躯体严重程度对神经性厌食症长期死亡率的影响。
Impact of somatic severity on long-term mortality in anorexia nervosa.
作者信息
Stheneur Chantal, Ali Aminata, Tric Laurent, Curt Florence, Hubert Tamara, Godart Nathalie
机构信息
Adolescent Medicine Unit, Department of Pediatrics, Sainte Justine Hospital, 3175 chemin de la cote Sainte Catherine, Montreal, QC, H3T 1C5, Canada.
CESP-INSERM U1178, University Paris-Sud, Université Sorbonne Paris Cité, 75014, Paris, France.
出版信息
Eat Weight Disord. 2017 Jun;22(2):285-289. doi: 10.1007/s40519-016-0346-9. Epub 2016 Dec 19.
PURPOSE
Anorexia nervosa (AN) is a severe pathology on account of the high levels of associated morbidity and mortality. This study aimed to assess whether time in somatic intensive care unit, justified by a patient's somatic condition in the course of hospital care, has any relationship with patient outcome in terms of mortality in the long term.
METHODS
195 patients were hospitalised for AN between April 1996 and May 2002, 97 were re-assessed 9 years later on average.
RESULTS
Out of 195 patients hospitalised for AN between April 1996 and May 2002, 29 had required transfer to intensive care. Mortality at 9 years was 20 times higher in the group having been transferred to intensive care, irrespective of the duration of follow-up.
CONCLUSION
The clinical seriousness of the somatic condition during hospitalisation for AN is a risk factor for excess mortality in the medium term.
目的
神经性厌食症（AN）是一种严重的病症，因其伴随的高发病率和死亡率。本研究旨在评估在医院护理过程中因患者躯体状况而入住躯体重症监护病房的时间，与长期死亡率方面的患者预后是否存在任何关联。
方法
1996年4月至2002年5月期间，195例因AN住院的患者，平均9年后对其中97例进行了重新评估。
结果
在1996年4月至2002年5月期间因AN住院的195例患者中，29例需要转至重症监护病房。转至重症监护病房的组在9年时的死亡率高出20倍，与随访时间无关。
结论
AN住院期间躯体状况的临床严重性是中期额外死亡的一个危险因素。
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