Outcomes of an inpatient refeeding protocol in youth with anorexia nervosa: Rady Children’s Hospital San Diego/University of California, San Diego

Maginot, Tamara R.; Kumar, Maya M.; Shiels, Jacqueline; Kaye, Walter; Rhee, Kyung E.

doi:10.1186/s40337-016-0132-0

Journal of Eating Disorders

Table 3 Relationship between starting on a high calorie nutritional rehabilitation protocol and inpatient outcomes: Change in %EBW, Change in Calories, Rate of Change in %EBW, Rate of Change in Calories, Length of Stay, Change in Weight, and Change in Heart Rate

From: Outcomes of an inpatient refeeding protocol in youth with anorexia nervosa: Rady Children’s Hospital San Diego/University of California, San Diego

	Change in %EBW		Change in Calories (kcals)		Rate of Change in %EBW		Rate of Change in Calories (kcals)
	Estimate (S.E.)	p-value	Estimate (S.E.)	p-value	Estimate (S.E.)	p-value	Estimate (S.E.)	p-value
Higher Calorie Refeeding Diet	−1.07 (1.04)	0.31	−526.5 (208.6)	0.01	0.01 (0.08)	0.88	−13.2 (12.4)	0.29
%EBW on admission	−0.22 (0.04)	<0.0001	−12.6 (8.9)	0.16	−0.01 (0.00)	0.03	1.7 (0.5)	0.002
Age	−0.14 (0.20)	0.49	86.8 (39.9)	0.03	−0.00 (0.02)	0.99	3.6 (2.4)	0.13
Race/Ethnicity
Caucasian (reference)	0.0		0.0		0.0		0.0
Latino	1.19 (1.36)	0.38	−47.2 (272.3)	0.86	0.11 (0.10)	0.29	4.2 (16.2)	0.80
African American	−5.68 (4.08)	0.17	−1352.1 (815.1)	0.10	−0.28 (0.32)	0.38	−55.3 (48.6)	0.26
Asian	3.02 (1.43)	0.04	−19.7 (287.3)	0.94	0.36 (0.11)	0.002	−23.2 (17.1)	0.18
Mixed/Other	1.23 (1.47)	0.41	154.2 (294.8)	0.60	0.14 (0.11)	0.22	−12.3 (17.6)	0.49
Insurance Status (Public)	2.28 (1.03)	0.03	174.6 (207.0)	0.40	0.10 (0.08)	0.23	−26.8 (12.3)	0.03
Diagnosis
Anorexia-restrict (reference)	0.0		0.0		0.0		0.0
Anorexia-binge/purge	−0.26 (1.27)	0.84	−277.8 (254.9)	0.28	−0.09 (0.10)	0.43	−30.4 (15.2)	0.05
Other Specified Eating Disorder	0.67 (1.85)	0.72	−337.3 (370.8)	0.37	0.05 (0.14)	0.72	0.3 (22.1)	0.99
ARFID	−1.11 (1.38)	0.42	−198.0 (276.7)	0.48	−0.07 (0.11)	0.52	−36.9 (16.5)	0.03
NG/NJ tube	1.59 (1.20)	0.19	−171.2 (240.1)	0.48	0.01 (0.09)	0.89	−48.1 (14.3)	0.001
	Length of Stay (days)		Change in Weight (kg)			Change in Heart Rate (bpm)
	Estimate (S.E.)	p-value	Estimate (S.E.)		p-value	Estimate (S.E.)		p-value
Higher Calorie Refeeding Diet	−3.2 (2.3)	0.18	−0.52 (0.51)		0.32	−6.3 (2.9)		0.03
%EBW on admission	−0.4 (0.1)	<0.001	−0.09 (0.02)		<0.0001	−0.4 (0.1)		0.001
Age	0.4 (0.4)	0.35	0.15 (0.10)		0.12	−0.3 (0.5)		0.53
Race/Ethnicity
Caucasian (reference)	0.0		0.0			0.0
Latino	−0.5 (3.1)	0.86	0.66 (0.67)		0.33	0.6 (3.8)		0.87
African American	6.3 (9.2)	0.50	−1.79 (2.01)		0.38	−1.4 (11.0)		0.90
Asian	0.6 (3.2)	0.85	0.49 (0.71)		0.49	−5.4 (3.9)		0.16
Mixed/Other	0.9 (3.3)	0.80	0.42 (0.73)		0.56	−1.1 (4.0)		0.78
Insurance Status (Public)	4.6 (2.3)	0.05	0.76 (0.51)		0.14	4.1 (2.8)		0.15
Diagnosis
Anorexia-restrict (reference)	0.0		0.0			0.0
Anorexia-binge/purge	1.2 (2.9)	0.67	−0.04 (0.63)		0.95	0.1 (3.5)		0.98
Other Specified Eating Disorder	−1.0 (4.2)	0.82	−0.32 (0.91)		0.72	1.5 (5.0)		0.76
ARFID	0.4 (3.1)	0.89	−0.54 (0.68)		0.43	1.0 (3.8)		0.80
NG/NJ tube	7.2 (2.7)	0.009	0.74 (0.59)		0.22	0.1 (3.3)		0.96

Multivariable linear regression models were created to examine the relationship between starting on a high calorie nutritional rehabilitation protocol and several outcomes. All models controlled for age of patient, % expected body weight on admission, race/ethnicity, insurance status, diagnosis, and whether an NG/NJ tube was used during the admission. Adjusted estimates with standard errors and p-values are shown for each model

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