Nutrition Approach for Inpatients With Anorexia Nervosa: Impact of a Clinical Refeeding Guideline.

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Abstrakt

Tytuł:: Nutrition Approach for Inpatients With Anorexia Nervosa: Impact of a Clinical Refeeding Guideline.
Autorzy:: Gjoertz M; Faculty of Biology and Medicine, University of Lausanne (UNIL), Lausanne, Switzerland.
Wang J; Interdisciplinary Division for Adolescent Health (DISA), Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Chatelet S; Faculty of Biology and Medicine, University of Lausanne (UNIL), Lausanne, Switzerland.
Monney Chaubert C; North Vaudois Hospital Establishments (eHnv): St. Loup Hospital, Pompaples, Switzerland.
Lier F; Interdisciplinary Division for Adolescent Health (DISA), Lausanne University Hospital (CHUV), Lausanne, Switzerland.; Vaudois Centre for Anorexia and Bulimia (abC), Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Ambresin AE; Faculty of Biology and Medicine, University of Lausanne (UNIL), Lausanne, Switzerland.; Interdisciplinary Division for Adolescent Health (DISA), Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Źródło:: JPEN. Journal of parenteral and enteral nutrition [JPEN J Parenter Enteral Nutr] 2020 Aug; Vol. 44 (6), pp. 1124-1139. Date of Electronic Publication: 2019 Nov 19.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: 2018- : [Hoboken, NJ] : Wiley
Original Publication: Thorofare, N. J., Slack.
MeSH Terms:: Anorexia Nervosa*/therapy
Refeeding Syndrome*/prevention & control
Adolescent ; Adult ; Hospitalization ; Humans ; Inpatients ; Middle Aged ; Retrospective Studies ; Young Adult
References:: American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Arlington, VA: American Psychiatric Association, 2013.
Schnyder U, Milos G, Mohler-Kuo M, Dermota P. Prevalence of eating disorders in Switzerland. Bern: Federal Office of Public Health (FOPH). https://www.bag.admin.ch/bag/fr/home/gesund-leben/gesundheitsfoerderung-und-praevention/koerpergewicht/essstoerungen.html. Published 2012.
Haute Autorité de Santé. Anorexia Mentale: prise en charge. (2010). Retrieved from: http://www.hassante.fr/portail/upload/docs/application/pdf/2013-03/reco2clics_-_anorexie_-mentale.pdf.
Katzman DK. Medical complications in adolescents with anorexia nervosa: a review of the literature. Int J Eat Disord. 2005;37(Suppl:S52-S59); discussion S87-S89.
Fairburn CG. Evidence based treatment of anorexia nervosa. Int J Eat Disord. 2005;37(Suppl: S26-S30):discussion S41-S42. https://doi.org/10.1002/eat.20112.
Seitz J, Bühren K, von Polier GG, Heussen N, Herpertz-Dahlmann B, Konrad K. Morphological changes in the brain of acutely ill and weight-recovered patients with anorexia nervosa. A meta-analysis and qualitative review. Zetischrift für Kinder- und Jugendpsychiatrie und Psychotherapie. 2014;42(1):7-17; quiz 17-8.
Howard WT, Evans KK, Quintero-Howard CV, Bowers AE, Andersen AE. Predictors of success or failure of transition to day hospital treatment for inpatients with anorexia nervosa. Am J Psychiatry. 1999;156(11):1697-1702.
Steinhausen HC, Grigoroiu-Serbanescu M, Boyadjieva S, Neumärker KJ, Winkler Metzke C. Course and predictors of rehospitalization in adolescent anorexia nervosa in a multisite study. Int J Eat Disord. 2008;41(1):29-36.
Keys A. The biology of human starvation. Vol. 1-2. Minneapolis: University of Minnesota Press; 1950.
Katzmann D. Refeeding hospitalized adolescents with anorexia nervosa: is “start low, advance slow” urban legend or evidence based? J Adolesc Health. 2012;50(1):1-2.
Garber AK, Sawyer MS, Golden NG, Guarda AS, Katzman DK, Kohn MR. A systematic review of approaches to refeeding in patients with anorexia nervosa. Int J Eat Disord. 2015;49(3):293-310.
Smith K, Lesser J, Brandenburg B, Lesser A, Cici J, Juenneman R, et al. Outcomes of an inpatient refeeding protocol in youth with anorexia nervosa and atypical anorexia nervosa at children's hospitals and clinics of Minnesota. J Eat Disord. 2016;4(1):35.
Golden NH, Keane-Miller C, Sainani KL, Kapphahn CJ. Higher caloric intake in hospitalized adolescents with anorexia nervosa is associated with reduced length of stay and no increased rate of refeeding syndrome. J Adolesc Health. 2013;53(5):573-578.
LeClerc A, Turrini T, Sherwood K, Katzman DK. Evaluation of a nutrition rehabilitation protocol in hospitalized adolescents with restrictive eating disorders. J Adolesc Health. 2013;53(5):585-589.
Madden S, Miskovic-Wheatley J, Clarke S, Touyz S, Hay P, Kohn MR. Outcomes of a rapid refeeding protocol in adolescent anorexia nervosa. J Eat Disord. 2015;3:8.
Maginot TR, Kumar MM, Shiels J, Kaye W, Rhee KE. Outcomes of an inpatient refeeding protocol in youth with anorexia nervosa: Rady Children's Hospital San Diego/University of California, San Diego. J Eat Disord. 2017;5:1.
Peebles R, Lesser A, Park CC, et al. Outcomes of an inpatient medical nutritional rehabilitation protocol in children and adolescents with eating disorders. J Eat Disord. 2017;5:7.
Matthews K, Hill J, Jeffrey S, Patterson S, Davis A. A higher-calorie refeeding protocol does not increase adverse outcomes in adult patients with eating disorders. J Acad Nutr Diet. 2018;118(8):1450-1463.
Whitelaw M, Gilbertson H, Lam PY, Sawyer SM. Does aggressive refeeding in hospitalized adolescents with anorexia nervosa result in increased hypophosphatemia? J Adolesc Health. 2010;46(6):577-582.
Le Grange D. Examining refeeding protocols for adolescents with anorexia nervosa (again): challenges to current practices. J Adolesc Health. 2013;53(5):555-556.
Marsipan: management of really sick patients with anorexia nervosa. 2nd ed. CR189. http://www.rcpsych.ac.uk/usefulresources/publications/collegereports/cr/cr189.aspx. Published October 2014.
Chiurazzi C, Cioffi I, De Caprio C, et al. Adequacy of nutrient intake in women with restrictive anorexia nervosa. Nutrition. 2017;38:80-84.
Dragani B, Malatesta G, Di Ilio C, De Cristofaro P. Dynamic monitoring of restricted eating disorders by indirect calorimetry: a useful cognitive approach. Eat Weight Disord. 2006;11(1):e9-e14.
El Ghoch M, Alberti M, Capelli C, Calugi S, Dalle Grave R. Resting energy expenditure in anorexia nervosa: measured versus estimated. J Nutr Metab. 2012;2012:652932.
Schebendach J, Golden NH, Jacobson MS, Arden M, Pettei M. Indirect calorimetry in the nutritional management of eating disorders. Int J Eat Disord. 1995;17(1):59-66.
Kaye WH, Gwirtsman HE, Obarzanek E, George DT Relative importance of calorie intake needed to gain weight and level of physical activity in anorexia nervosa. Am J Clin Nutr. 1988;47(6):989-994.
Wishnofsky M. Caloric equivalents of gained or lost weight. Am J Clin Nutr. 1958;6(5):542-546.
Mitchell JE, Pomeroy C, Seppala M, Huber M. Pseudo-Bartter's syndrome, diuretic abuse, idiopathic edema and eating disorders. Int J Eat Disord. 1988;7(2):225-237.
Vaisman N, Corey M, Rossi MF, Goldberg E, Pencharz P. Changes in body composition during refeeding of patients with anorexia nervosa. J Pediatr. 1988;113(5):925-929.
Lund BC, Hernandez ER, Yates WR, Mitchell JR, McKee PA, Johnson CL. Rate of inpatient weight restoration predicts outcome in anorexia nervosa. Int J Eat Disord. 2009;42(4):301-305.
Rigaud D, Brondel L, Poupard AT, Talonneaa I, Brun JM. A randomized trial on the efficacy of a 2-month tube feeding regimen in anorexia nervosa: a 1-year follow-up study. Clin Nutr. 2007;26(4):421-429.
Zuercher JN, Cumella EJ, Woods BK, Eberly M, Carr JK. Efficacy of voluntary nasogastric tube feeding in female inpatients with anorexia nervosa. JPEN J Parenter Enteral Nutr. 2003;27(4):268-276.
Haas L, Stargardt T, Schreyoegg J, Schlösser R, Danzerg G, Klapp BF. In-patient costs and predictors of costs in the psychosomatic treatment of anorexia nervosa. Int J Eat Disord. 2012;45(2):214-221.
Toulany A, Wong M, Katzman DK, et al. Cost analysis of inpatient treatment of anorexia nervosa in adolescents: hospital and caregiver perspectives. CMAJ Open. 2015;3(2):E192-E197.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013.
Haute Autorité de Santé. Anorexia nervosa: management. http://www.hassante.fr/portail/upload/docs/application/pdf/201206/summary_anorexia_nervosa_2_levels_of_care.pdf.Published 2010.
NICE guidelines. Eating disorders: recognition and treatment. https://www.nice.org.uk/guidance/ng69. Published 2017.
Contributed Indexing:: Keywords: anorexia nervosa; in-patients; length of stay; nutritional approach; refeeding guidelines; weight gain
Entry Date(s):: Date Created: 20191120 Date Completed: 20210303 Latest Revision: 20210303
Update Code:: 20240104
DOI:: 10.1002/jpen.1723
PMID:: 31742725
: Czasopismo naukowe

Objective: This study assesses the impact of a clinical refeeding guideline on weight restoration, length of stay, rate of refeeding complications, and rehospitalizations.
Method: This retrospective study included patient records of 107 participants aged 13-55 years with a diagnosis of AN, admitted for at least 7 days for renutrition before and after introduction of the refeeding guideline. Weight evolution graphs were rated by 2 clinical experts independently. Binary logistic regression models were erected to identify clinical outcomes associated independently with the guideline as well as to control for potential confounding by sociodemographic and clinical characteristics at admission.
Results: The proportion of patients achieving optimal weight gain after the first 2 weeks increased significantly from 6.3% pre-guideline to 41.8% post guideline (adjusted odds ratio [AOR] = 37.6; 95% confidence interval [CI], 2.77-510.3; P = 0.006). Average length of hospitalization was reduced from 96.7 (SD 48.3) days pre-guideline to 62.2 (SD 45.5) days post guideline (AOR = 0.99; 95% CI, 0.97-1.01; P = 0.18). None of the patients developed a full refeeding syndrome. There was no significant change in the rate of rehospitalization: 48.5% pre-guideline to 43.2% post guideline (OR = 0.81; 95% CI, 0.36-1.84; P = 0.62).
Discussion: The clinical guideline proved highly effective in bolstering weight gain via intensive refeeding procedures while also being safe. Harmonizing clinical practices improves quality of care for patients with anorexia and, interestingly, may decrease costs by cutting average length of stay by a third without increasing the rehospitalization rate.
(© 2019 American Society for Parenteral and Enteral Nutrition.)

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