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Alternativas a la hospitalización total en adolescentes con anorexia nerviosa: Eficacia y características de un nuevo modelo intensivo de tratamiento en hospital de día.

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Title: Alternativas a la hospitalización total en adolescentes con anorexia nerviosa: Eficacia y características de un nuevo modelo intensivo de tratamiento en hospital de día.
Alternate Title: Alternatives to inpatient treatment in adolescents with anorexia nervosa: Effectiveness and characteristics of a new intensive model of day patient treatment.
Authors: Serrano-Troncoso, Eduardo1,2 eserrano@sjdhospitalbarcelona.org, Fàbrega-Ribera, Marina1, Coll-Pla, Núria1, Godrid-García, Mónica1, Carulla-Roig, Marta1, Cecilia-Costa, Raquel1, Soto-Usera, Pau1, Sánchez-Fernández, Bernardo1, Matalí-Costa, Josep1,2, Dolz-Abadia, Montserrat1,2
Source: Actas Espanolas de Psiquiatria. ene/feb2020, Vol. 48 Issue 1, p19-27. 9p. 1 Chart, 2 Graphs.
Subjects: ANOREXIA nervosa, EATING disorders in adolescence, INPATIENT care, ANOREXIA nervosa treatment, PATIENTS, TREATMENT effectiveness, PSYCHIATRIC day treatment
Abstract (English): Introduction. Inpatient Treatment (IT) is the treatment of choice for moderate or severely ill adolescents with Anorexia Nervosa (AN). Nevertheless, it is expensive, and the risk for relapse or readmissions is high. A less costly alternative to IT is Day Patient Treatment (DP), which may also help to avoid relapses and readmissions because facilitates transition from hospital to community treatment. Aim. To assess the effectiveness of the 11-hour DP program for Eating Disorders (DP-ED-11h), a new intensive DP treatment for adolescents with AN, with respect to weight recovery, avoidance of hospital admission and decrease of Length of Stay (LoS). Method. A longitudinal, naturalistic study was carried out analysing clinical and sociodemographic variables from 77 patients with AN who were consecutively discharged from DP-ED-11h, during years 2015-2016. Results. There were 77 discharges. The average age was 14.4 years old (SD: 1.62). The LoS at DP-ED-11h was 28.9 days (SD: 18.5). The mean body mass index increased significantly at discharge (17.2 vs. 17.9, p<0.001) and at 12 months follow-up (17.9 vs. 19.3, p<0.001). Twenty nine (70.8%) of the patients treated at DP-ED-11h, who came from a less intensive setting, avoided an admission. Fourteen (18.2%) required readmission at DP-ED-11h within two years. The LoS at IT was significantly reduced (from 33 to 24 days, p<0.043). Conclusion. DP-ED-11h has shown to be an effective resource as an alternative to IT for adolescents with moderate to severe AN. This new model has cost-effectiveness implications as it is a safe resource and is less costly than IT. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción. La Hospitalización Total (HT) es el tratamiento de elección para adolescentes con Anorexia Nerviosa (AN) moderada-grave. Sin embargo, ésta es costosa y el riesgo de recaída o reingresos es alto. Una alternativa menos costosa es la Hospitalización Parcial (HP), que puede ayudar a evitar recaídas y reingresos porque facilita la transición del hospital al tratamiento comunitario. Objetivo. Evaluar la eficacia de un tratamiento intensivo en HP para adolescentes con AN, el programa de HP para Trastornos de la Conducta Alimentaria (TCA) de 11 horas (HP-TCA-11h), respecto a la recuperación ponderal, evitar ingresos y disminuir estancias en HT. Método. Se realizó un estudio longitudinal y naturalístico que analizó las variables clínicas y socio-demográficas de los pacientes con AN que fueron dados de alta consecutivamente del HP-TCA-11h, durante los años 2015-2016. Resultados. Se realizaron 77 altas. La edad media fue de 14.4 años (DE: 1.62). La estancia media fue de 28.9 días (DE: 18.5). La media del índice de masa corporal aumentó significativamente al alta (17.2 frente a 17.9, p<0.001) y a los 12 meses de seguimiento (17.9 frente a 19.3, p<0.001). Veintinueve (70.8%) pacientes tratados en HP-TCA-11h, que vinieron de un recurso menos intensivo, evitaron el ingreso en HT. Catorce (18.2%) requirieron un reingreso en HP-TCA-11h en dos años. La estancia media en HT disminuyó significativamente (de 33 a 24 días, p<0.043). Conclusión. HP-TCA-11h ha demostrado ser un recurso eficaz como alternativa a la HT para adolescentes con AN moderada-grave. Este nuevo modelo tiene implicaciones coste-efectivas ya que es un recurso seguro y menos costoso que la HT. [ABSTRACT FROM AUTHOR]
Copyright of Actas Espanolas de Psiquiatria is the property of Maria Lopez-Ibor and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Data: Alternativas a la hospitalizaci&#243;n total en adolescentes con anorexia nerviosa: Eficacia y caracter&#237;sticas de un nuevo modelo intensivo de tratamiento en hospital de d&#237;a.
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  Data: Alternatives to inpatient treatment in adolescents with anorexia nervosa: Effectiveness and characteristics of a new intensive model of day patient treatment.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Serrano-Troncoso%2C+Eduardo%22&quot;&gt;Serrano-Troncoso, Eduardo&lt;/searchLink&gt;&lt;relatesTo&gt;1,2&lt;/relatesTo&gt;&lt;i&gt; eserrano@sjdhospitalbarcelona.org&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22F&#224;brega-Ribera%2C+Marina%22&quot;&gt;F&#224;brega-Ribera, Marina&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Coll-Pla%2C+N&#250;ria%22&quot;&gt;Coll-Pla, N&#250;ria&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Godrid-Garc&#237;a%2C+M&#243;nica%22&quot;&gt;Godrid-Garc&#237;a, M&#243;nica&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Carulla-Roig%2C+Marta%22&quot;&gt;Carulla-Roig, Marta&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Cecilia-Costa%2C+Raquel%22&quot;&gt;Cecilia-Costa, Raquel&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Soto-Usera%2C+Pau%22&quot;&gt;Soto-Usera, Pau&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22S&#225;nchez-Fern&#225;ndez%2C+Bernardo%22&quot;&gt;S&#225;nchez-Fern&#225;ndez, Bernardo&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Matal&#237;-Costa%2C+Josep%22&quot;&gt;Matal&#237;-Costa, Josep&lt;/searchLink&gt;&lt;relatesTo&gt;1,2&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Dolz-Abadia%2C+Montserrat%22&quot;&gt;Dolz-Abadia, Montserrat&lt;/searchLink&gt;&lt;relatesTo&gt;1,2&lt;/relatesTo&gt;
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– Name: Abstract
  Label: Abstract (English)
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  Data: Introduction. Inpatient Treatment (IT) is the treatment of choice for moderate or severely ill adolescents with Anorexia Nervosa (AN). Nevertheless, it is expensive, and the risk for relapse or readmissions is high. A less costly alternative to IT is Day Patient Treatment (DP), which may also help to avoid relapses and readmissions because facilitates transition from hospital to community treatment. Aim. To assess the effectiveness of the 11-hour DP program for Eating Disorders (DP-ED-11h), a new intensive DP treatment for adolescents with AN, with respect to weight recovery, avoidance of hospital admission and decrease of Length of Stay (LoS). Method. A longitudinal, naturalistic study was carried out analysing clinical and sociodemographic variables from 77 patients with AN who were consecutively discharged from DP-ED-11h, during years 2015-2016. Results. There were 77 discharges. The average age was 14.4 years old (SD: 1.62). The LoS at DP-ED-11h was 28.9 days (SD: 18.5). The mean body mass index increased significantly at discharge (17.2 vs. 17.9, p&lt;0.001) and at 12 months follow-up (17.9 vs. 19.3, p&lt;0.001). Twenty nine (70.8%) of the patients treated at DP-ED-11h, who came from a less intensive setting, avoided an admission. Fourteen (18.2%) required readmission at DP-ED-11h within two years. The LoS at IT was significantly reduced (from 33 to 24 days, p&lt;0.043). Conclusion. DP-ED-11h has shown to be an effective resource as an alternative to IT for adolescents with moderate to severe AN. This new model has cost-effectiveness implications as it is a safe resource and is less costly than IT. [ABSTRACT FROM AUTHOR]
– Name: Abstract
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  Data: Introducci&#243;n. La Hospitalizaci&#243;n Total (HT) es el tratamiento de elecci&#243;n para adolescentes con Anorexia Nerviosa (AN) moderada-grave. Sin embargo, &#233;sta es costosa y el riesgo de reca&#237;da o reingresos es alto. Una alternativa menos costosa es la Hospitalizaci&#243;n Parcial (HP), que puede ayudar a evitar reca&#237;das y reingresos porque facilita la transici&#243;n del hospital al tratamiento comunitario. Objetivo. Evaluar la eficacia de un tratamiento intensivo en HP para adolescentes con AN, el programa de HP para Trastornos de la Conducta Alimentaria (TCA) de 11 horas (HP-TCA-11h), respecto a la recuperaci&#243;n ponderal, evitar ingresos y disminuir estancias en HT. M&#233;todo. Se realiz&#243; un estudio longitudinal y natural&#237;stico que analiz&#243; las variables cl&#237;nicas y socio-demogr&#225;ficas de los pacientes con AN que fueron dados de alta consecutivamente del HP-TCA-11h, durante los a&#241;os 2015-2016. Resultados. Se realizaron 77 altas. La edad media fue de 14.4 a&#241;os (DE: 1.62). La estancia media fue de 28.9 d&#237;as (DE: 18.5). La media del &#237;ndice de masa corporal aument&#243; significativamente al alta (17.2 frente a 17.9, p&lt;0.001) y a los 12 meses de seguimiento (17.9 frente a 19.3, p&lt;0.001). Veintinueve (70.8%) pacientes tratados en HP-TCA-11h, que vinieron de un recurso menos intensivo, evitaron el ingreso en HT. Catorce (18.2%) requirieron un reingreso en HP-TCA-11h en dos a&#241;os. La estancia media en HT disminuy&#243; significativamente (de 33 a 24 d&#237;as, p&lt;0.043). Conclusi&#243;n. HP-TCA-11h ha demostrado ser un recurso eficaz como alternativa a la HT para adolescentes con AN moderada-grave. Este nuevo modelo tiene implicaciones coste-efectivas ya que es un recurso seguro y menos costoso que la HT. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Actas Espanolas de Psiquiatria is the property of Maria Lopez-Ibor and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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