儿童医院对患有回避性限制性食物摄入障碍的患者的使用
Carly E Milliren1, McGreggor Crowley2,3, Julia K Carmody2,4
1Institutional Centers for Clinical and Translational Research, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA. carly.milliren@childrens.harvard.edu.
Journal of eating disorders
|March 26, 2024
概括
美国儿科医院因避免性限制性食物摄入障碍 (ARFID) 的住院住院患者增加. 这些住院时间长,成本高,并且与再入院有关,这突显了需要更好的ARFID治疗的需要.
科学领域:
- 儿科医院的使用率
- 饮食障碍研究 饮食障碍研究
- 医疗服务研究 医疗服务研究
背景情况:
- 避免性限制性食物摄入障碍 (ARFID) 是DSM-5和ICD-10中公认的食障碍.
- 关于ARFID特定的医院利用情况的研究有限,特别是使用大型行政数据集.
- 这项研究调查了美国儿科医院ARFID患者的住院入院趋势和结果.
研究的目的:
- 分析随着时间的推移,ARFID的住院患者入院量趋势.
- 检查与ARFID医院利用相关的患者级因素.
- 评估ARFID患者的30天再入院率和相关因素.
主要方法:
- 利用儿科健康信息系统 (PHIS) 数据库,用于使用ARFID诊断代码 (ICD-10) 的住院患者入院.
- 分析了2017年10月至2022年6月的数据,检查了ARFID数量随时间变化的变化.
- 采用调整后回归模型来评估患者人口统计,并发症和医院利用率 (LOS,成本,再入院) 之间的关联.
主要成果:
- 在44家儿科医院,住院ARFID体积显著增加 (β=0.36个月).
- 住院平均长度 (LOS) 为7天,平均费用为16583美元;体积较大的医院住院时间较长,费用较高.
- 8.5%的患者经历了30天的再入院,受年龄,保险,营养不良和胃肠道成像的影响.
结论:
- 自从ARFID被列入ICD-10以来,美国儿科医院的住院患者数量有所增加.
- 阿尔菲德住院住院的特点是持续时间长,成本高,并有显著的再接收率.
- 未来的研究应该专注于开发有效和高效的ARFID治疗策略,以改善患者的治疗结果和减少医疗负担.
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