Shamilka Seneviratne, Michelle Polich, Maya M Kumar, Tamara Maginot, Kyung E Rhee
{"title":"2019冠状病毒病对儿科专科住院患者进食障碍入院频率和严重程度的影响","authors":"Shamilka Seneviratne, Michelle Polich, Maya M Kumar, Tamara Maginot, Kyung E Rhee","doi":"10.1186/s40337-025-01385-w","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>During the COVID-19 pandemic, youth experienced disruptions in their social development due to social distancing mandates. Research evaluating effects of isolation on adolescent mental health and eating disorders demonstrated increased ED visits during COVID. The goal of this study was to examine the effect of the COVID-19 pandemic on the number of eating disorder admissions at a large pediatric inpatient eating disorder unit and on illness severity.</p><p><strong>Methods: </strong>We conducted a retrospective chart review of patients admitted to a pediatric inpatient eating disorder unit from January 2019 through December 2021. Differences in number of admissions and patient characteristics were compared before and after the start of the COVID-19 stay-at-home mandate (i.e., \"outbreak\"). Interrupted time series analysis compared monthly admission trends pre- and post-outbreak. Logistic and linear regression models were created to evaluate differences in severity.</p><p><strong>Results: </strong>There were 143 patients admitted pre-outbreak and 314 patients admitted post-outbreak (84% female, 26.3% publicly insured, median age 15 years). There was a significant increase in the mean number of admissions per month post-outbreak (10.21, [SD 3.36] vs. 14.27 [SD 3.31], p < 0.01). Trends in admissions per month were stable prior to the COVID-19 outbreak (β<sub>1</sub> = -0.38, p = 0.07) and increased after the start of the outbreak (β<sub>3</sub> = 0.63, p < 0.01). Patients pre-outbreak had lower mean systolic blood pressures than post-outbreak (β = -1.90 [SE 0.82], p = 0.02). The odds of hypophosphatemia were lower post-outbreak (OR 0.42 [95% CI 0.21-0.81]).</p><p><strong>Conclusions: </strong>Clinical characteristics on admission were less severe post-outbreak. Closures of outpatient treatment programs may have led to lower acuity patients being hospitalized. Preserving access to robust outpatient eating disorder treatment may prevent this phenomenon during future public health crises.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"194"},"PeriodicalIF":4.5000,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12395816/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effect of COVID-19 on frequency and severity of eating disorder admissions in a specialized pediatric inpatient unit.\",\"authors\":\"Shamilka Seneviratne, Michelle Polich, Maya M Kumar, Tamara Maginot, Kyung E Rhee\",\"doi\":\"10.1186/s40337-025-01385-w\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>During the COVID-19 pandemic, youth experienced disruptions in their social development due to social distancing mandates. Research evaluating effects of isolation on adolescent mental health and eating disorders demonstrated increased ED visits during COVID. The goal of this study was to examine the effect of the COVID-19 pandemic on the number of eating disorder admissions at a large pediatric inpatient eating disorder unit and on illness severity.</p><p><strong>Methods: </strong>We conducted a retrospective chart review of patients admitted to a pediatric inpatient eating disorder unit from January 2019 through December 2021. Differences in number of admissions and patient characteristics were compared before and after the start of the COVID-19 stay-at-home mandate (i.e., \\\"outbreak\\\"). Interrupted time series analysis compared monthly admission trends pre- and post-outbreak. Logistic and linear regression models were created to evaluate differences in severity.</p><p><strong>Results: </strong>There were 143 patients admitted pre-outbreak and 314 patients admitted post-outbreak (84% female, 26.3% publicly insured, median age 15 years). There was a significant increase in the mean number of admissions per month post-outbreak (10.21, [SD 3.36] vs. 14.27 [SD 3.31], p < 0.01). Trends in admissions per month were stable prior to the COVID-19 outbreak (β<sub>1</sub> = -0.38, p = 0.07) and increased after the start of the outbreak (β<sub>3</sub> = 0.63, p < 0.01). Patients pre-outbreak had lower mean systolic blood pressures than post-outbreak (β = -1.90 [SE 0.82], p = 0.02). The odds of hypophosphatemia were lower post-outbreak (OR 0.42 [95% CI 0.21-0.81]).</p><p><strong>Conclusions: </strong>Clinical characteristics on admission were less severe post-outbreak. Closures of outpatient treatment programs may have led to lower acuity patients being hospitalized. Preserving access to robust outpatient eating disorder treatment may prevent this phenomenon during future public health crises.</p>\",\"PeriodicalId\":48605,\"journal\":{\"name\":\"Journal of Eating Disorders\",\"volume\":\"13 1\",\"pages\":\"194\"},\"PeriodicalIF\":4.5000,\"publicationDate\":\"2025-08-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12395816/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Eating Disorders\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s40337-025-01385-w\",\"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/s40337-025-01385-w","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
引用次数: 0
摘要
背景：在2019冠状病毒病大流行期间，由于要求保持社交距离，青年的社会发展受到干扰。评估隔离对青少年心理健康和饮食失调影响的研究表明，在COVID期间，急诊科就诊人数增加。本研究的目的是研究COVID-19大流行对一家大型儿科住院饮食失调病房饮食失调入院人数和疾病严重程度的影响。方法：我们对2019年1月至2021年12月儿科住院饮食失调病房收治的患者进行了回顾性图表回顾。比较了COVID-19居家命令（即“爆发”）开始前后入院人数和患者特征的差异。中断时间序列分析比较了疫情前后的每月入院趋势。建立了Logistic和线性回归模型来评估严重程度的差异。结果：疫情前入院143例，疫情后入院314例，其中女性占84%，参保26.3%，中位年龄15岁。爆发后每月平均入院人数显著增加（10.21例，[SD 3.36] vs. 14.27例[SD 3.31], p 1 = -0.38, p = 0.07），爆发后入院人数增加（β3 = 0.63, p）结论：爆发后入院时临床特征较轻。门诊治疗项目的关闭可能导致低视力患者住院。在未来的公共卫生危机中，保持获得强有力的门诊饮食失调治疗可能会防止这种现象。
Effect of COVID-19 on frequency and severity of eating disorder admissions in a specialized pediatric inpatient unit.
Background: During the COVID-19 pandemic, youth experienced disruptions in their social development due to social distancing mandates. Research evaluating effects of isolation on adolescent mental health and eating disorders demonstrated increased ED visits during COVID. The goal of this study was to examine the effect of the COVID-19 pandemic on the number of eating disorder admissions at a large pediatric inpatient eating disorder unit and on illness severity.
Methods: We conducted a retrospective chart review of patients admitted to a pediatric inpatient eating disorder unit from January 2019 through December 2021. Differences in number of admissions and patient characteristics were compared before and after the start of the COVID-19 stay-at-home mandate (i.e., "outbreak"). Interrupted time series analysis compared monthly admission trends pre- and post-outbreak. Logistic and linear regression models were created to evaluate differences in severity.
Results: There were 143 patients admitted pre-outbreak and 314 patients admitted post-outbreak (84% female, 26.3% publicly insured, median age 15 years). There was a significant increase in the mean number of admissions per month post-outbreak (10.21, [SD 3.36] vs. 14.27 [SD 3.31], p < 0.01). Trends in admissions per month were stable prior to the COVID-19 outbreak (β1 = -0.38, p = 0.07) and increased after the start of the outbreak (β3 = 0.63, p < 0.01). Patients pre-outbreak had lower mean systolic blood pressures than post-outbreak (β = -1.90 [SE 0.82], p = 0.02). The odds of hypophosphatemia were lower post-outbreak (OR 0.42 [95% CI 0.21-0.81]).
Conclusions: Clinical characteristics on admission were less severe post-outbreak. Closures of outpatient treatment programs may have led to lower acuity patients being hospitalized. Preserving access to robust outpatient eating disorder treatment may prevent this phenomenon during future public health crises.
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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
