Table 5 Studies of inpatient treatment followed by day treatment for children and adolescents with eating disorders
Author, Year | # of Participants (Diagnosis) | Study Design | Mean Length of Stay | Primary Outcome | Finding |
|---|---|---|---|---|---|
Delle Grave, 2014 [66] | 27 (all ANb, subtype not recorded) | Case series | 91 days inpatient + 49 days day treatment | Weight gain from admission to inpatient to discharge from day treatment (kg, BMI centile) Change in EDE-Qa scores from admission to inpatient until discharge from day treatment | Mean weight rose from 38.5 (SD = 6.1) at admission to 49.7 (SD = 5.6) at discharge Mean BMI centile rose from 2.7 (SD = 4.2) at admission to 34.2 (SD = 15.7) at discharge Mean EDE-Q Global score dropped from 3.7 (SD = 1.3) at admission to 2.1 (SD = 1.2) at discharge (p < 0.001) |
El Ghoch, 2014 [67] | 33 (all AN, subtype not recorded) | Case Control | 91 days inpatient + 49 days day treatment | Weight gain admission to inpatient to discharge from day treatment (kg, BMI centile) | Mean weight rose from 38.9 kg (SD = 5.1) to 49.4 kg (SD = 3.9) at discharge (admit to discharge p < 0.001, admit vs control p < 0.001, discharge vs control p < 0.06) Mean BMI centile rose from 1.6 (SD = 4.0) at admission to 31.7 (SD = 10.6) at discharge (admit to discharge p < 0.001, admit vs control p < 0.001, discharge vs control p < 0.8) |
Hillen, 2015 [68] | 34 (31 AN-Rb, 3 AN-B/Pb) | Case series | 105.7 (SDc=38.5) | Weight gain admission to inpatient to discharge from day treatment (BMI, %TGWd) Change in EDI-2e scores admission to inpatient to discharge from day treatment Change in ANSOCQfscore admission to inpatient to discharge from day treatment | Mean BMI rose from 15.7 (SD = 1.2) at admission to 18.0 (1.0) at discharge Mean %TGW rose from 77.6% (SD = 5.4%) at admission to 88.5% (SD = 4.4%) at discharge Mean EDI-2 score dropped from 270.9 (SD = 66.6) at admission to 255.5 (SD = 78.1) at discharge (p < 0.36) Mean ANSOCQ score rose from 50.2 (SD = 14.8) at admission to 71.6 (SD = 23.0) at discharge (p < 0.0001) |
Strober, 2006 [69] | 99 (all AN, subtype not recorded) | Case series | 118 (SD = 27) | Weight gain admission inpatient to discharge from day treatment (BMI) | Mean BMI rose from 12.5 (SD = 1.1) at admission to 18.5 (SD = 0.42) at discharge |
Treat, 2008 [70] | 71 (all AN, subtype not recorded) | Case series | 33.6 days inpatient, 22.3 days day treatment | Weight gain admission to inpatient to discharge from day treatment (%TGW, BMI) Overall outcome as rated by composite of %TGW, weight trajectory and compensatory measures) | Mean %TGW rose from 74.1 (SD = 7.3) to 87.3% (SD = 5.77) at discharge (p < 0.01) Mean BMI rose form 15.2 (SD = 1.54) at admission to 17.9 (SD = 1.07) at discharge (p < 0.01) Excellent outcome in 25 patients, intermediate in 29 patients and poor in 17 patients at discharge from day treatment |