Delusional intensity as a prognostic indicator among individuals with severe to extreme anorexia nervosa hospitalized at an acute medical stabilization program

2021 ◽  
Author(s):  
Kyle De Young ◽  
Angeline Bottera ◽  
Evelyna Kambanis ◽  
Christopher Mancuso ◽  
Kamila Cass ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Prognostic Indicator ◽  
Medical Stabilization

scholarly journals Outcomes of an Accelerated Inpatient Refeeding Protocol in 103 Extremely Underweight Adults with Anorexia Nervosa at a Specialized Clinic in Prien, Germany

2020 ◽  
Vol 9 (5) ◽  
pp. 1535 ◽  
Author(s):  
Thorsten Koerner ◽  
Verena Haas ◽  
Julia Heese ◽  
Matislava Karacic ◽  
Elmar Ngo ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Retrospective Chart Review ◽  
Blood Parameters ◽  
Medical Monitoring ◽  
Refeeding Syndrome ◽  
Total Weight Gain ◽  
Medical Stabilization ◽  
Continuous Normalization ◽  
Parameter Monitoring

Background: In mildly to moderately malnourished adolescent patients with anorexia nervosa (AN), accelerated refeeding protocols using higher initial calory supply coupled with phosphate supplements were not associated with a higher incidence of refeeding syndrome (RS). It is unclear whether this is also a feasible approach for extremely malnourished, adult AN patients. Methods: Outcomes of a clinical refeeding protocol involving a targeted initial intake of ≥2000 kcal/day, routine supplementation of phosphate and thiamine as well as close medical monitoring, were evaluated. A retrospective chart review including AN patients with a body mass index (BMI) <13 kg/m² was conducted, to describe changes in weight, BMI, and laboratory parameters (phosphate, creatine kinase, hematocrit, sodium, liver enzymes, and blood count) over four weeks. Results: In 103 female patients (age, mean ± standard deviation (SD) = 23.8 ± 5.3 years), BMI between admission and follow-up increased from 11.5 ± 0.9 to 13.1 ± 1.1 kg/m² and total weight gain within the first four weeks was 4.2 ± 2.0 kg (mean, SD). Laboratory parameter monitoring indicated no case of RS, but continuous normalization of blood parameters. Conclusions: Combined with close medical monitoring and electrolyte supplementation, accelerated refeeding may also be applied to achieve medical stabilization in extremely underweight adults with AN without increasing the risk of RS.

scholarly journals What’s at the Heart of Anorexia Nervosa? Reconsidering the Physiology of Bradycardia in Anorexia Nervosa

2018 ◽  
Author(s):  
James Heathers ◽  
Jason Nagata ◽  
Stuart Murray
Keyword(s):  
Heart Rate ◽  
Weight Loss ◽  
Anorexia Nervosa ◽  
Psychiatric Disorders ◽  
Central Feature ◽  
Resting Heart Rate ◽  
Cardiovascular Exercise ◽  
Medical Risk ◽  
Precision Management ◽  
Medical Stabilization

Anorexia nervosa (AN)is among the most pernicious, and lethal,of psychiatric disorders, in which starvation-inducedmedical instability oftenrequiresimmediate hospitalization. In mitigating this medical risk, currentguidelines posit that bradycardia, defined as a resting heart rate of less than 50 beats per minute,may serve as a biomarker from which we can infer medical instability in those with AN, with those meeting this criterion requiringurgent hospitalization, medical stabilization and refeeding. However, alongside dietary starvation, a central feature of AN relates to cardiovascular exercise, which is often excessively undertaken as a means to further augment weight loss. Crucially, frequent and intense cardiovascular exercise may also lower one’s resting heart rate, leaving two potential mechanisms underpinning bradycardia in those with AN, which potentially portend differential risk profiles. Here we briefly review the potential co-contribution of exercise and starvation to bradycardia in those with AN, and suggest that the precise delineation of factors underpinning bradycardia in those with AN, and the relative degree of risk therein, is crucial in the precision management of AN.

scholarly journals Evaluation of cognitive function in patients with severe anorexia nervosa before and after medical stabilization

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Melanie Rylander ◽  
Gillian Taylor ◽  
Susan Bennett ◽  
Christopher Pierce ◽  
Angela Keniston ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Cognitive Function ◽  
Before And After ◽  
Medical Stabilization

Severe anorexia nervosa: Outcomes from a medical stabilization unit

2010 ◽  
Vol 45 (1) ◽  
pp. 85-92 ◽  
Author(s):  
Jennifer L. Gaudiani ◽  
Allison Lee Sabel ◽  
Margherita Mascolo ◽  
Philip S. Mehler
Keyword(s):  
Anorexia Nervosa ◽  
Medical Stabilization

Respiratory acidosis in adolescents with anorexia nervosa hospitalized for medical stabilization: A retrospective study

2011 ◽  
Vol 45 (1) ◽  
pp. 125-130 ◽  
Author(s):  
Nogah C. Kerem ◽  
Arieh Riskin ◽  
Elvira Averin ◽  
Isaac Srugo ◽  
Amir Kugelman
Keyword(s):  
Anorexia Nervosa ◽  
Retrospective Study ◽  
Respiratory Acidosis ◽  
Medical Stabilization

403: Desmoplasia is an Independent Prognostic Indicator in Urothelial Carcinoma of the Upper Urinary Tract

2007 ◽  
Vol 177 (4S) ◽  
pp. 134-134
Author(s):  
Richard E. Zigeuner ◽  
Thomas Chromecki ◽  
Sebastian Leibl ◽  
Peter Rehak ◽  
Cord Langner
Keyword(s):  
Urinary Tract ◽  
Urothelial Carcinoma ◽  
Prognostic Indicator ◽  
Upper Urinary Tract

638: Macroscopic Tumor Necrosis is a Prognostic Indicator for Non-Metastatic Clear Cell Renal Cell Carcinoma

2007 ◽  
Vol 177 (4S) ◽  
pp. 214-214
Author(s):  
Sung Kyu Hong ◽  
Byung Kyu Han ◽  
In Ho Chang ◽  
June Hyun Han ◽  
Ji Hyung Yu ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Tumor Necrosis ◽  
Clear Cell ◽  
Prognostic Indicator ◽  
Cell Renal Cell Carcinoma ◽  
Macroscopic Tumor
Sign in / Sign up

Export Citation Format

Share Document