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Eating Disorder Resources (https://www.kartiniclinic.com/eating-disorder-resources/) » For Referring Providers (https://www.kartiniclinic.com/eating-disorder-resources/for-referring-providers/) » Hospitalization Criteria

EATING DISORDER HOSPITALIZATION CRITERIA

According to the AAP* patients who meet any one of the following criteria should be re-fed in hospital rather than an outpatient setting (other criteria may pertain, clinical judgment
required):  

<75% ideal body weight, or ongoing weight loss despite intensive management

Refusal to eat

Body fat <10%

Heart rate <50 per minute daytime; <45 bpm nighttime

Systolic pressure <90

 Orthostatic changes in pulse increase >35 bpm (AAP suggests 20 BPM; we nd this low threshold impractical) or blood pressure decrease >10 mm Hg (AAP suggests 20 mm Hg)

Temperature <96 F

Arrhythmia

AAP Admission Criteria: Bulimia Nervosa

Syncope

Serum potassium concentration <3.2 mmol/L

Serum chloride concentration <88 mmol/L

Esophageal tears

Cardiac arrhythmias including prolonged QTc

Hypothermia

Suicide Risk

Intractable vomiting

Hematemesis

Failure to respond to outpatient treatment

*(for AAP guidelines, see “Children and Adolescents With Eating Disorders: The State of the Art” electronic article, Pediatrics, Vol. 111, pp. 204-11, 2003.
(http://pediatrics.aappublications.org/content/111/1/e98.short))

For a discussion on how to determine "ideal" body weight in context of a suspected eating disorder, please read this (http://blog/determining-ideal-body-weight).

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