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Bankstown Hospital - Grand Rounds - Further Reading

A guide to further information resources to support Grand Rounds and vocational education

Introduction

Welcome to the Grand Rounds Further Reading List.

This library guide is to help support you in your professional development.

If you have any questions, please contact the Clinical Library on 9722 8250 or email SWSLHD-BankstownLibrary@health.nsw.gov.

 

THIS WEEK'S TOPIC

Inpatient Management of

Eating Disorders

Articles

Danielsen, M., et al. (2020). "The outcome at follow-up after inpatient eating disorder treatment: a naturalistic study." Journal of Eating Disorders 8(1): 67 FULL TEXT AT LINK https://doi.org/10.1186/s40337-020-00349-6

                Patients with eating disorders may experience a severe and enduring course of illness. Treatment outcome for patients provided with inpatient treatment is reported as poor. Research to date has not provided consistent results for predictors of treatment outcome. The aims of the study were to investigate rates of remission at follow-up after inpatient treatment, symptom change from admission to follow-up, and predictors of treatment outcome.

Glasofer, D. R., et al. (2020). "Predictors of illness course and health maintenance following inpatient treatment among patients with anorexia nervosa." Journal of Eating Disorders 8(1): 69 FULL TEXT AT LINK https://doi.org/10.1186/s40337-020-00348-7

                Anorexia nervosa (AN) is a life-threatening psychiatric disorder associated with significant medical and psychosocial impairment. Hospital-based behavioral treatment is an effective intervention in the short-term. However, relapse rates following discharge are high and thus, there is a need to identify predictors of longitudinal outcome. The current study provides information regarding illness course and health maintenance among patients with AN over 5 years following discharge from an eating disorder inpatient unit.

Isserlin, L., et al. (2020). "Outcomes of inpatient psychological treatments for children and adolescents with eating disorders at time of discharge: a systematic review." Journal of Eating Disorders 8(1): 32 PDF AT LINK https://doi.org/10.1186/s40337-020-00307-2

                Recommended first line treatment for children and adolescent eating disorders is outpatient therapy. However, a significant number of children and adolescents with eating disorders continue to require inpatient treatment during the course of their illness. The effect of psychological treatments in an inpatient setting on outcomes at the time of discharge remains unclear. This paper presents the results of a review of the literature on outcomes at the time of discharge following inpatient psychological treatment for children and adolescents with eating disorders.

Pehlivan, M. J., et al. (2022). "Models of care for eating disorders: findings from a rapid review." Journal of Eating Disorders 10(1): 166 PDF AT LINK https://doi.org/10.1186/s40337-022-00671-1

                Delayed diagnosis, gaps in services and subsequent delays in specialist care and treatment lead to poorer health outcomes for individuals with eating disorders (EDs) and drive significant government healthcare expenditure. Given the significant disease burden associated with EDs, it is imperative that current implementation research is summarised to identify gaps in care and enable refinement for optimal patient outcomes. This review aimed to provide an updated synthesis on models of care for EDs in developed healthcare systems.

Shook, J. and J. Brady-Olympia (2024). "The Inpatient Management of Adolescents with Eating Disorders." Pediatric Annals 53(8): e283-e287 PDF AT LINK https://journals.healio.com/doi/abs/10.3928/19382359-20240605-03

                Eating disorders affect individuals of all ages, genders, sexual orientations, ethnicities, races, and socioeconomic statuses. They can lead to serious medical complications that require inpatient treatment. The eating disorders that are most likely to lead to medical complications requiring medical inpatient stabilization include anorexia nervosa, atypical anorexia nervosa, avoidant-restrictive food intake disorder, bulimia nervosa, and purging disorder. There are criteria that can help determine if a patient requires inpatient stabilization. Nearly all body systems may be affected. Patients are often treated by following a refeeding protocol that reduces the risk of developing refeeding syndrome, a dangerous and life-threatening state of metabolic derangements that can arise when a malnourished individual begins a renourishment process. Following stabilization, patients should receive further care through a number of different treatment options directed at their underlying eating disorder and by working with a multidisciplinary team. [Pediatr Ann. 2024;53(8):e283–e287.]

Voderholzer, U., et al. (2020). "Medical management of eating disorders: an update." Current Opinion in Psychiatry 33(6): 542-553 FULL TEXT AT LINK https://journals.lww.com/co-psychiatry/fulltext/2020/11000/medical_management_of_eating_disorders__an_update.6.aspx

                Purpose of review Eating disorders are associated with numerous medical complications. The aim of this study was to review recent progress in improving the medical management of patients with eating disorders. Recent findings With close medical monitoring and electrolyte supplementation, accelerated refeeding protocols improve weight restoration without increasing the risk of refeeding syndrome. Olanzapine improves weight restoration better than placebo, without leading to adverse metabolic effects seen in individuals not in starvation. Alterations of the gut microbiome in anorexia nervosa have been demonstrated, but their clinical relevance remains unclear. Summary Medical complications of eating disorders may facilitate the first contact with health professionals and treatment initiation. Medical complications of anorexia nervosa generally occur due to starvation, malnutrition and their associated physiological effects, whereas medical complications of bulimia nervosa are generally due to purging behaviors. Most medical complications in patients with binge eating disorder are secondary to obesity. Most medical complications of eating disorders can be effectively treated with nutritional management, weight normalization and the termination of purging behaviors. In summary, eating disorders are associated with many medical complications that have to be carefully assessed and managed as early as possible to improve long-term outcomes.

Books

E-books