Harriet Lovett, Claire Casey, Antoinette Daly, Ena Lynn, David J O Driscoll, Michelle Clifford
{"title":"爱尔兰儿童和青少年饮食失调住院的趋势和描述:2018-2022。","authors":"Harriet Lovett, Claire Casey, Antoinette Daly, Ena Lynn, David J O Driscoll, Michelle Clifford","doi":"10.1186/s40337-025-01372-1","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>International data suggests that the incidence of and health service need for eating disorder care is increasing. People affected by eating disorders (ED) may require a mixture of acute medical care and psychiatric care during their treatment and recovery.</p><p><strong>Objective: </strong>To examine the medical and psychiatric admission profiles of children and adolescents (under 18-year-olds) with a diagnosis of an ED between 2018 and 2022 in Ireland.</p><p><strong>Method: </strong>Data relating to under 18-year-olds from the Hospital In-Patient Enquiry (HIPE) system, the National Psychiatric Inpatient Reporting System (NPIRS) and the Child and Adolescent Mental Health Services (CAMHS) community ED teams from 2018 to 2022 were retrospectively analysed.</p><p><strong>Results: </strong>There were 1573 inpatient admissions due to eating disorders between 2018 and 2022. The majority of admissions were to acute medical hospitals (76%; 1203). Throughout the study period, the average episode-based ED admission rate was 52.9 per 100,000 of 10-18-year-olds in the population. Anorexia Nervosa was the most common eating disorder diagnosis to psychiatric hospitals accounting for nine-in-ten admissions (anorexia nervosa 87%; 321 and atypical anorexia 4%; 15). There has been a 121% increase in the number of inpatient admissions (acute medical hospitals and inpatient psychiatric hospitals data combined) with an ED diagnosis over the 5-year study period. Between 2018 and 2022, there were 902 referrals to the two specialist community ED teams. 18% of under 18-year-olds diagnosed with an eating disorder by community ED services result in inpatient admission.</p><p><strong>Conclusions: </strong>Additional funding and capacity for eating disorder services in both inpatient and community settings is required to meet Ireland's current and future need if observed trends continue.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"174"},"PeriodicalIF":4.5000,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344931/pdf/","citationCount":"0","resultStr":"{\"title\":\"Trends and description of inpatient admissions for eating disorders among children and adolescents in Ireland: 2018-2022.\",\"authors\":\"Harriet Lovett, Claire Casey, Antoinette Daly, Ena Lynn, David J O Driscoll, Michelle Clifford\",\"doi\":\"10.1186/s40337-025-01372-1\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>International data suggests that the incidence of and health service need for eating disorder care is increasing. People affected by eating disorders (ED) may require a mixture of acute medical care and psychiatric care during their treatment and recovery.</p><p><strong>Objective: </strong>To examine the medical and psychiatric admission profiles of children and adolescents (under 18-year-olds) with a diagnosis of an ED between 2018 and 2022 in Ireland.</p><p><strong>Method: </strong>Data relating to under 18-year-olds from the Hospital In-Patient Enquiry (HIPE) system, the National Psychiatric Inpatient Reporting System (NPIRS) and the Child and Adolescent Mental Health Services (CAMHS) community ED teams from 2018 to 2022 were retrospectively analysed.</p><p><strong>Results: </strong>There were 1573 inpatient admissions due to eating disorders between 2018 and 2022. The majority of admissions were to acute medical hospitals (76%; 1203). Throughout the study period, the average episode-based ED admission rate was 52.9 per 100,000 of 10-18-year-olds in the population. Anorexia Nervosa was the most common eating disorder diagnosis to psychiatric hospitals accounting for nine-in-ten admissions (anorexia nervosa 87%; 321 and atypical anorexia 4%; 15). There has been a 121% increase in the number of inpatient admissions (acute medical hospitals and inpatient psychiatric hospitals data combined) with an ED diagnosis over the 5-year study period. Between 2018 and 2022, there were 902 referrals to the two specialist community ED teams. 18% of under 18-year-olds diagnosed with an eating disorder by community ED services result in inpatient admission.</p><p><strong>Conclusions: </strong>Additional funding and capacity for eating disorder services in both inpatient and community settings is required to meet Ireland's current and future need if observed trends continue.</p>\",\"PeriodicalId\":48605,\"journal\":{\"name\":\"Journal of Eating Disorders\",\"volume\":\"13 1\",\"pages\":\"174\"},\"PeriodicalIF\":4.5000,\"publicationDate\":\"2025-08-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344931/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Eating Disorders\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s40337-025-01372-1\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Eating Disorders","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s40337-025-01372-1","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
Trends and description of inpatient admissions for eating disorders among children and adolescents in Ireland: 2018-2022.
Background: International data suggests that the incidence of and health service need for eating disorder care is increasing. People affected by eating disorders (ED) may require a mixture of acute medical care and psychiatric care during their treatment and recovery.
Objective: To examine the medical and psychiatric admission profiles of children and adolescents (under 18-year-olds) with a diagnosis of an ED between 2018 and 2022 in Ireland.
Method: Data relating to under 18-year-olds from the Hospital In-Patient Enquiry (HIPE) system, the National Psychiatric Inpatient Reporting System (NPIRS) and the Child and Adolescent Mental Health Services (CAMHS) community ED teams from 2018 to 2022 were retrospectively analysed.
Results: There were 1573 inpatient admissions due to eating disorders between 2018 and 2022. The majority of admissions were to acute medical hospitals (76%; 1203). Throughout the study period, the average episode-based ED admission rate was 52.9 per 100,000 of 10-18-year-olds in the population. Anorexia Nervosa was the most common eating disorder diagnosis to psychiatric hospitals accounting for nine-in-ten admissions (anorexia nervosa 87%; 321 and atypical anorexia 4%; 15). There has been a 121% increase in the number of inpatient admissions (acute medical hospitals and inpatient psychiatric hospitals data combined) with an ED diagnosis over the 5-year study period. Between 2018 and 2022, there were 902 referrals to the two specialist community ED teams. 18% of under 18-year-olds diagnosed with an eating disorder by community ED services result in inpatient admission.
Conclusions: Additional funding and capacity for eating disorder services in both inpatient and community settings is required to meet Ireland's current and future need if observed trends continue.
期刊介绍:
Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice.
The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.