analysis, of which 33 were included in the systemic review and 23 were included in the meta-analysis. A total of 1,469,731 patients with COVID-19 were included, of whom 43,938 had mental disorders.<\/p>\n\n\n\n<p>Findings show that the presence of any mental disorder was associated with an increased risk of COVID-19 mortality. This association was observed for psychotic disorders, mood disorders, substance use disorders and intellectual disabilities and developmental disorders. No such association was found for anxiety disorders. COVID-19 mortality was associated with exposure to antipsychotics, anxiolytics, and antidepressants.<\/p>\n\n\n\n<p>Mental disorders were found to be associated with increased risk for hospitalisation. However, no significant association was found with mortality for ICU admission.<\/p>\n\n\n\n<p>These findings show that pre-existing mental disorders, specifically psychotic and mood disorders, and exposure to antipsychotics and anxiolytics were associated with COVID-19 mortality. There is thus a need to use targeted approaches to manage and prevent COVID-19 in at-risk patient groups.<\/p>\n\n\n\n<p>Source:&nbsp;<a href=\"https:\/\/www.thelancet.com\/journals\/lanpsy\/article\/PIIS2215-0366(21)00232-7\/fulltext\" target=\"_blank\" rel=\"noreferrer noopener\">The Lancet<\/a><\/p>\n\n\n\n<p>Image Credit: iStock<\/p>\n\n\n\n<p><a href=\"https:\/\/healthmanagement.org\/c\/icu\/news\/precision-therapies-for-heterogeneous-ards-patients\">\u00ab\u00ab&nbsp;Precision Therapies for Heterogeneous ARDS Patients&nbsp;<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/healthmanagement.org\/c\/icu\/news\/association-of-higher-vs-lower-peep-on-mortality\">Association of Higher vs Lower PEEP on Mortality \u00bb\u00bb<\/a><\/p>\n\n\n\n<p>Published on : Tue, 20 Jul 2021<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mental Disorders and Risk of Severe COVID-19 Over the l [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[24,23],"tags":[],"_links":{"self":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/20491"}],"collection":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=20491"}],"version-history":[{"count":1,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/20491\/revisions"}],"predecessor-version":[{"id":20492,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/20491\/revisions\/20492"}],"wp:attachment":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=20491"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=20491"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=20491"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}