COVID-19 Severity and Psychiatric Morbidity

Study Overview
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Brief Summary
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The COVID-19 pandemic represents the most serious global health threat since the Spanish influenza, with repercussions on physical and mental health. The balance between physical and mental state is essential when establishing treatment for a critically ill patient and must be taken into account by health professionals. Therefore, the investigators hypothesize that there is an association between the severity of the clinical picture of COVID-19 and psychiatric morbidity. Objective. Associate the severity of the clinical picture of COVID-19 with psychiatric morbidity. Material and method. Hospitalized participants in the COVID respiratory area at the General Hospital of the Zone will be included. # 51 of Gómez Palacio, Dgo. in the period from October 1, 2021 to March 31, 2022. This is an epidemiological, observational, prospective, longitudinal, analytical study. Sociodemographic, clinical and psychiatric evaluation data will be obtained using GMHAT / PC. A statistical analysis will be carried out using descriptive statistics (frequencies, measures of central tendency and dispersion) and analytical, to evaluate the association (Chi2) and to evaluate the effect of the intervening variables (binary logistic regression and multivariate regression). The data will be analyzed in the SPSS version 21 program.

Detailed Description
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Subjects who meet selection criteria entered into the COVID area will be included in the period from October 1, 2021 to March 31, 2022. A non-probabilistic convenience sampling will be carried out, occluding all patients who agree to participate and meet the criteria of selection. Patients entering the COVID area will be invited to participate in the study. Participants will be questioned about the selection criteria, and if they are eligible to be included in the study, they will be given the letter of informed consent for reading, clarification of doubts and signature. Each participant will receive a copy of the informed consent letter, this copy will remain in the COVID area until the participant is discharged. The researcher's copy will be handled under the biosafety standards established in the institute for materials and documents in contact with COVID patients. Information about their general data and conventional medical history will be obtained through direct questioning and review of the medical record and a brief neuropsychiatric evaluation will be performed. The severity data of the COVID clinical picture and clinical evolution will be obtained from the records in the electronic medical record. The evaluation of psychiatric morbidities using the GMHAT / PC will be carried out later, prior to feeding the database. The information obtained will be emptied into an Excel database for subsequent statistical analysis with the IBM SPSS STATISTICS program. The information of the study will remain confidential, the identity of the participants will be protected through the use of the initials of the participant's name. The data collected will be in charge of the researcher for safekeeping. The management of the information from the data collection sheets will be organized by folios.

Official Title
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Association of the Severity of the Clinical Picture of COVID-19 and Psychiatric Morbidity

Conditions
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COVID-19, Psychiatric Disorder

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Beneficiaries in the COVID respiratory area of HGZ No.51 COVID-19 diagnosis confirmed by PCR. Complete neuropsychiatric medical history data that allows the evaluation of the psychiatric status using GMHAT / PC Accept to participate in the study and sign the informed consent. Exclusion Criteria: Pre-existing neuropsychiatric diseases and under psychiatric medical treatment. History of psychotropic use and / or withdrawal syndrome. Incomplete file data or that do not allow the assessment of the severity of the clinical picture of COVID-19 upon admission to the respiratory area.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients with a diagnosis of COVID-19<br>A directed psychiatric evaluation will be carried out and 1 evaluation instrument will be applied: Global Tool for the Evaluation of Mental Health in Primary Care (GMHAT / PC). The Global Mental Health Assessment Tool / Primary Care (GMHAT / PC) is a computerized, semi-structured clinical interview tool developed to assess and identify mental health problems. The main diagnosis derives from the use of a hierarchical model based on ICD-10. The diagnostic program takes into account the severity of symptoms (moderate to severe). It also generates alternative diagnoses and comorbidity states based on the presence of symptoms of other disorders. In addition, it includes a suicide risk assessment. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Degree of severity of the clinical picture of COVID-19 | Severity of COVID-19 according to the clinical and paraclinical parameters established by the WHO (Mild, Moderate, Severe, Critical) | Duration of hospitalization (20 days) | 
| Number of participants with depression | According to the result of the psychiatric evaluation using GMHAT/PC: Absent or Present | Duration of hospitalization (20 days) | 
| Number of participants with anxiety | According to the result of the psychiatric evaluation using GMHAT/PC: Absent or Present | Evaluation at hospital admission (2 hours) | 
| Number of participants with panic disorder | According to the result of the psychiatric evaluation using GMHAT/PC: Absent or Present | Evaluation at hospital admission (2 hours) | 
| Number of participants with psychosis | According to the result of the psychiatric evaluation using GMHAT/PC: Absent or Present | Evaluation at hospital admission (2 hours) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Clinical evolution of the participants measured by clinical and paraclinical parameters | Worsening or improvement of the disease measurable by observable and diagnosable signs and symptoms according to the clinical and paraclinical parameters established by the WHO. | Duration of hospitalization (20 days) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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COVID-19, Psychiatric morbidity