Eating disorders-Related hospitalizations in Portugal: A nationwide study from 2000 to 2014
Eating disorders-Related hospitalizations in Portugal: A nationwide study from 2000 to 2014
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DOI：
10.1002/eat.22955
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发表时间：
2018-10-01
影响因子：
5.5
通讯作者：
Freitas, Alberto
中科院分区：
文献类型：
--
作者：
Cruz, Ana Margarida;Goncalves-Pinho, Manuel;Freitas, Alberto
最近的证据表明，神经性厌食症（AN）的发病率在过去几十年中在西欧保持稳定，而神经性贪食症（BN）的发病率则有所下降。众所周知，大多数患有艾德（进食障碍）的人不会寻求医疗。目的本研究分析了2000年至2014年期间葡萄牙大陆公立医院与急诊相关的住院情况。方法采用回顾性研究方法，收集所有急诊或继发性ED的住院病例，分析患者例数、性别、出院时平均年龄、自杀相关住院次数、住院死亡率、住院时间和平均费用。结果共有4，485例住院患者伴有ED。AN是最常见的艾德（n = 2，806）。自杀相关住院在BN（BN住院的10.1%）或AN（AN住院的5.2%）患者中最常见。讨论AN的住院死亡率高于BN。我们观察到BN中自杀相关住院的比例高于AN。尽管异食癖、反刍障碍和心因性呕吐在所有ED中所占比例较小，但据我们所知，本研究首次描述了这组ED在15年期间的住院趋势。
Introduction Recent evidence suggests that incidence of Anorexia nervosa (AN) has remained stable over the last decades in Western Europe, while decreasing for Bulimia nervosa (BN). It is well-known that most individuals with an ED (Eating disorder) do not seek medical treatment. Objective The present study analyses hospitalizations related with EDs held in mainland Portuguese public hospitals between 2000 and 2014. Method A retrospective observational study was performed gathering all inpatient episodes with primary or secondary diagnosis of ED. Number of patients, gender, mean age at discharge, suicide-attempts related hospitalizations, in-hospital mortality, length of stay, and mean charges were analyzed. Results There were a total of 4,485 hospitalizations with an associated ED. AN was the most frequent ED (n = 2,806). Suicide attempt-related hospitalizations were most common among patients with BN (10.1% of BN hospitalizations) or AN (5.2% of AN hospitalizations). Discussion AN has higher in-hospital mortality than BN. We observed a higher proportion of suicide related hospitalizations in BN when compared to AN. Although pica, rumination disorder, and psychogenic vomiting represent a smaller portion of all EDs, this study was the first to describe hospitalization trends for this set of EDs for a 15-year period, to the best of our knowledge.