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Table 46 Inpatient admission on pediatric unit for children and adolescents with eating disorders

From: Canadian practice guidelines for the treatment of children and adolescents with eating disorders

Certainty assessment

Impact

Certainty

Importance

№ of studies

Study design

Risk of bias

Inconsistency

Indirectness

Imprecision

Other considerations

Weight Change (assessed with: Pre-post weight measures)

 3

Case Series

very serious a

not serious

not serious

not serious

none

Three case series including a total of 195 patients. Mean LOS varied between studies from 31 days to 85 days. Two studies reported change in weight using %TGW. In both studies weight rose during admission from mean %TGW of 68% (+/− 5.5) to 99% (+/− 7.7); mean %TGW 75.8% (+/− 2.3) to 85.4% (+/− 1.7) and 73.7% (+/−  2.5) to 86.4% (+/−  3.0 kg) (note: results reported in two groups in second study based on whether the patients were followed after discharge).. The final study including 102 children aged 8–12 yrs. with diagnoses of restrictive ED (93.1%) or bulimia (7.1%). At admission the mean weight was 32.3 kg (SD 7.7) and at discharge mean weight was 35.4 kg (SD 8.9).

VERY LOW

CRITICAL

Weight Change (assessed with: Pre-post weight measures)

 1

Case Report

very serious a

not serious

not serious

not serious

none

In one case report (n = 6) study change in weight was reported in kg and rose a mean of 8.8 kg from admission to discharge (n = 5)

VERY LOW

CRITICAL

  1. Explanations
  2. aObservational study with no comparison/control
  3. Bibliography:
  4. Case Series - Lock 2003 [234], Jenkins 1987 [233], Meilleur 2012 [235]
  5. Case Report - Maxmen 1974 [232]