在COVID-19期间患有饮食障碍的青少年住院模式
Leslie Schlapfer1, Margaret A Gettis2, Valerie Dutreuil3
1Children's Healthcare of Atlanta, 1001 Johnson Ferry Rd NE, Atlanta, GA, USA. leslie.schlapfer@choa.org.
Journal of eating disorders
|August 16, 2023
概括
在COVID-19期间,青少年饮食障碍 (ED) 住院病例增加,住院时间较长 (LOS) 与COVID-19入院,公共保险和临床严重程度有关. 需要增加ED治疗中心的可用性,医疗后稳定.
科学领域:
- 青少年医学 青少年医学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 饮食障碍 (ED) 是严重的心理健康状况,需要医疗稳定.
- "COVID-19"大流行影响了各种疾病的医疗保健获取和提供.
- 了解疫情期间ED患者护理的变化至关重要.
研究的目的:
- 为了比较临床特征和住院时间 (LOS) 的青少年在COVID-19大流行之前和期间.
- 为了确定与此患者群体中LOS增加相关的因素.
主要方法:
- 对需要医疗稳定性ED的青少年进行回顾性医疗记录审查.
- 从COVID-19前 (1/1/2019-2/29/2020) 和COVID-19期间 (3/1/2020-12/31/2021) 的数据进行比较.
- 多变量回归分析以确定影响LOS的因素.
主要成果:
- 在COVID-19期间,每月ED入院人数较高 (15.8),而是在COVID-19之前 (8.6).
- 增加的LOS与COVID-19入院 (IRR 1.27),登机 (IRR 1.77),公共保险 (IRR 1.12),鼻胃管使用 (IRR 1.62),胸心梗塞 (IRR 1.21) 和异常心电图 (IRR 1.25) 相关.
结论:
- 在COVID-19期间的入院,登机状态和公共保险独立预测EDs青少年的长时间LOS.
- 临床因素,如鼻胃管的使用和生命体征异常,也与长时间住院相关.
- 迫切需要增加饮食障碍治疗中心的容量,以便在医疗稳定后管理患者.
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