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Anorexia nervosa (AN) in inpatients at a children's hospital (2005-2011)

M O'Reilly, C Carr, C Boylan

    Irish Medical Journal
    |March 25, 2014
    PubMed

    Insights

    Anorexia nervosa (AN) treatment in Ireland shows younger admissions and successful inpatient weight restoration. This study evaluates the Irish experience with AN, highlighting key demographic and treatment outcome data.

    Area of Science:

    • Pediatric Psychiatry
    • Eating Disorders
    • Public Health

    Background:

    • Anorexia nervosa (AN) is a severe mental illness requiring community-based treatment, with hospitalization for critically low weight.
    • Limited research exists on AN within the Irish context.
    • This audit provides an evaluation of the Irish experience with AN.

    Purpose of the Study:

    • To audit and evaluate the characteristics and treatment outcomes of anorexia nervosa patients in Ireland.
    • To compare current findings with previous data from 2002.
    • To assess the effectiveness of inpatient weight restoration for AN in Ireland.

    Main Methods:

    • Retrospective audit of inpatient AN cases in Ireland.
    • Analysis of demographic data, presenting features, and treatment outcomes.
    • Comparison of current data with historical data from 2002.

    Main Results:

    • Mean age of admission was 13.5 years, a 6-month decrease since 2002.
    • Boys constituted 30% of admissions, presenting with lower BMI centiles than girls despite earlier hospital presentation.
    • Inpatient weight restoration achieved a mean weekly gain of 930g (within the recommended 500-1000g/wk range), with a mean hospital stay of 38 days.

    Conclusions:

    • Inpatient treatment for AN in Ireland is effective for weight restoration.
    • Earlier presentation for AN is noted, with significant differences in underweight severity between genders.
    • Further research is needed to understand the evolving landscape of AN in Ireland.

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