Baran S A, Weltzin T E, Kaye W H
Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, USA.
Am J Psychiatry. 1995 Jul;152(7):1070-2. doi: 10.1176/ajp.152.7.1070.
Because recent limitations in health care coverage have resulted in shorter lengths of inpatient stay, many patients with anorexia nervosa are discharged while still underweight. The authors' goal was to determine whether anorectic patients who were underweight when they were discharged had a worse outcome and a higher rate of rehospitalization than those who had achieved normal weight at discharge.
They assessed weight and height, eating disorder symptoms, and severity of depressive and anxiety symptoms in 22 women with anorexia nervosa at hospital admission and at follow-up a mean of 29 months after discharge.
Anorectic patients who were discharged while severely underweight reported significantly higher rates of rehospitalization and endorsed more symptoms than those who had achieved normal weight before discharge.
These data suggest that brief hospitalization for severely underweight women with anorexia may not be cost effective because the majority are rehospitalized.
由于近期医保覆盖范围的限制导致住院时间缩短，许多神经性厌食症患者在体重仍未达标的情况下就已出院。作者的目标是确定出院时体重未达标的厌食症患者是否比出院时体重已恢复正常的患者预后更差、再住院率更高。
他们在22名神经性厌食症女性患者入院时以及出院后平均29个月的随访中评估了体重、身高、饮食失调症状以及抑郁和焦虑症状的严重程度。
出院时严重体重不达标的厌食症患者报告的再住院率显著更高，且比出院前体重已恢复正常的患者有更多症状。
这些数据表明，对严重体重不达标的神经性厌食症女性进行短期住院治疗可能不具有成本效益，因为大多数患者会再次住院。
