Medical outcomes for adults hospitalized with severe anorexia nervosa: An analysis by age group

The International Journal of Eating Disorders
Jennifer L GaudianiPhilip S Mehler

Abstract

Relatively little has been written about the outcomes of medical stabilization, analyzed specifically across the age spectrum, in adults with severe anorexia nervosa (AN). We retrospectively evaluated clinical parameters relevant to acuity of illness and outcomes of early refeeding in 142 adults with severe AN, admitted for definitive inpatient medical stabilization from October 1, 2008 to December 31, 2012. Patients were categorized into three age groups: 17 to 29, 30 to 40, and 41+ years. The study included 142 patients with median age of 28 years old (range 17-65 years). Fifty-four percent (n = 78) were under 30 years old, 23% (n = 32) between 30 and 40 years old, and 23% (n = 32) were over 40 years old. Average admission BMI did not differ among age groups, ranging from 12.7 to 13.2 kg/m(2) . Of the admission parameters, only low serum albumin levels (more prevalent in older patients), high international normalized ratio (INR) levels (more prevalent in younger patients), and neutropenia (more prevalent in the <30 age group) varied with age. During hospitalization, rates of bradycardia, hypoglycemia, liver dysfunction, very low %IBW, refeeding hypophosphatemia, refeeding edema, length of stay, and discharge BMI did not diffe...Continue Reading

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Citations

Apr 27, 2017·The International Journal of Eating Disorders·Catherine BroomfieldPaul Rhodes
Jan 7, 2020·Journal of Population Therapeutics and Clinical Pharmacology Journal De La Thérapeutique Des Populations Et De La Pharamcologie Clinique·Agnes Ayton
Aug 22, 2017·Current Opinion in Psychiatry·Barbara Mangweth-Matzek, Hans W Hoek
Dec 8, 2017·Journal of Eating Disorders·Anne DrabkinPhilip S Mehler
Aug 19, 2018·European Archives of Psychiatry and Clinical Neuroscience·Hubertus HimmerichChin-Kuo Chang
Oct 20, 2020·Internal and Emergency Medicine·Valentina PonzoSimona Bo
Nov 29, 2020·European Eating Disorders Review : the Journal of the Eating Disorders Association·Candice RichardsonGeorgios Paslakis
Nov 29, 2020·The International Journal of Eating Disorders·Tomoko HaradaKoki Inoue
Jan 20, 2021·La Revue de médecine interne·J LemilleM Grall-Bronnec
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Jun 17, 2021·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Iolanda CioffiSimona Bo
Jul 14, 2021·European Psychiatry : the Journal of the Association of European Psychiatrists·Enrica MarzolaGiovanni Abbate-Daga

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