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Mental health outcomes of adults hospitalized for COVID-19: A living rapid review

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Prepared by:
Evidence Synthesis Program (ESP) Coordinating Center
Portland VA Health Care System
Portland, OR
Mark Helfand, MD, MPH, MS, Director

Recommended Citation:
O'Neil M, Veazie S, LaFavor B, Vela K, Sayer N, Carlson K. Mental health outcomes of adults hospitalized with COVID-19: A living rapid review. Washington, DC: Evidence Synthesis Program, Health Services Research and Development Service, Office of Research and Development, Department of Veterans Affairs. VA ESP Project #09-199; 2020.


Download PDF: Rapid review, Supplemental Materials

Scope

This rapid review compares the prevalence of mental health disorders among adults who have been hospitalized for COVID-19 to relevant comparison groups, assesses whether the prevalence of mental health disorders varies by patient and disease characteristics, and ascertains mental health care utilization and resource needs for adults following hospitalization for COVID-19.

Key Questions

1) Among adults who have been hospitalized for COVID-19, what is the prevalence of MH disorders during or after hospitalization?

2) How often do adults without preexisting MH conditions who have been hospitalized for COVID-19 develop new MH symptoms or a new MH diagnosis?

2a) ...compared to those with outpatient COVID-19?

2b) ...compared to adults hospitalized for other causes?

2c) Does the probability of developing new MH symptoms or diagnosis during or after hospitalization for COVID-19 vary by patient characteristics (eg, age, sex, race/ethnicity, comorbidities), COVID-19 disease severity, or level of care?

3) How often do adults with preexisting MH conditions who have been hospitalized for COVID-19 experience exacerbation of MH symptoms?

3a) ...compared to those with outpatient COVID-19?

3b) ...compared to adults hospitalized for other causes?

3c) Does the probability of exacerbating MH symptoms during or after hospitalization for COVID-19 vary by patient characteristics (eg, age, sex, race/ethnicity, comorbidities), COVID-19 disease severity, or level of care?

4) How often and what kinds of MH care do adults access during or after hospitalization for COVID-19?

4a) Does the type or extent of MH care used by adults during or after COVID-19 hospitalization differ compared to before hospitalization?

4b) Does the type or extent of MH care utilization differ for adults hospitalized for COVID-19 compared to adults receiving outpatient treatment for COVID-19?

4c) Does the type or extent of MH care utilization differ for adults hospitalized for COVID-19 compared to adults hospitalized for other causes?

4d) Does the type or extent of MH care utilization during or after hospitalization for COVID-19 vary by patient characteristics (eg, age, sex, race/ethnicity, comorbidities), COVID-19 disease severity, or level of care?

5) What are the MH care resource needs among adults who have been hospitalized for COVID-19?


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