ArticleBMC psychiatry2020
Mortality and risk assessment for anorexia nervosa in acute-care hospitals: a nationwide administrative database analysis.
Article in BMC psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Heart Rate Variability in Anorexia Nervosa: A Systematic Review and Meta-Analysis on the Moderating Role of Measurement Duration and Clinical Stage.European eating disorders review : the journal of the Eating Disorders Association · 2026Pooled it
- The global prevalence of anemia in patients with anorexia nervosa: a systematic review and meta-analysis.BMC psychology · 2025Pooled it
- Creating a hospital-based nutrition pathway for adults: evaluation of implementation in two United States hospital-systems.Journal of eating disorders · 2026Article
- Cardiovascular risk factors and serious health events in individuals with eating disorders: a systematic review.Journal of eating disorders · 2026Review
- NICE guidance, eating disorders and older people.BJPsych open · 2026Article
- All-cause and cause-specific mortality risk in individuals with eating disorders: systematic review and meta-analysis of relative risk and aggravating or attenuating factors.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026Article
- Utilising genomic association data for causal inference in anorexia nervosa.Mammalian genome : official journal of the International Mammalian Genome Society · 2025Review
- "No one was coming to save us": an interpretative phenomenological analysis exploring the experience of parents supporting their autistic daughter through anorexia nervosa.Journal of eating disorders · 2025Article
- Review
- Does restrictive anorexia nervosa impact brain aging? A machine learning approach to estimate age based on brain structure.Computers in biology and medicine · 2025Article
- Optimising Psychosocial Interventions for People With Severe and Enduring Eating Disorders (SEED) Perspectives of Healthcare Professionals in Ireland: A Qualitative Study.International journal of mental health nursing · 2025Article
- Genomic structural equation study reveals links between anorexia nervosa and delay discounting and lack of perseverance but not other facets of impulsivity.Frontiers in psychiatry · 2025Article
- Practice Assessment Tool for the Care of Patients With Eating Disorders.Focus (American Psychiatric Publishing) · 2024Article
- Superior mesenteric artery syndrome and anorexia nervosa: a case report.Journal of medical case reports · 2023Article
- Anorexia Nervosa in Juvenile Systemic Lupus Erythematosus (SLE): A Causality Dilemma.Children (Basel, Switzerland) · 2023Review
- Prevalence of probable eating disorders and associated risk factors: An analysis of the Northern Ireland Youth Wellbeing Survey using the SCOFF.The British journal of clinical psychology · 2023Article
- Mortality and care of eating disorders.Acta psychiatrica Scandinavica · 2023Article
- Simultaneous bilateral spontaneous pneumothorax in a patient with anorexia nervosa.Respiratory medicine case reports · 2023Article
- Current state of phoenixin-the implications of the pleiotropic peptide in stress and its potential as a therapeutic target.Frontiers in pharmacology · 2023Review
- Physical Fitness-Not Physical Activity Levels-Influence Quality of Life in Anorexia Nervosa.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
backgroundAnorexia nervosa (AN) is a common eating disorder with the highest mortality rate of all psychiatric diseases. However, few studies have examined inpatient characteristics and treatment for AN. This study aimed to characterise the association between mortality and risk factors in patients with AN in acute-care hospitals.
methodsWe conducted a nationwide, retrospective analysis of the Japanese Diagnosis and Procedure Combination inpatient database. Data extraction occurred from April 2010 to March 2016. We estimated in-hospital mortality and identified independent risk factors, using multivariate logistic regression analysis to examine patient characteristics and physical and psychological comorbidities.
resultsWe identified 6937 patients with AN aged ≥12 years in 885 acute-care hospitals. Of these, 361 (5.2%) were male. Male and female participants' median ages at first admission were 34 (17-65) and 28 (17-41) years, respectively. In total, 195 in-hospital patient deaths, including 22 (6.1%) men and 173 (2.6%) women, it was observed that the unadjusted odds ratio of mortality for male patients was more than twice that for female patients (OR: 2.40, 95% CI: 1.45-3.81). Multivariate logistic regression analysis demonstrated an adjusted odds ratio of 2.19 (95% CI: 1.29-3.73). Age at first hospital admission, percentage of ideal body weight, comorbidities, and hypotension were significantly associated with increased mortality risk, but the frequency of hospitalization, bradycardia, and other psychiatric disorders were not. Treatment in a university hospital was associated with lower mortality risk (odds ratio: 0.45, 95% CI: 0.30-0.67).
conclusionThe results highlighted sex differences in mortality rates. Potential risk factors could contribute to improved treatment and outcomes. These retrospective findings indicate a need for further longitudinal examination of these patients.
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