Hospital Admissions for Eating Disorders in Children and Adolescents in Spain: A Population-Based Study

IF 4.7 2区医学 Q1 NUTRITION & DIETETICS International Journal of Eating Disorders Pub Date : 2024-08-29 DOI:10.1002/eat.24282

Pilar Vázquez-Giraldo, Ainoa Muñoz-Sanjosé, Teresa López-Cuadrado

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引用次数: 0

Abstract

Objective

Limited evidence exists regarding the impact of the COVID-19 pandemic on the onset and trajectory of eating disorders (EDs) among young in Spain. This study aims to analyze the characteristics and recent trends in hospital admissions for EDs within the pediatric population.

Methods

A retrospective analysis was conducted on hospital admissions for EDs among patients aged 10–19 years between 2016 and 2022. The main outcomes examined included hospital rates (overall, stratified by ED type and age group), psychiatric comorbidities, and length of stay.

Results

A total of 8275 hospitalizations due to EDs were identified, constituting 1 in 6 hospital admissions for mental illness and behavioral disorders. Predominant characteristics of this population included female sex (93%), aged 15–19 years (58.3%), admission primarily for anorexia nervosa (71.6%), and psychiatric comorbidity (35.6%). Hospital admissions for EDs in the pediatric population showed an increasing trend, with an annual average increase of 11.1% (95% CI: 2.6, 22.6). This rise was led by children aged 10–14 years, with a yearly increase in EDs hospitalization rates of 28.4% (95% CI: 13.5, 56.3) since 2019. Each discharge related to EDs was associated with a median stay of 24 days (IQR: 10, 40).

Discussion

Efforts in community healthcare should prioritize early detection and intervention for symptoms indicative of EDs in the pediatric population, aiming to mitigate the severity of cases requiring hospitalization. These findings underscore the necessity for targeted health planning policies to address the growing burden of EDs among Spanish youth.

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西班牙儿童和青少年因饮食失调而入院：基于人口的研究。

目的：关于 COVID-19 大流行对西班牙青少年饮食失调症（EDs）的发病和发病轨迹的影响，目前证据有限。本研究旨在分析儿科人群中因进食障碍入院治疗的特点和最新趋势：方法：对2016年至2022年期间10至19岁的ED入院患者进行了回顾性分析。研究的主要结果包括住院率（总体、按急诊室类型和年龄组分层）、精神病合并症和住院时间：结果：共发现8275例因急诊室导致的住院病例，占精神疾病和行为障碍住院病例的1/6。这些患者的主要特征包括：女性（93%）、15-19 岁（58.3%）、主要因神经性厌食症入院（71.6%）以及合并精神疾病（35.6%）。儿科急诊入院人数呈上升趋势，年均增长 11.1%（95% CI：2.6，22.6）。这一增长主要由 10-14 岁的儿童主导，自 2019 年以来，急诊室住院率每年增长 28.4%（95% CI：13.5, 56.3）。与急诊室相关的每次出院的中位住院时间为24天（IQR：10，40）：社区医疗保健工作应优先考虑早期发现和干预儿科急诊的症状，以减轻需要住院治疗的病例的严重程度。这些研究结果表明，有必要制定有针对性的卫生规划政策，以解决西班牙青少年急诊室负担日益加重的问题。

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来源期刊

International Journal of Eating Disorders 医学-精神病学

CiteScore

10.00

自引率

12.70%

发文量

204

审稿时长

4-8 weeks

期刊介绍： Articles featured in the journal describe state-of-the-art scientific research on theory, methodology, etiology, clinical practice, and policy related to eating disorders, as well as contributions that facilitate scholarly critique and discussion of science and practice in the field. Theoretical and empirical work on obesity or healthy eating falls within the journal’s scope inasmuch as it facilitates the advancement of efforts to describe and understand, prevent, or treat eating disorders. IJED welcomes submissions from all regions of the world and representing all levels of inquiry (including basic science, clinical trials, implementation research, and dissemination studies), and across a full range of scientific methods, disciplines, and approaches.