Why Are We Waiting? The Relationship Between Low Admission Weight and End of Treatment Weight Outcomes
Why Are We Waiting? The Relationship Between Low Admission Weight and End of Treatment Weight Outcomes
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DOI：
10.1002/erv.1061
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发表时间：
2011-09-01
影响因子：
5.3
通讯作者：
Bamford, Bryony
中科院分区：
文献类型：
--
作者：
Sly, Richard;Bamford, Bryony
越来越多的进食障碍住院单位被要求接纳体重指数较低的患者，通常会推迟住院治疗，直到医学上不可避免。本文旨在探讨这种趋势对治疗结果的影响。对82名入住国家饮食失调住院病房的神经性厌食症成人进行了入院时BMI、住院时间、出院时BMI和治疗后1年内再次入院的评估。在目前的研究中，入院时BMI与治疗期间体重增加量或住院时间无关。因此，以较低BMI入院的患者在出院时具有显著较低的BMI。低入院BMI与1年内再次入院的可能性显著较高相关。这项研究提供了有力的证据，证明早期治疗事件的益处，并且更成功的治疗结局与治疗开始时的较高体重相关。版权所有（C）2010约翰威利父子有限公司和饮食失调协会。
Inpatient eating disorder units are increasingly being asked to admit patients at lower BMI's, often delaying hospital treatment until medically unavoidable. This paper aims to explore the impact of this trend on treatment outcome. Eighty-two adults with anorexia nervosa admitted to a national inpatient eating disorder ward were assessed for BMI at admission, length of hospitalisation, discharge BMI and re-admission within 1-year post-treatment. In the current study, admission BMI was unrelated to amount of weight gain during treatment or to length of hospital stay. As such patients admitted at lower BMI's had significantly lower BMI's on discharge from treatment. Low admission BMI's were related to significantly higher likelihoods of re-admission within 1 year. This study provides strong evidence for the benefit of early treatment episodes and with more successful treatment outcomes being related to higher weights at start of treatment. Copyright (C) 2010 John Wiley & Sons, Ltd and Eating Disorders Association.