title: Impact of somatic severity on long-term mortality in anorexia nervosa.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  The clinical seriousness of the somatic condition during hospitalisation for AN is a risk factor for excess mortality in the medium term.
authors.affiliation: Adolescent Medicine Unit, Department of Pediatrics, Sainte Justine Hospital, 3175 chemin de la cote Sainte Catherine, Montreal, QC, H3T 1C5, Canada. chantal.stheneur.hsj@ssss.gouv.qc.ca.
authors.forename: Chantal
authors.identifier: http://orcid.org/0000-0002-1171-5998
authors.initials: C
authors.lastname: Stheneur
authors.affiliation: CESP-INSERM U1178, University Paris-Sud, Université Sorbonne Paris Cité, 75014, Paris, France.
authors.forename: Aminata
authors.initials: A
authors.lastname: Ali
authors.affiliation: CESP-INSERM U1178, University Paris-Sud, Université Sorbonne Paris Cité, 75014, Paris, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Tric
authors.affiliation: CESP-INSERM U1178, University Paris-Sud, Université Sorbonne Paris Cité, 75014, Paris, France.
authors.forename: Florence
authors.initials: F
authors.lastname: Curt
authors.affiliation: CESP-INSERM U1178, University Paris-Sud, Université Sorbonne Paris Cité, 75014, Paris, France.
authors.forename: Tamara
authors.initials: T
authors.lastname: Hubert
authors.affiliation: CESP-INSERM U1178, University Paris-Sud, Université Sorbonne Paris Cité, 75014, Paris, France.|Department of Adolescent and Young Adult Psychiatric, Institut Mutualiste Montsouris, 75014, Paris, France.|Faculté de Médecine, Université Paris Descartes, Paris, France.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Godart
mesh_terms: D000293:Adolescent; D000856:Anorexia Nervosa / Q000175:diagnosis / Q000401:mortality*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012307:Risk Factors; D012720:Severity of Illness Index; D013997:Time Factors; D055815:Young Adult
keywords: Anorexia nervosa; Follow-up; Intensive care unit; Mortality