Pediatric bipolar disorder: Preliminary results of a retrospective study using a nationwide administrative database

• Type: Summary of Presentation in an International Conference
• Date: 2021

Authors

Campos, A (Author) Other; Goncalves Pinho, M (Author) FMUP; Ferreira, AR (Author) FMUP; Freitas A (Author) FMUP; Lia Fernandes (Author) FMUP

Indexing

ISI Web of Knowledge - 0 Citations

Other information

Authenticus ID: P-00V-EE2

DOI: 10.1192/j.eurpsy.2021.538

Abstract (EN): <jats:sec id="S0924933821005381_sec2422" sec-type="intro"><jats:title>Introduction</jats:title><jats:p>Bipolar disorder (BD) is a severe and chronic illness characterized by episodic changes in mood. The average onset of BD symptoms is estimated between 18 and 22 years. However, many adults retrospectively report symptoms onset in childhood or adolescence. Over the last decades, pediatric bipolar disease (PBD) has been the focus of increased attention mainly due to controversies surrounding its prevalence, diagnosis and treatment in the pediatric population.</jats:p></jats:sec><jats:sec id="S0924933821005381_sec2423"><jats:title>Objectives</jats:title><jats:p>To analyze pediatric hospitalizations related to BD held in mainland Portuguese public hospitals between 2000 and 2015.</jats:p></jats:sec><jats:sec id="S0924933821005381_sec2424" sec-type="methods"><jats:title>Methods</jats:title><jats:p>This retrospective observational study analyzed all pediatric (<18 years old) inpatient episodes from 2000 to 2015 with a primary BD diagnosis, using an anonymized administrative database including all hospitalization from mainland Portuguese public hospitals. ICD-9-CM codes 296.x were used (excluding codes 296.2x; .3x and .9x). Age at admission, admission type and date, sex, charges and length of stay (LoS) were analyzed.</jats:p></jats:sec><jats:sec id="S0924933821005381_sec2425" sec-type="results"><jats:title>Results</jats:title><jats:p> A total of 348 hospitalizations were analyzed from 258 patients. Patients were mainly young girls (60.6%), with a mean age of 15.24±1.87 years. The majority of the admissions were urgent (81.0%), and the median LoS was 14 days (IQR: 7; 24). Mean hospitalization charges were 3503.1¤ with a total sum of 1.2M¤ for all the episodes.</jats:p></jats:sec><jats:sec id="S0924933821005381_sec2426" sec-type="conclusions"><jats:title>Conclusions</jats:title><jats:p> PBD hospitalizations occur predominantly in female patients during adolescence. The majority of them are urgent admissions. Descriptive studies will help to describe and characterize sociodemographic and clinical trends in PBD in order to better prevent acute hospitalizations with inevitable social and economic implications.</jats:p></jats:sec>

Language: English

Type (Professor's evaluation): Scientific