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Medical Admissions Among Adolescents With Eating Disorders During the COVID-19 Pandemic
Pediatrics ( IF 8 ) Pub Date : 2021-10-01 , DOI: 10.1542/peds.2021-052201
Alana K Otto 1 , Jessica M Jary 2 , Julie Sturza 3 , Catherine A Miller 2 , Natalie Prohaska 2, 4 , Terrill Bravender 2, 4 , Jessica Van Huysse 4
Affiliation  

BACKGROUND AND OBJECTIVES

Emerging data suggest the coronavirus disease 2019 (COVID-19) pandemic has been associated with worsening symptoms of eating disorders (EDs) among both adults and adolescents. With this study, we sought to determine if medical admission patterns among adolescents admitted to our institution for restrictive EDs changed during the pandemic, relative to prepandemic counts of admissions per month.

METHODS

We performed a chart review of patients aged 10 to 23 years admitted to our children’s hospital for restrictive EDs from March 2017 through March 2021 and completed an interrupted time series analysis of admission counts per month. Demographic variables for admitted patients were compared by using 2, Fisher's exact, and 2-sample t tests.

RESULTS

ED-related medical admissions at our institution increased significantly during the COVID-19 pandemic. The total number of admissions during the first 12 months of the COVID-19 pandemic (April 1, 2020, through March 31, 2021, n = 125) was more than double the mean number of admissions per year for the same time frame (April 1 through March 31) for the previous 3 years (mean = 56). Patient demographics were similar before and during the pandemic, with the exception that patients admitted during the COVID-19 pandemic were less likely than those admitted before the pandemic to have public insurance.

CONCLUSIONS

Medical admissions related to restrictive EDs among adolescents increased significantly during the COVID-19 pandemic. Pediatric providers in a variety of settings should be prepared to care for adolescents with restrictive EDs during the pandemic.



中文翻译:

在 COVID-19 大流行期间患有饮食失调的青少年的医疗入院

背景和目标

新出现的数据表明,2019 年冠状病毒病 (COVID-19) 大流行与成人和青少年饮食失调 (ED) 症状的恶化有关。通过这项研究,我们试图确定在大流行期间因限制性 ED 入住我们机构的青少年的就医模式相对于每月的大流行前入院人数是否发生了变化。

方法

我们对 2017 年 3 月至 2021 年 3 月因限制性 ED 入院的 10 至 23 岁患者进行了图表审查,并完成了每月入院人数的中断时间序列分析。通过使用2、Fisher 精确和 2 样本t检验比较入院患者的人口统计学变量。

结果

在 COVID-19 大流行期间,我们机构与 ED 相关的医疗入院人数显着增加。在 COVID-19 大流行的前 12 个月(2020 年 4 月 1 日,到 2021 年 3 月 31 日,n = 125)的总入学人数是同一时间范围内每年平均入学人数的两倍多(4 月1 至 3 月 31 日)为前 3 年(平均值 = 56)。大流行之前和期间的患者人口统计数据相似,除了在 COVID-19 大流行期间入院的患者比大流行之前入院的患者拥有公共保险的可能性更低。

结论

在 COVID-19 大流行期间,与青少年限制性 ED 相关的医疗入院人数显着增加。各种环境中的儿科提供者应准备好在大流行期间照顾患有限制性 ED 的青少年。

更新日期:2021-10-01
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