Use and misuse of the emergency room by patients with eating disorders in a matched-cohort analysis: What can we learn from it?

Anorexia nervosa Binge eating disorder Bulimia nervosa Eating disorders Hospital emergency room Matched-cohort analysis

Journal

Psychiatry research
ISSN: 1872-7123
Titre abrégé: Psychiatry Res
Pays: Ireland
ID NLM: 7911385

Informations de publication

Date de publication:
Oct 2023
Historique:
received: 30 04 2023
revised: 18 08 2023
accepted: 19 08 2023
pubmed: 31 8 2023
medline: 31 8 2023
entrez: 30 8 2023
Statut: ppublish

Résumé

We examined the pattern of access to hospital emergency room (hER) in 2018-2021 among patients with eating disorders (ED) from Florence, Italy, diagnosed during 1994-2018, using a matched cohort design. We included 902 ED patients and an equal number of sex-, age-, and residence-matched individuals. We fitted conditional Poisson regression models with robust variance estimator to estimate incidence rate ratios (IRR) and 95% confidence intervals. ED patients accessed hER more than twice as often as matched individuals: the IRR was 2.11 (1.21-3.70), 2.02 (1.36-3.00), and 2.49 (1.71-3.61) among AN, BN, and BED patients. Factors associated with increased hER use were older age (≥40 years; for AN patients, also younger age, <20 years), BMI ≤ 16 kg/m

Identifiants

pubmed: 37647700
pii: S0165-1781(23)00377-3
doi: 10.1016/j.psychres.2023.115427
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

115427

Informations de copyright

Copyright © 2023 Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors declare they have no conflicts of interest to disclose.

Auteurs

Giovanni Castellini (G)

Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy; Psychiatry Unit, Careggi University Hospital, Florence, Italy.

Emanuele Cassioli (E)

Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy; Psychiatry Unit, Careggi University Hospital, Florence, Italy.

Eleonora Rossi (E)

Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy; Psychiatry Unit, Careggi University Hospital, Florence, Italy.

Giorgia Marchesoni (G)

Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy.

Gabriele Cerini (G)

Postgraduate School in Hygiene and Preventive Medicine, University of Florence, Florence 50134, Italy.

Elisa Pastore (E)

Clinical Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy.

Nora De Bonfioli Cavalcabo' (N)

Cancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy.

Francesco Rotella (F)

Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy; Psychiatry Unit, Careggi University Hospital, Florence, Italy.

Barbara Mezzani (B)

Casa di Cura "Villa dei Pini", Florence, Italy.

Brunetto Alterini (B)

Division of Cardiovascular and Perioperative Medicine, Careggi University Hospital, Florence, Italy.

Stefano Lucarelli (S)

Eating Disorders Unit, Central Tuscany Local Health Authority, Florence, Italy.

Simone Magazzini (S)

Emergency Medicine Unit, Ospedale Santo Stefano, Emergency Department ASL Toscana Centro, Prato, Italy.

Patrizia Corazzesi (P)

Emergency Medicine Unit, Ospedale Santo Stefano, Emergency Department ASL Toscana Centro, Prato, Italy.

Saverio Caini (S)

Cancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy. Electronic address: s.caini@ispro.toscana.it.

Valdo Ricca (V)

Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy; Psychiatry Unit, Careggi University Hospital, Florence, Italy.

Classifications MeSH