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Impact of somatic severity on long-term mortality in anorexia nervosa

  • Chantal StheneurEmail author
  • Aminata Ali
  • Laurent Tric
  • Florence Curt
  • Tamara Hubert
  • Nathalie Godart
Original Article

Abstract

Purpose

Anorexia nervosa (AN) is a severe pathology on account of the high levels of associated morbidity and mortality. This study aimed to assess whether time in somatic intensive care unit, justified by a patient’s somatic condition in the course of hospital care, has any relationship with patient outcome in terms of mortality in the long term.

Methods

195 patients were hospitalised for AN between April 1996 and May 2002, 97 were re-assessed 9 years later on average.

Results

Out of 195 patients hospitalised for AN between April 1996 and May 2002, 29 had required transfer to intensive care. Mortality at 9 years was 20 times higher in the group having been transferred to intensive care, irrespective of the duration of follow-up.

Conclusion

The clinical seriousness of the somatic condition during hospitalisation for AN is a risk factor for excess mortality in the medium term.

Keywords

Anorexia nervosa Intensive care unit Follow-up Mortality 

Notes

Compliance with ethical standards

Source of funding

Fondation de France; Fondation PFIZER.

Conflict of interest

All authors declare that they have no conflict of interests.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the Direction Générale de la Santé (French health authority) July 22nd 2007, the Comité Consultatif des Personnes se prêtant à la Recherche Biomédicale (biomedical research committee), April 24th 2007, the French Committee for personal freedoms (CNIL), October 30th 2007, and an independent review board (CCTIRS, Comité Consultatif sur le Traitement de l’Information en matière de Recherche dans le domaine de la Santé.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Adolescent Medicine Unit, Department of PediatricsSainte Justine HospitalMontrealCanada
  2. 2.CESP-INSERM U1178University Paris-SudParisFrance
  3. 3.Department of Adolescent and Young Adult PsychiatricInstitut Mutualiste MontsourisParisFrance
  4. 4.Faculté de MédecineUniversité Paris DescartesParisFrance

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