Trends in Psychiatric Hospitalization of Children and Adolescents in Spain between 2005 and 2015

Abstract

Eating disorders are on top of chronic conditions in children and adolescents, and the most severe cases may require hospitalization. Inpatient psychiatric treatment is one of the most expensive ones and therefore the efforts when treating eating disorders should focus on avoiding and shortening admissions, as well as preventing readmissions. Advances in of eating disorders treatment lie in an accurate knowledge of those patients requiring admission. This study examined the Conjunto Mínimo Básico de Datos—the largest public hospitalization database in Spain—to estimate the prevalence of eating and other psychiatric disorders during childhood and adolescence. It is a cross-sectional study of the hospital discharges in Castilla y León (Spain) from 2005 to 2015, in which patients under 18 years old with a psychiatric diagnosis at discharge were selected. Trends in the rates of hospitalization/1000 hospitalizations per year were studied by joinpoint regression analysis. Conclusions: eating disorders were the only group that presented an upward and continuous trend throughout the study period. This statistically significant increase showed an annual change of 7.8%.

Demographic & Clinical Correlates of Admission into a Specialized Psychiatric Inpatient Service for Children and Adolescents in Egypt: An Observational Retrospective Study

“…The greater need for admission among adolescents coming from urban areas in our sample replicates previous studies reporting similar results in different cultures (Case et al, 2007;Grupp-Phelan et al, 2009; Llanes-Alvarez et al, 2019) and might, together with higher parent education, re ect more family awareness and easier access to service but might also re ect more behavioral problems with urbanization. However, the percentage of male patients (75%) in our sample was higher than expected from the actual percentage of male children in our population (51.2%) and from previous studies in other parts of the world (Boyer et al, 2013;Case et al, 2007;Llanes-Alvarez et al, 2019). This high percentage might re ect the cultural tendency to give attention to behavioral problems more in males rather than in females.…”

Prevalence and Pattern of Mental Illness among School Age Children Seen at the University of Port Harcourt Teaching Hospital: A Six Year Study

“…For example, in a systematic review of child mental health problems in Sub-Saharan Africa, it was observed that studies using screening questionnaires observed higher prevalence rates than studies using clinical diagnostic instruments [37]. Llanes-Alvarez et al [42] and Lawrence et al [43] who also observed male preponderance in the prevalence of mental health disorder in their studies. However, our finding is at variance with the report of Ashenafi et al [40] who found a slight female preponderance in their study.…”

Demographic & clinical correlates of admission into a specialized psychiatric inpatient service for children and adolescents in Egypt: An observational retrospective study

“…Inpatient admission rates for children and adolescents also increased by 38.1% in Germany between 2000 and 2007 with a sharp increase of service users for depressive disorders (219.6%) and hyperkinetic disorders (111.3%; Holtmann et al, 2010). A recent study from Spain also reported an increase of individuals under 18 years old admitted to psychiatric units from 27,7 per 100,000 inhabitant in 2005 to 49.8 per 100,000 inhabitant in 2015 (Llanes-Alvarez et al, 2019). In a study carried out in a French public hospital, 2.0% of the children and adolescents cared for in the emergency department were admitted to the psychiatric emergency department (Boyer et al, 2013).…”