Journal article
Short-term outcome of psychiatric inpatients with anorexia nervosa in the current care environment
The International journal of eating disorders, Vol.38(2), pp.123-133
09/2005
DOI: 10.1002/eat.20160
PMID: 16134109
Abstract
Objective: The current study describes the short-term outcome of 61 inpatients with anorexia nervosa (AN), utilizing a standardized protocol that could be completed by most patients within the typical length of stay (LOS) in an academic medical center in our geographic area. Method: Patients were placed on disorder-specific and medication clinical pathways and completed questionnaires at admission and discharge. Diagnostic, historical, demographic, and treatment-related information was obtained. Results: Treatment was sufficient to resolve acute medical problems, initiate refeeding, and interrupt compensatory behaviors, but continued intensive treatment will be critical to full recovery. Patients were discharged at an average of 85% of ideal body weight (IBW). Twenty patients were discharged against medical advice (AMA). Clinical and demographic variables poorly predicted AMA status. Discussion: Attainable inpatient treatment goals in our care environment appear to be ≥80% IBW at discharge, resolution of acute medical problems, and interruption of compensatory behaviors. Future research should examine whether shorter LOS increases readmission rates or long-term costs. © 2005 by Wiley Periodicals, Inc.
Details
- Title: Subtitle
- Short-term outcome of psychiatric inpatients with anorexia nervosa in the current care environment
- Creators
- Teresa A Treat - Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, PennsylvaniaJill A Gaskill - Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, PennsylvaniaElizabeth B McCabe - Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, PennsylvaniaFrank A Ghinassi - Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, PennsylvaniaAmanda D Luczak - Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, PennsylvaniaMarsha D Marcus - Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
- Resource Type
- Journal article
- Publication Details
- The International journal of eating disorders, Vol.38(2), pp.123-133
- Publisher
- Wiley Subscription Services, Inc., A Wiley Company
- DOI
- 10.1002/eat.20160
- PMID
- 16134109
- ISSN
- 0276-3478
- eISSN
- 1098-108X
- Number of pages
- 11
- Language
- English
- Date published
- 09/2005
- Academic Unit
- Psychological and Brain Sciences
- Record Identifier
- 9984214742902771
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