Κατεύθυνση Ψυχική Υγεία Παιδιών και Εφήβων
Library of the School of Health Sciences

2020-09-04

2020

Konstantellou Efstathia

Κολαΐτης Γεράσιμος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Νάσκα Ανδρονίκη, Αναπληρώτρια Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Γονιδάκης Φραγκίσκος, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ

Ψυχογενής ανορεξία σε νοσηλευόμενα παιδιά και εφήβους: προβλεπτικοί παράγοντες και χαρακτηριστικά έκβασης νοσηλείας

Greek

Anorexia nervosa in hospitalised children and adolescents: predictive factors and characteristics of hospital outcome

Introduction: Eating disorders are serious mental illnesses, which can cause physical damage as well as damages in developmental, cognitive and psychosocial functioning. They might remain undiagnosed for months or even years, which could contribute to their high fatality rate. Objective: The purpose of the present study is to investigate characteristics of patients with anorexia nervosa, and their associations with the length of stay in the intensive care unit. Such characteristics could be the placement of a nasogastric tube and the presence of self-traumatic behavior. Method: This was a retrospective cohort study with data collection through the existing psychiatric and medical records of children and adolescents hospitalized in a children’s psychiatric hospital with the diagnosis of anorexia nervosa. 84.1% of the participants were girls, the mean age was 13.9 years (SD = 2.0 years) and the mean BMI at the time of admission was 15 points kg/m2 (SD = 1.4 points). Specifically, 65.9% of children and adolescents had a functionality index ranging from 40-21. Results: The duration of hospitalization was significantly higher in children and adolescents who had been self-injured (p=0,042) and also the higher the score of CDI was the more days were the adolescents hospitalized (p = 0,013). In contrast, the placement of a nasogastric tube did not significantly affect the weight gain (10.56 versus 9.78 kg) and did not prolong their stay in the hospital (p=0,196). No gender-specific differences were found in relation to self-harm (p=1). Also, the correlation of the duration of hospitalization with the BMI of the patients upon entering the hospital, tended to significance (p = 0.075). Conclusions: Anorexia nervosa is a very serious disorder and young patients often need inpatient hospitalization. Comorbidity with self-harm behaviors and mood disorders extend the duration of hospitalization. For this reason, further research on this issue is necessary.

Health Sciences

Inpatient, Hospitalization, Children, Nasogastric tube, Anorexia nervosa

No

0

Yes

143

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https://pergamos.lib.uoa.gr/uoa/dl/object/2921885