ACUTE center for eating disorders

Eugene S. Chu, Jennifer L. Gaudiani, Margherita Mascolo, Barbara Statland, Allison Sabel, Kim Carroll, Philip S. Mehler

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: While patients with anorexia nervosa have a high mortality rate, more are living into adulthood. Patients with severe malnutrition secondary to anorexia nervosa often require hospitalization for medical stabilization prior to treatment in eating disorders programs. Methods: We developed the ACUTE Center at Denver Health Medical Center to medically stabilize adults with the medical complications of severe malnutrition due to an eating disorder. The first 2 years of patient characteristics and outcomes are reported. Results: From October 2008 through December 2010, the ACUTE unit had 76 admissions of which 62 were for medical stabilization, comprising 54 patients. Eighty-nine percent of patients were female. The mean age was 27 years old (range 17-65). The mean body mass index on admission was 12.9 kg/m2 (standard deviation [SD] 2.0). At admission, patients were hyponatremic, anemic, and leukopenic, with low bone density, but had normal albumin levels. The mean body mass index on discharge was 13.1 ± 1.9 kg/m2. Median length of stay was 16 days (interquartile range [IQR] 9-29 days). Eighteen percent were discharged to home and eighty-two percent were discharged to inpatient psychiatric eating disorder units. Inpatient mortality was zero. DISCUSSION: Patients with this degree of severe malnutrition due to eating disorders are medically complex and relatively uncommon. Regionalized subspecialty centers of excellence, in which a multidisciplinary team is led by practitioners of hospital medicine who have developed expertise in a rare condition, may improve clinical outcomes, optimize healthcare resources, and provide unique professional and academic opportunities for the clinicians involved.

Original languageEnglish (US)
Pages (from-to)340-344
Number of pages5
JournalJournal of Hospital Medicine
Volume7
Issue number4
DOIs
StatePublished - Apr 1 2012

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Malnutrition
Anorexia Nervosa
Inpatients
Body Mass Index
Hospital Medicine
Mortality
Bone Density
Psychiatry
Feeding and Eating Disorders
Albumins
Length of Stay
Hospitalization
Delivery of Health Care
Health
Therapeutics
Patient Reported Outcome Measures

ASJC Scopus subject areas

  • Health Policy
  • Assessment and Diagnosis
  • Care Planning
  • Fundamentals and skills
  • Leadership and Management

Cite this

Chu, E. S., Gaudiani, J. L., Mascolo, M., Statland, B., Sabel, A., Carroll, K., & Mehler, P. S. (2012). ACUTE center for eating disorders. Journal of Hospital Medicine, 7(4), 340-344. https://doi.org/10.1002/jhm.1906

ACUTE center for eating disorders. / Chu, Eugene S.; Gaudiani, Jennifer L.; Mascolo, Margherita; Statland, Barbara; Sabel, Allison; Carroll, Kim; Mehler, Philip S.

In: Journal of Hospital Medicine, Vol. 7, No. 4, 01.04.2012, p. 340-344.

Research output: Contribution to journalArticle

Chu, ES, Gaudiani, JL, Mascolo, M, Statland, B, Sabel, A, Carroll, K & Mehler, PS 2012, 'ACUTE center for eating disorders', Journal of Hospital Medicine, vol. 7, no. 4, pp. 340-344. https://doi.org/10.1002/jhm.1906
Chu ES, Gaudiani JL, Mascolo M, Statland B, Sabel A, Carroll K et al. ACUTE center for eating disorders. Journal of Hospital Medicine. 2012 Apr 1;7(4):340-344. https://doi.org/10.1002/jhm.1906
Chu, Eugene S. ; Gaudiani, Jennifer L. ; Mascolo, Margherita ; Statland, Barbara ; Sabel, Allison ; Carroll, Kim ; Mehler, Philip S. / ACUTE center for eating disorders. In: Journal of Hospital Medicine. 2012 ; Vol. 7, No. 4. pp. 340-344.
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