Feeding and eating disorders among hospitalized children and adolescents in Thailand: A 5-year secondary national database analysis.

Autor: Manaboriboon B; Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand., In-Iw S; Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand., Bongsebandhu-Phubhakdi C; Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.; King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand., Arunakul J; Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand., Kamol N; Chakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand., Areekul W; Department of Military and Community Medicine, Phramongkutklao College of Medicine, Bangkok, Thailand., Thunyapipat C; Department of Pediatrics, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, Thailand., Leelathipkul L; Department of Pediatrics, Faculty of Medicine, Thammasat Hospital, Thammasat University, Khlong Nueng, Thailand., Areemit R; Department of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Jazyk: angličtina
Zdroj: International journal of nursing practice [Int J Nurs Pract] 2024 Feb; Vol. 30 (1), pp. e13189. Date of Electronic Publication: 2023 Aug 17.
DOI: 10.1111/ijn.13189
Abstrakt: Aims: This study aimed to present national data for children and adolescents requiring hospitalization in Thailand.
Background: Feeding and eating disorders can cause life-threatening and negative health impacts. In Asia, the prevalence is rising. Data from children and adolescents in Thailand are limited.
Design: This study is a retrospective study of the national database.
Methods: Data from the National Health Security Office database on Universal Health Insurance Coverage (2015-2019) of 0-17-year-olds were analysed by diagnosis (anorexia nervosa, bulimia nervosa, vomiting associated with psychological disturbances, other eating disorders and unspecified eating disorders). Descriptive statistics, chi-square test and multinomial logistic regression were used.
Results: There were 163 patients, averaging 9.4 ± 5.2 years old, requiring 205 admissions. Most diagnoses showed stable trends, except for a slight decrease in anorexia and unspecified eating disorders. Most admissions were due to unspecified eating disorders and psychogenic vomiting, followed by anorexia nervosa. The overall prevalence was 3.86 per 100 000 admissions. Anorexia had the highest hospital costs and re-admission rates. Anorexia nervosa was most prevalent in early adolescence and females, while bulimia nervosa was most prominent in middle adolescence and had a male predominance.
Conclusion: Early recognition in clinical practice could increase early detection and improve outcomes.
(© 2023 John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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