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The increase in medical admissions with anorexia nervosa during the COVID‐19 pandemic in Western Australia.

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Title: The increase in medical admissions with anorexia nervosa during the COVID‐19 pandemic in Western Australia.
Authors: Wong, Jessica W. S., Skeldon, Sarah, Gill, Emma, Taylor, Ellen, Billingham, Wesley, Stevenson, Paul Geoffrey, Shipton, Nicolene, Ferguson, Grant, Collins, Rachel, Newton, Rachel, Newell, Amanda, Martin, Andrew C.
Source: International Journal of Eating Disorders. Aug2023, Vol. 56 Issue 8, p1661-1666. 6p. 1 Diagram, 1 Chart.
Subjects: Treatment of eating disorders, Length of stay in hospitals, Outpatient medical care, Patients, Patient readmissions, Medical care, Hospital admission & discharge, Comparative studies, Treatment delay (Medicine), Descriptive statistics, Anorexia nervosa, COVID-19 pandemic, Discharge planning
Geographic Terms: Western Australia
Abstract: Objective: A comparative study to describe the increase in medical admissions of children and adolescents with anorexia nervosa (AN) in Western Australia in 2019 (pre‐pandemic) and 2020 (peri‐pandemic). Method: Patient demographics, physiological parameters, length of stay, time to assessment by the Eating Disorder Service (EDS), and commencement of specialist eating disorder (ED) outpatient treatment was collected for adolescents admitted with AN between 1st January 2019 and 31st December 2020. Results: The number of admissions doubled from 126 in 2019 to 268 in 2020. The number of children admitted increased by 52%. The median length of hospital stay was shorter in 2020 (12 vs. 17 days; p <.001), but the 28‐day readmission rate was greater (39.9% vs. 22.2%; p <.001). At the time of hospital discharge in 2020, only 60% of patients were able to step‐down into specialist ED outpatient treatment, compared to 93% in 2019. The mean number of admissions per child before completing EDS assessment increased significantly in 2020 (2.75 vs. 0, p <.001). Discussion: Shorter inpatient stays and delays in the commencement of specialist ED outpatient treatment may have contributed to the increased readmission rate seen in 2020. Public significance: This research is important as it explores the reasons for increased medical presentations and admissions of youth with AN during the COVID‐19 pandemic in Western Australia. We hope that our lessons learned may be helpful to others trying to balance similar clinical workloads. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell 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: Psychology and Behavioral Sciences Collection
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  Data: The increase in medical admissions with anorexia nervosa during the COVID‐19 pandemic in Western Australia.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22International+Journal+of+Eating+Disorders%22&quot;&gt;International Journal of Eating Disorders&lt;/searchLink&gt;. Aug2023, Vol. 56 Issue 8, p1661-1666. 6p. 1 Diagram, 1 Chart.
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  Data: Objective: A comparative study to describe the increase in medical admissions of children and adolescents with anorexia nervosa (AN) in Western Australia in 2019 (pre‐pandemic) and 2020 (peri‐pandemic). Method: Patient demographics, physiological parameters, length of stay, time to assessment by the Eating Disorder Service (EDS), and commencement of specialist eating disorder (ED) outpatient treatment was collected for adolescents admitted with AN between 1st January 2019 and 31st December 2020. Results: The number of admissions doubled from 126 in 2019 to 268 in 2020. The number of children admitted increased by 52%. The median length of hospital stay was shorter in 2020 (12 vs. 17 days; p &lt;.001), but the 28‐day readmission rate was greater (39.9% vs. 22.2%; p &lt;.001). At the time of hospital discharge in 2020, only 60% of patients were able to step‐down into specialist ED outpatient treatment, compared to 93% in 2019. The mean number of admissions per child before completing EDS assessment increased significantly in 2020 (2.75 vs. 0, p &lt;.001). Discussion: Shorter inpatient stays and delays in the commencement of specialist ED outpatient treatment may have contributed to the increased readmission rate seen in 2020. Public significance: This research is important as it explores the reasons for increased medical presentations and admissions of youth with AN during the COVID‐19 pandemic in Western Australia. We hope that our lessons learned may be helpful to others trying to balance similar clinical workloads. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell 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.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=169914885
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1002/eat.23977
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 6
        StartPage: 1661
    Subjects:
      – SubjectFull: Treatment of eating disorders
        Type: general
      – SubjectFull: Length of stay in hospitals
        Type: general
      – SubjectFull: Outpatient medical care
        Type: general
      – SubjectFull: Patients
        Type: general
      – SubjectFull: Patient readmissions
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Hospital admission & discharge
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Treatment delay (Medicine)
        Type: general
      – SubjectFull: Descriptive statistics
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      – SubjectFull: Anorexia nervosa
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      – SubjectFull: COVID-19 pandemic
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      – SubjectFull: Discharge planning
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      – SubjectFull: Western Australia
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              M: 08
              Text: Aug2023
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