The mortality rate from anorexia nervosa

The mortality rate from anorexia nervosa
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DOI:
10.1002/eat.20164
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发表时间:
2005-09-01
影响因子:
5.5
通讯作者:
Gao, M
Gao, M
中科院分区:
医学2区
文献类型:
--
作者:
Birmingham, CL;Su, J;Gao, M

文献摘要

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目的:我们确定神经性厌食症(AN)患者人群的标准化死亡率(SMR)。patient.Method:我们采用横断面设计研究了一个起始队列(1981-2000年),该队列来自圣保罗医院(加拿大不列颠哥伦比亚省)的省级三级保健进食障碍项目。所有完成进食障碍初步评估的患者都被纳入研究。生命状态,日期和死亡原因从不列颠哥伦比亚省生命统计局,评估日期,出生日期,并在评估时的诊断收集每个patient.Results:954例患者,326诊断为AN完成了20年的评估。的SMR为10.5(95%置信区间[CI] = 5.5-15.5)为AN。讨论:在文献中的一些研究报告,AN的任何精神疾病的死亡率最高的年轻女性。然而,其他人对这一事实提出质疑,并报告SMR低于正常人口死亡率(SMR = 0.71)。与文献中的一些报道相反,我们的研究证实了AN人群的高死亡率。(c)出版社:Wiley Periodicals,Inc.
Objective: We determined the standardized mortality ratio (SMR) in our anorexia nervosa (AN) patient population. patient.Method: We used a cross-sectional design to study an inception cohort (1981-2000) drawn from the provincial tertiary care eating disorders program at St. Paul's Hospital (British Columbia, Canada). All patients who completed their initial assessment for an eating disorder were included in the study. Vital status, date and cause of death from British Columbia Vital Statistics Agency, date of assessment, date of birth, and diagnosis at the time of assessment were collected for each patient.Results: Of 954 patients, 326 diagnosed with AN completed an assessment over the 20 years. The SMR was 10.5 (95% confidence interval [CI] = 5.5-15.5) for AN.Discussion: Some studies in the literature report that AN has the highest mortality rate of any psychiatric disorder in young females. However, others dispute this fact and report an SMR lower than the normal population mortality (SMR = 0.71). Contrary to some reports in the literature, our study confirms a high mortality rate within the AN population. (c) 2005 by Wiley Periodicals, Inc.