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Psychiatric comorbidities and dehydration are more common in children admitted to the emergency department for eating disorders in the COVID-19 era

PURPOSE: Since the beginning of COVID-19 pandemic, social distancing and home confinement had a significant impact on children, especially on those with eating disorders (ED). The primary objective of this retrospective study was to describe and analyze the demographic and clinical profiles of child...

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Autores principales: Spina, Giulia, Roversi, Marco, Marchili, Maria Rosaria, Raucci, Umberto, Fini, Francesca, Mirra, Gianluca, Testa, Giulia, Guarnieri, Benedetta, Clemente, Anna, Diamanti, Antonella, Zanna, Valeria, Castiglioni, Maria Chiara, Vicari, Stefano, Reale, Antonino, Villani, Alberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8925290/
https://www.ncbi.nlm.nih.gov/pubmed/35294772
http://dx.doi.org/10.1007/s40519-022-01386-7
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author Spina, Giulia
Roversi, Marco
Marchili, Maria Rosaria
Raucci, Umberto
Fini, Francesca
Mirra, Gianluca
Testa, Giulia
Guarnieri, Benedetta
Clemente, Anna
Diamanti, Antonella
Zanna, Valeria
Castiglioni, Maria Chiara
Vicari, Stefano
Reale, Antonino
Villani, Alberto
author_facet Spina, Giulia
Roversi, Marco
Marchili, Maria Rosaria
Raucci, Umberto
Fini, Francesca
Mirra, Gianluca
Testa, Giulia
Guarnieri, Benedetta
Clemente, Anna
Diamanti, Antonella
Zanna, Valeria
Castiglioni, Maria Chiara
Vicari, Stefano
Reale, Antonino
Villani, Alberto
author_sort Spina, Giulia
collection PubMed
description PURPOSE: Since the beginning of COVID-19 pandemic, social distancing and home confinement had a significant impact on children, especially on those with eating disorders (ED). The primary objective of this retrospective study was to describe and analyze the demographic and clinical profiles of children presenting with ED during the COVID-19 pandemic. METHODS: We conducted a retrospective review of clinical charts of patients with ED younger than 18 years who accessed the emergency department of the Bambino Gesù Children’s Hospital, Rome, between March 2019 and March 2021. Of these, we reported and compared the demographic, clinical and laboratory data before and after the COVID-19 pandemic and looked for predictors of ED severity. RESULTS: A total of 211 admissions for ED were recorded. The patients, mostly females (86.3%) were on average 14.1 years old. The mean weight loss on admission was 11 kg. Bradycardia was observed in 31.3% of the study sample. 16.6% of patients had an associated psychiatric disorder and 60.2% required psychotropic drugs. 68.7% of the patients required hospitalization. Respectively, 96 and 115 patients were admitted before and during the COVID-19 pandemic. The latter were hospitalized more (78.3 vs 57.3%; p = 0.001), yet for less time (19 vs 26 days; p = 0.004), had a higher mean serum creatinine (0.68 vs 0.47; p < 0.001) and were more frequently diagnosed with an associated psychiatric disorder (23.5 vs 8.3%; p = 0.003). CONCLUSION: Our study shows a significant increase of hospitalizations of children with ED during the COVID-19 pandemic, along with a shorter length of stay, more psychiatric comorbidities, and some distinctive features at the laboratory work-up, such as an increase of serum creatinine and/or a reduction of serum albumin. LEVEL OF EVIDENCE: III, evidence obtained from well-designed cohort or case–control analytic studies.
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spelling pubmed-89252902022-03-17 Psychiatric comorbidities and dehydration are more common in children admitted to the emergency department for eating disorders in the COVID-19 era Spina, Giulia Roversi, Marco Marchili, Maria Rosaria Raucci, Umberto Fini, Francesca Mirra, Gianluca Testa, Giulia Guarnieri, Benedetta Clemente, Anna Diamanti, Antonella Zanna, Valeria Castiglioni, Maria Chiara Vicari, Stefano Reale, Antonino Villani, Alberto Eat Weight Disord Original Article PURPOSE: Since the beginning of COVID-19 pandemic, social distancing and home confinement had a significant impact on children, especially on those with eating disorders (ED). The primary objective of this retrospective study was to describe and analyze the demographic and clinical profiles of children presenting with ED during the COVID-19 pandemic. METHODS: We conducted a retrospective review of clinical charts of patients with ED younger than 18 years who accessed the emergency department of the Bambino Gesù Children’s Hospital, Rome, between March 2019 and March 2021. Of these, we reported and compared the demographic, clinical and laboratory data before and after the COVID-19 pandemic and looked for predictors of ED severity. RESULTS: A total of 211 admissions for ED were recorded. The patients, mostly females (86.3%) were on average 14.1 years old. The mean weight loss on admission was 11 kg. Bradycardia was observed in 31.3% of the study sample. 16.6% of patients had an associated psychiatric disorder and 60.2% required psychotropic drugs. 68.7% of the patients required hospitalization. Respectively, 96 and 115 patients were admitted before and during the COVID-19 pandemic. The latter were hospitalized more (78.3 vs 57.3%; p = 0.001), yet for less time (19 vs 26 days; p = 0.004), had a higher mean serum creatinine (0.68 vs 0.47; p < 0.001) and were more frequently diagnosed with an associated psychiatric disorder (23.5 vs 8.3%; p = 0.003). CONCLUSION: Our study shows a significant increase of hospitalizations of children with ED during the COVID-19 pandemic, along with a shorter length of stay, more psychiatric comorbidities, and some distinctive features at the laboratory work-up, such as an increase of serum creatinine and/or a reduction of serum albumin. LEVEL OF EVIDENCE: III, evidence obtained from well-designed cohort or case–control analytic studies. Springer International Publishing 2022-03-16 2022 /pmc/articles/PMC8925290/ /pubmed/35294772 http://dx.doi.org/10.1007/s40519-022-01386-7 Text en © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Article
Spina, Giulia
Roversi, Marco
Marchili, Maria Rosaria
Raucci, Umberto
Fini, Francesca
Mirra, Gianluca
Testa, Giulia
Guarnieri, Benedetta
Clemente, Anna
Diamanti, Antonella
Zanna, Valeria
Castiglioni, Maria Chiara
Vicari, Stefano
Reale, Antonino
Villani, Alberto
Psychiatric comorbidities and dehydration are more common in children admitted to the emergency department for eating disorders in the COVID-19 era
title Psychiatric comorbidities and dehydration are more common in children admitted to the emergency department for eating disorders in the COVID-19 era
title_full Psychiatric comorbidities and dehydration are more common in children admitted to the emergency department for eating disorders in the COVID-19 era
title_fullStr Psychiatric comorbidities and dehydration are more common in children admitted to the emergency department for eating disorders in the COVID-19 era
title_full_unstemmed Psychiatric comorbidities and dehydration are more common in children admitted to the emergency department for eating disorders in the COVID-19 era
title_short Psychiatric comorbidities and dehydration are more common in children admitted to the emergency department for eating disorders in the COVID-19 era
title_sort psychiatric comorbidities and dehydration are more common in children admitted to the emergency department for eating disorders in the covid-19 era
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8925290/
https://www.ncbi.nlm.nih.gov/pubmed/35294772
http://dx.doi.org/10.1007/s40519-022-01386-7
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