Emergency medical reviews and medical admission transfers during psychiatric inpatient eating disorders unit treatment

IF 2.4 3区医学 Q2 PSYCHIATRY

Eating behaviors Pub Date : 2025-04-01 DOI:10.1016/j.eatbeh.2025.101979

Natalie Seiler , Benjamin Ziegeler , Natalie Sacco , Nardine Elzahaby , Karen Gwee

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引用次数: 0

Abstract

Objective

There is limited information regarding emergency medical reviews (EMRs) and medical admission transfers for psychiatric eating disorders inpatients. We aimed to describe (i) EMRs during psychiatric inpatient eating disorders treatment at the Eating Disorders Unit (EDU), Austin Hospital in Melbourne, Victoria, and (ii) medical admission transfers during EDU admissions.

Methods

Retrospective review of patient files was undertaken for inpatients aged 18–65 years with an eating disorder who resided within the Body Image & Eating Disorders Treatment & Recovery Service (BETRS) catchment area and were admitted to EDU between 01/01/21 to 30/10/23.

Results

Among 177 EDU admissions there were 33 EMRs and 17 medical transfers. On average, inpatients with EMRs or medical transfers were older with greater medical multimorbidity or polypharmacy, and a higher proportion of atypical anorexia nervosa and anorexia nervosa – binge/purge subtype. EMR indications included postural tachycardia, hypotension, sinus tachycardia, hypokalaemia, hypoglycaemia, altered conscious state, and chest pain. Medical admission indications included refeeding in the setting of vital sign derangement, intravenous potassium, vital sign derangement or falls attributed to antipsychotic use, infection, abdominal pain, and self-harm.

Conclusion

Early medical assessment and intensive monitoring are recommended for older patients with greater medical multimorbidity/polypharmacy, orthostasis, or higher risk of electrolyte instability. Caution should be undertaken regarding antipsychotic use in this vulnerable population.

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来源期刊

Eating behaviors Multiple-

CiteScore

4.20

自引率

3.60%

发文量

审稿时长

60 days

期刊介绍： Eating Behaviors is an international peer-reviewed scientific journal publishing human research on the etiology, prevention, and treatment of obesity, binge eating, and eating disorders in adults and children. Studies related to the promotion of healthy eating patterns to treat or prevent medical conditions (e.g., hypertension, diabetes mellitus, cancer) are also acceptable. Two types of manuscripts are encouraged: (1) Descriptive studies establishing functional relationships between eating behaviors and social, cognitive, environmental, attitudinal, emotional or biochemical factors; (2) Clinical outcome research evaluating the efficacy of prevention or treatment protocols.