Eating Disorders among Delivery Hospitalizations: Prevalence and Outcomes
Eating Disorders among Delivery Hospitalizations: Prevalence and Outcomes
复制标题
DOI：
10.1089/jwh.2007.0779
复制
发表时间：
2008-11-01
影响因子：
3.5
通讯作者：
Jamieson, Denise J.
中科院分区：
文献类型：
--
作者：
Bansil, Pooja;Kuklina, Elena V.;Jamieson, Denise J.
目的：本研究的目的是描述 1994 年至 2004 年美国分娩住院期间饮食失调患病率的趋势，并比较患有和不患有饮食失调的妇女的医院、人口和产科结果。方法：使用来自全国住院患者样本 (NIS) 的 1994 年至 2004 年出院数据来评估饮食失调（神经性厌食症和神经性贪食症）与饮食失调之间的关系。产科并发症。分析仅限于与分娩相关的住院治疗。结果：在 11 年期间，美国估计有 1,668 例分娩住院患者被诊断为饮食失调，总体比率为每 10,000 例分娩中 0.39 例。调整医院和人口特征后，患有饮食失调的分娩住院患者比没有饮食失调的分娩住院患者更有可能出现胎儿生长受限（比值比 [OR] 9.08，95% 置信区间 [CI] 6.45-12.77）、早产（OR 2.78，95% CI 2.10-3.69）、贫血（OR 1.73，95% CI） 1.25-2.38）、泌尿生殖道感染（OR 1.66，95% CI 1.03-2.68）和引产（OR 1.32，95% CI 1.01-1.73）。结论：尽管分娩住院期间饮食失调的患病率低于一般人群，但患有饮食失调的女性发生不良妊娠结局的风险增加这一事实凸显了筛查和引产的重要性。妊娠期饮食失调的适当临床护理。
Objective: The purpose of this study was to describe trends in the prevalence of eating disorders among delivery hospitalizations in the United States from 1994 to 2004 and to compare hospital, demographic, and obstetrical outcomes among women with and without eating disorders.Methods: Hospital discharge data for 1994 to 2004 from the Nationwide Inpatient Sample (NIS) were used to assess the relationship between eating disorders (anorexia nervosa and bulimia nervosa) and obstetrical complications. Analyses were limited to delivery-related hospitalizations.Results: There were an estimated 1,668 delivery hospitalizations with an eating disorder diagnosis in the United States in the 11-year period, resulting in an overall rate of 0.39 per 10,000 deliveries. After adjustment for hospital and demographic characteristics, delivery hospitalizations with an eating disorder were significantly more likely than those without an eating disorder to have fetal growth restriction (odds ratio [OR] 9.08, 95% confidence interval [CI] 6.45-12.77), preterm labor (OR 2.78, 95% CI 2.10-3.69), anemia (OR 1.73, 95% CI 1.25-2.38), genitourinary tract infections (OR 1.66, 95% CI 1.03-2.68), and labor induction (OR 1.32, 95% CI 1.01-1.73).Conclusions: Although the prevalence of eating disorders among delivery hospitalizations is lower than in the general population, the fact that women with eating disorders are at increased risk of adverse pregnancy outcomes highlights the importance of screening for and appropriate clinical care of eating disorders in pregnancy.