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Improved survival in adolescent patients with anorexia nervosa: a comparison of two Swedish national cohorts of female inpatients
Division of Psychosocial Factors and Health, Karolinska Institutet.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Allmänpediatrisk forskning/Nordvall)
2006 (English)In: American Journal of Psychiatry, ISSN 0002-953X, E-ISSN 1535-7228, Vol. 163, no 8, 1433-1435 p.1433-1435 p.Article in journal (Refereed) Published
Abstract [en]

Objective: The authors examined two cohorts of female inpatients with anorexia nervosa a decade apart to determine whether there had been any changes in terms of survival. Method: The Swedish National Registers, which contain information about hospital discharges and deaths for the entire population, were used to investigate differences in mortality. Subjects born between 1958 and 1967 and hospitalized due to anorexia nervosa between 1977 and 1981 (N=564) were compared with subjects born between 1968 and 1977 and hospitalized due to anorexia nervosa between 1987 and 1991 (N=554). The cohorts were followed from first hospital admission until 1992 and 2002, respectively. Results: Twenty-five deaths (4.4%) were recorded within the cohort hospitalized between 1977 and 1981, and seven deaths (1.3%) occurred in the cohort hospitalized between 1987 and 1991. The hazard ratio of death for the 1977—1981 cohort relative to the 1987—1991 cohort was 3.7. Conclusions: Mortality among female patients with anorexia nervosa in hospital care in Sweden has decreased dramatically, which is probably related to the introduction of specialized care units.

Place, publisher, year, edition, pages
2006. Vol. 163, no 8, 1433-1435 p.1433-1435 p.
Keyword [en]
Adolescent, Adult, Anorexia Nervosa/epidemiology/*mortality/therapy, Cause of Death/trends, Cohort Studies, Female, Follow-Up Studies, Hospital Units/organization & administration/trends, Hospitalization/*statistics & numerical data, Humans, Longitudinal Studies, Middle Aged, Patient Discharge/statistics & numerical data, Proportional Hazards Models, Registries/statistics & numerical data, Sex Factors, Survival Rate/trends, Sweden/epidemiology
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-21704PubMedID: 16877658OAI: oai:DiVA.org:uu-21704DiVA: diva2:49477
Available from: 2007-01-03 Created: 2007-01-03 Last updated: 2016-02-24Bibliographically approved

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Lindblad, FrankHjern, Anders
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