Anorexia Nervosa in Polish Children and Adolescents in the Context of the COVID-19 Pandemic—An Observational Single Centre Study DOI Open Access
Katarzyna Anna Dyląg, Kamil Skowron, Magdalena Kurnik‐Łucka

et al.

Nutrients, Journal Year: 2024, Volume and Issue: 16(23), P. 4112 - 4112

Published: Nov. 28, 2024

Introduction: Anorexia nervosa (AN) is a psychiatric disorder with high mortality rate and significant prevalence in the paediatric population. Preliminary reports during COVID-19 pandemic suggested an increased incidence of AN among children adolescents. The objective this study was to analyse new cases before, during, after pandemic, particular focus on physical manifestations disease. Methods: This single-centre, retrospective included from hospital database regional (a reference centre for AN) between 2013 2023. Data analysed duration disease, body mass index (BMI), weight loss, length hospitalisation, laboratory markers (leukopenia, anaemia, hypoproteinaemia, hyperferritinaemia, hypophosphataemia, dyslipidaemia, hypothyroxinaemia) clinical features malnutrition (such as amenorrhea bradycardia, pericardial effusion, cortical/subcortical atrophy). Results: conducted Polish hospital. We 228 hospitalized female patients aged 10 18 years diagnosed AN, focusing characteristics, biochemical markers, impact pandemic. shown have impact, longer hospitalisations observed lower BMI admission post-pandemic compared pre-pandemic. In addition, nutritional treatment became more prevalent over time while such hypothyroidism, dyslipidaemia were statistically common post-pandemic. Conclusions: demonstrates course hospitalisation patterns AN. These findings suggest that may exacerbated disease severity altered approaches, emphasizing need enhanced management follow-up strategies population health crises.

Language: Английский

A Bitter Pill: The Ethics of Involuntary Treatment of Adolescents With Severe Eating Disorders DOI

Valerie Riss,

Sydney M. Hartman-Munick,

Catherine D. Shubkin

et al.

Hospital Pediatrics, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 27, 2025

Severe eating disorders (EDs) are a common and increasing threat to normal adolescent health development. Major clinical challenges include longstanding malnutrition potentially complicated by emergent electrolyte cardiac dysfunction. The care of adolescents with severe EDs can lead challenging decisions regarding the initiation involuntary feeding restraints. After describing representative case, we present pertinent ethical involved in use restraints EDs. These following: (1) relationship evolving autonomy; (2) why weak efficacy evidence should prompt individualization treatment decisions; (3) how unequal access ED complicates decision-making To help clinicians characterize whether is ethically permissible specific anorexia nervosa (AN), propose 3-step guide that weighs case features such as magnitude threats, less invasive options have been tried, patient capacity, prior response similar therapies, caregiver support for plan, availability subsequent steps expert care. Decisions undertake AN intrinsically fraught, but this identify weigh tensions effectively transparency.

Language: Английский

Citations

0
The impact of the COVID-19 pandemic on children and adolescents eating disorders: A systematic review DOI Creative Commons

Nasong A. Luginaah,

Satveer Dhillon, Evans Batung

et al.

Children and Youth Services Review, Journal Year: 2025, Volume and Issue: unknown, P. 108190 - 108190

Published: Feb. 1, 2025

Language: Английский

Citations

0
Nasogastric tube feeding under physical restraint of children and young people with mental disorders: a comprehensive audit and case series across paediatric wards in England DOI
Sarah Fuller, E. Marcia Sheridan, Lee Hudson

et al.

Archives of Disease in Childhood, Journal Year: 2024, Volume and Issue: 109(8), P. 649 - 653

Published: April 22, 2024

To estimate the number of patients on paediatric wards in England who received nasogastric tube (NGT) feeding under physical restraint from April 2022 to March 2023, identify demographics and clinical characteristics these patients, which personnel facilitated restraint.

Language: Английский

Citations

3
Pediatric Hospital Utilization During Medical Stabilization for Patients With Eating Disorders DOI
Carly E. Milliren,

McGreggor Crowley,

Renyi Zhang

et al.

Hospital Pediatrics, Journal Year: 2024, Volume and Issue: 14(12), P. 982 - 991

Published: Nov. 5, 2024

BACKGROUND AND OBJECTIVE Few studies have examined pediatric hospital utilization across the spectrum of eating disorder (ED) diagnoses among hospitalized patients. We describe sociodemographic and clinical characteristics, utilization, enteral tube feeding examine factors associated with patients EDs. METHODS Using data from Pediatric Health Information System, we included aged 4 to 20 years primary ED 2018 2022. factors, length stay, costs, by diagnosis. Adjusted regression models compared diagnosis, adjusting for factors. RESULTS Among N = 10 279 hospitalizations 49 hospitals, anorexia nervosa (AN) was most common (70.9%), followed avoidant restrictive food intake (ARFID) (15.6%). Mean age 15.1 (SD 2.5), were female (86.6%), white non-Hispanic race private insurance (70.1%), 63.9% occurring after coronavirus disease 2019 pandemic onset. Median (interquartile range) stay 8.0 days (7.0), costs $18 099 ($15 592). A total 18.8% received feeding, significant variation. In adjusted models, AN, ARFID, binge disorders, unspecified had shorter stays, whereas lower more likely ARFID. CONCLUSIONS Our findings indicate long costly hospitalizations, especially implications treatment capacity, highlighting need earlier diagnosis prevent hospitalization.

Language: Английский

Citations

0
Anorexia Nervosa in Polish Children and Adolescents in the Context of the COVID-19 Pandemic—An Observational Single Centre Study DOI Open Access
Katarzyna Anna Dyląg, Kamil Skowron, Magdalena Kurnik‐Łucka

et al.

Nutrients, Journal Year: 2024, Volume and Issue: 16(23), P. 4112 - 4112

Published: Nov. 28, 2024

Introduction: Anorexia nervosa (AN) is a psychiatric disorder with high mortality rate and significant prevalence in the paediatric population. Preliminary reports during COVID-19 pandemic suggested an increased incidence of AN among children adolescents. The objective this study was to analyse new cases before, during, after pandemic, particular focus on physical manifestations disease. Methods: This single-centre, retrospective included from hospital database regional (a reference centre for AN) between 2013 2023. Data analysed duration disease, body mass index (BMI), weight loss, length hospitalisation, laboratory markers (leukopenia, anaemia, hypoproteinaemia, hyperferritinaemia, hypophosphataemia, dyslipidaemia, hypothyroxinaemia) clinical features malnutrition (such as amenorrhea bradycardia, pericardial effusion, cortical/subcortical atrophy). Results: conducted Polish hospital. We 228 hospitalized female patients aged 10 18 years diagnosed AN, focusing characteristics, biochemical markers, impact pandemic. shown have impact, longer hospitalisations observed lower BMI admission post-pandemic compared pre-pandemic. In addition, nutritional treatment became more prevalent over time while such hypothyroidism, dyslipidaemia were statistically common post-pandemic. Conclusions: demonstrates course hospitalisation patterns AN. These findings suggest that may exacerbated disease severity altered approaches, emphasizing need enhanced management follow-up strategies population health crises.

Language: Английский

Citations

0