Mapping length of inpatient treatment duration and year-wise relapse rates in eating disordered populations in a well-defined Western-European healthcare region across 1998-2020

被引：1

作者：

Andersson, Peter ^{[1
,2
]}

Jamshidi, Esmail ^{[3
,4
]}

Ekman, Carl-Johan ^{[3
,5
,6
]}

Tedroff, Kristina ^{[7
]}

Bjorkander, Jonnie ^{[3
]}

Sjogren, Magnus ^{[4
]}

Lundberg, Johan ^{[3
,5
,6
]}

Jokinen, Jussi ^{[4
,5
,6
]}

Bostrom, Adrian Desai E. ^{[4
,5
,6
,7
]}

机构：

[1] Karolinska Inst, Dept Clin Neurosci Psychol, Stockholm, Sweden

[2] Uppsala Univ, Ctr Clin Res Dalarna, Falun, Sweden

[3] Stockholm Hlth Care Serv, Reg Stockholm, Stockholm, Sweden

[4] Umea Univ, Dept Clin Sci Psychiat, Umea, Sweden

[5] Karolinska Inst, Ctr Psychiat Res, Dept Clin Neurosci, Stockholm, Sweden

[6] Karolinska Univ Hosp, Stockholm Hlth Care Serv, Reg Stockholm, Stockholm, Sweden

[7] Karolinska Inst, Dept Womens & Childrens Hlth Neuropediat, Stockholm, Sweden

来源：

INTERNATIONAL JOURNAL OF METHODS IN PSYCHIATRIC RESEARCH | 2023年 / 32卷 / 04期

基金：

瑞典研究理事会;

关键词：

ecological evidence; inpatients; severe anorexia nervosa; treatment guidelines; weight restoration; ANOREXIA-NERVOSA; ADOLESCENTS;

D O I：

10.1002/mpr.1960

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

ObjectivesUpdated international guideline recommendations for AN inpatient care rely on expert opinions/observational evidence and promote extended inpatient stays, warranting investigation using higher-level ecological evidence. MethodsThe study was conducted according to Guidelines for Accurate and Transparent Health Estimates Reporting (GATHER). Data encompassing 13,885 ED inpatients (5336 adolescents and 8549 adults) was retrieved from Swedish public health registries. Variables analyzed included (1) ED inpatient care opportunities, (2) unique number of ED inpatients and (3) mean length of ED-related inpatient stays in age groups 15-19 and 20-88+, across 1998-2020. ResultsMean length of inpatient stays was inversely correlated to relapse to ED-related inpatient care within the same year (p < 0.001, R-squared(adj) = 0.5216 and p < 0.00001, R-squared(adj) = 0.5090, in the 15-19 and 20-88+ age groups, respectively), independent of number of ED inpatients treated within a year in both age groups. Extending mean adolescent inpatient duration from 35 to 45 days was associated with a similar to 30% reduction in the year-wise relapse rate. ConclusionsMean length of ED-related inpatient treatment stays was associated with reduced relapses to inpatient care within the same year, which could be interpreted as support for recommendations to include a stabilization phase in inpatient ED treatment.

引用

页数：8