Acute medical stabilisation of adults with anorexia nervosa: Experience of a defined interdisciplinary model of care
Internal Medicine Journal Jan 24, 2020
Braude MR, et al. – Because patients with anorexia nervosa are vulnerable to physiological decompensation and may require management by an eating disorder unit, researchers retrospective analyzed 95 consecutive admissions (60 individual patients; November 2011 to August 2017) to identify medical complications during acute inpatient stabilization, predictors of refeeding syndrome, predictors governing the length of stay (LOS), and outcomes pre- and post-implementation of multidisciplinary treatment guidelines. The post-guidelines implementation group needed less intravenous fluid and electrolyte replacement in this multivariate analysis, and had lower rates of refeeding electrolyte derangement. According to findings, individuals with moderate to severe anorexia nervosa are at risk for dangerous medical complications, and older individuals may have a heightened predisposition to refeeding electrolyte derangement. Early identification of high-risk individuals is, therefore, imperative to implement timely, life-saving interventions.
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