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Effect of Hospitalization on Percent Median Body Mass Index at One Year, in Underweight Youth With Restrictive Eating Disorders.
Kapphahn, Cynthia J; Graham, Dionne A; Woods, Elizabeth R; Hehn, Rebecca; Mammel, Kathleen A; Forman, Sara F; Fisher, Martin; Robinson, Kelly A; Rome, Ellen S; Hergenroeder, Albert; Golden, Neville H.
Afiliación
  • Kapphahn CJ; Division of Adolescent Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California. Electronic address: kapp@stanford.edu.
  • Graham DA; Center for Patient Safety and Quality Research, Boston Children's Hospital, Boston, Massachusetts.
  • Woods ER; Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
  • Hehn R; Center for Patient Safety and Quality Research, Boston Children's Hospital, Boston, Massachusetts.
  • Mammel KA; Division of Adolescent Medicine, Department of Pediatrics, CS Mott Children's Hospital, University of Michigan, Ann Arbor, Michigan; Formerly of Department of Adolescent Pediatrics, Beaumont Children's Hospital, Royal Oak, Michigan.
  • Forman SF; Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
  • Fisher M; Division of Adolescent Medicine, Steven and Alexandra Cohen Children's Medical Center, Northwell Health, New Hyde Park, New York; Department of Pediatrics, Hofstra-Northwell Health School of Medicine, Hempstead, New York.
  • Robinson KA; Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts.
  • Rome ES; Department of General Pediatrics, Center for Adolescent Medicine, Cleveland Clinic Children's Hospital, Cleveland, Ohio.
  • Hergenroeder A; Section of Adolescent Medicine and Sports Medicine, Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas.
  • Golden NH; Division of Adolescent Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California.
J Adolesc Health ; 61(3): 310-316, 2017 Sep.
Article en En | MEDLINE | ID: mdl-28587796
PURPOSE: Data from low-weight patients with restrictive eating disorders (EDs) treated in outpatient adolescent medicine-based ED treatment programs were analyzed to determine whether there was an association between hospitalization and gain to at least 90% median body mass index (mBMI) at 1-year follow-up. METHODS: Data were retrospectively collected for 322 low-weight (<85% mBMI at intake) patients aged 9-21 years, who presented with restrictive EDs to 14 adolescent medicine-based ED programs in 2010. Positive outcome was defined as being at least 90% mBMI (%mBMI = patient's body mass index/mBMI for age × 100) at 1-year follow-up. Association between treatment at a higher level of care and gain to at least 90% mBMI was analyzed for 140 patients who were <85% mBMI at the time of presentation, had not been previously hospitalized, and had 1-year follow-up data available. RESULTS: For patients presenting at <85% mBMI, those who were hospitalized in the year following intake had 4.0 (95% confidence interval: 1.6-10.1) times the odds of gain to at least 90% mBMI, compared with patients who were not hospitalized, when controlling for baseline %mBMI. CONCLUSION: In this national cohort of patients with restrictive EDs presenting to adolescent medicine-based ED programs at <85% mBMI, those who were hospitalized had greater odds of being at least 90% mBMI at 1-year follow-up.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Delgadez / Trastornos de Alimentación y de la Ingestión de Alimentos / Índice de Masa Corporal / Hospitalización Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Female / Humans / Male Idioma: En Revista: J Adolesc Health Asunto de la revista: PEDIATRIA Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Delgadez / Trastornos de Alimentación y de la Ingestión de Alimentos / Índice de Masa Corporal / Hospitalización Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Female / Humans / Male Idioma: En Revista: J Adolesc Health Asunto de la revista: PEDIATRIA Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos