Abstract
Anorexia nervosa (AN) is a common chronic disorder characterized by severe malnutrition and psychological disturbances. Parenteral nutrition (PN) is not usually used in nutritional rehabilitation of AN. The aim of our study was to retrospectively evaluate the indications, clinical efficacy, and safety of PN as assessed by short- and long-term outcomes in AN inpatient girls. During the last 10 years a total of 198 inpatients were included in our study: 104 (53%) received oral and parenteral refeeding (group A) and 94 (47%) oral refeeding alone (group B). For each nutritional treatment, clinical efficacy was evaluated by short- and long-term outcomes, and safety was assessed by complication rate. Short-term outcome assessment indicated weekly weight gain and maximum caloric intake to be higher in PN-treated patients. Long-term outcome evaluation showed rehospitalization and recovery rate to be similar in the two groups, but failure of first nutritional rehabilitation requiring PN significantly greater in group B (17.5%) than in group A (3%) (p = .01). The number of complications was significantly higher in group A than in group B (p = .004), although all complications resolved. Among all nutritional rehabilitation strategies, PN ...Continue Reading
References
Aug 1, 1991·Archives of General Psychiatry·K A HalmiJ Cohen
Mar 1, 1985·Acta paediatrica Scandinavica·S CronerT Symreng
Oct 1, 1995·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·P S Mehler, K A Weiner
Feb 29, 2000·Obstetrics and Gynecology Clinics of North America·R E Kreipe, S M Mou
Aug 3, 2002·The American Journal of Psychiatry·Hans-Christoph Steinhausen
Aug 3, 2002·The American Journal of Psychiatry·Adelaide S RobbIrene Chatoor
Jun 27, 2003·Journal of Pediatric Gastroenterology and Nutrition·A DiamantiM Castro
Aug 9, 2003·JPEN. Journal of Parenteral and Enteral Nutrition·Juliet N ZuercherJanet K Carr
May 20, 2004·International Journal of Adolescent Medicine and Health·Orhan DermanBerna Pehlivantürk
May 20, 2004·Psychiatry and Clinical Neurosciences·Takashi TonoikeYoshiko Itakura
Apr 28, 2006·JPEN. Journal of Parenteral and Enteral Nutrition·Agostino PaccagnellaGiancarlo Foscolo
Jan 31, 2007·The International Journal of Eating Disorders·Philip S Mehler, Kenneth L Weiner
Citations
Jul 16, 2008·Current Opinion in Pediatrics·Cara J Sylvester, Sara F Forman
Jan 1, 2013·Journal of Eating Disorders·Susan HartSuzanne Abraham
Oct 6, 2010·Critical Care : the Official Journal of the Critical Care Forum·Marie VignaudUNKNOWN AZUREA group (AnorexieRea Study Group)
Dec 5, 2013·European Journal of Clinical Nutrition·I NehringU Thyen
Aug 26, 2014·Eating and Weight Disorders : EWD·Nobuaki MichihataHideo Yasunaga
Dec 15, 2015·The International Journal of Eating Disorders·Andrea K GarberGraham W Redgrave
Jan 22, 2008·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Tomas Jose Silber
Aug 28, 2010·Journal of Nutrition and Metabolism·Philip S MehlerJennifer L Gaudiani
Sep 1, 2011·European Eating Disorders Review : the Journal of the Eating Disorders Association·Susan HartJanice Russell
Feb 12, 2014·Journal of the Academy of Nutrition and Dietetics·Tetyana RocksPaul Wilkinson
Apr 18, 2015·BMC Psychiatry·Christoph BornEva Meisenzahl
Mar 6, 2013·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Graeme O'Connor, Dasha Nicholls
Feb 13, 2016·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Graeme O'ConnorAtul Singhal
Mar 25, 2009·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Jean-Claude Melchior, Maurice Corcos
Oct 30, 2014·The Australian and New Zealand Journal of Psychiatry·Phillipa HayWarren Ward
Sep 8, 2011·The International Journal of Eating Disorders·Nogah C KeremAmir Kugelman
Jul 20, 2019·Journal of Clinical Medicine·Cristina CuerdaLoredana Arhip
Dec 3, 2014·Internal Medicine·Mari HottaRina Ohwada
Jun 4, 2020·The International Journal of Eating Disorders·Emilia KotilahtiAnu Ruusunen
Feb 7, 2021·European Eating Disorders Review : the Journal of the Eating Disorders Association·Carol KanJanet Treasure
Nov 25, 2020·Journal of Clinical Medicine·Jeong-Kyung KoYoul-Ri Kim
Mar 24, 2021·L'Encéphale·R LascarN Godart
Jun 10, 2021·Hospital Pediatrics·Nicole BrynesAmanda Downey