神经性厌食症住院治疗时长的预测因素。
Predictive factors of length of inpatient treatment in anorexia nervosa.
作者信息
Strik Lievers Luisa, Curt Florence, Wallier Jenny, Perdereau Fabienne, Rein Zoé, Jeammet Philippe, Godart Nathalie
机构信息
Dept. of Psychiatry for Adolescents and Young Adults, Site Institut Mutualiste Montsouris, Université Paris-Descartes, Paris, France.
出版信息
Eur Child Adolesc Psychiatry. 2009 Feb;18(2):75-84. doi: 10.1007/s00787-008-0706-8. Epub 2008 Sep 22.
OBJECTIVE
To identify clinical variables influencing the length of stay (LOS) of inpatient treatment for anorexia nervosa (AN).
METHOD
We analyzed structured clinical charts of 300 consecutive hospitalizations for AN in a specialized eating disorder unit. The sample included patients from 12 to 22 years old. Factors related to the patient and events occurring during the stay were investigated as possible predictors of LOS.
RESULTS
Mean LOS was 135 days. The best model of linear regression revealed that the following factors were significantly related to LOS: duration of AN at admission, use of tube feeding during the stay, accomplishment of the therapeutic weight contract and presence of a comorbid disorder.
CONCLUSIONS
The identification of factors influencing duration of stay, both at the outset and during the hospitalization, could help clinicians to optimize and individualize treatments, as well as increase patient and family compliance.
目的
确定影响神经性厌食症（AN）住院治疗时长（LOS）的临床变量。
方法
我们分析了一家专门的饮食失调病房连续300例AN住院患者的结构化临床图表。样本包括12至22岁的患者。对与患者相关的因素以及住院期间发生的事件进行调查，以作为住院时长的可能预测因素。
结果
平均住院时长为135天。最佳线性回归模型显示，以下因素与住院时长显著相关：入院时AN的病程、住院期间使用鼻饲、完成治疗性体重合同以及存在共病。
结论
确定在住院开始时和住院期间影响住院时长的因素，有助于临床医生优化治疗并使其个性化，同时提高患者及家属的依从性。
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