De Filippo E, Signorini A, Bracale R, Pasanisi F, Contaldo F
CISRO, Clinical Nutrition, Department of Clinical and Experimental Medicine, Federico II Hospital University, Naples, Italy.
Eat Weight Disord. 2000 Dec;5(4):211-6. doi: 10.1007/BF03354448.
To evaluate the effectiveness of an integrated medical-psychiatric treatment of major eating disorders.
Historical cohort study.
Outpatient Unit for Protein Energy Malnutrition of the Department of Clinical and Experimental Medicine, "Federico II" University of Naples, time of study: January 1994 to December 1997 PARTICIPANTS: 147 female patients with restrictive or bulimic anorexia nervosa (mean age 19.8 +/- 13.7, BMI 14.7 +/- 2.1 Kg/m2) consecutively attending the outpatient unit between January 1994 and December 1997.
Hospitalization and mortality rates were evaluated up to Jan 1999 with a minimum follow-up of 18 months.
There were 23 admissions to the Clinical Nutrition ward for 19 patients (i.e. 12.9%) mostly due to severe protein energy malnutrition, and 2 deaths, only 1 strictly related to anorexia (mortality rate 0.7%).
Integrated outpatient medical-psychiatric treatment for major eating disorders is an effective and inexpensive procedure that reduces mortality and admissions due to medical complications in the medium term.
评估综合医学 - 精神科治疗对重度饮食失调症的疗效。
历史性队列研究。
那不勒斯“费德里科二世”大学临床与实验医学系蛋白质能量营养不良门诊，研究时间：1994年1月至1997年12月
1994年1月至1997年12月期间连续就诊于该门诊的147名患有节食型或暴食型神经性厌食症的女性患者（平均年龄19.8 +/- 13.7岁，体重指数14.7 +/- 2.1 Kg/m2）。
截至1999年1月评估住院率和死亡率，最短随访时间为18个月。
19名患者（即12.9%）入住临床营养病房23次，主要原因是严重蛋白质能量营养不良，2例死亡，仅1例与厌食症直接相关（死亡率0.7%）。
针对重度饮食失调症的综合门诊医学 - 精神科治疗是一种有效且经济的方法，可在中期降低因医学并发症导致的死亡率和住院率。
