evaluation of an adult inpatient eating disorders unit

1
POSTER PRESENTATION Open Access Evaluation of an adult inpatient eating disorders unit Sue Patterson 1 , Warren Ward 1* , Jeremy Johnson 2 , Rachael Bellair 1 , Shane Jeffrey 1 From 2013 ANZAED Conference: Inspiring Change: Person and Context Melbourne, Australia. 23-24 August 2013 Introduction Whilst most treatment for eating disorders occurs in an outpatient setting, inpatient treatment and care can play an important role if a patient is medically unstable, or is not responding to outpatient or day program treat- ments. With limited research conducted to date, the effectiveness of inpatient care and the role it plays in promoting recovery remain incompletely elucidated. Study Context The Royal Brisbane and Womens Hospital (RBWH) Eating Disorders Unit (EDU), one of few public adult inpatient units for eating disorders in Australia, com- prises five beds in a general psychiatric ward. Treatment is provided by a multi-disciplinary team. The goals of inpatient treatment include medical stabilisation, nutri- tional rehabilitation with restoration of weight (Body Mass Index (BMI)>17), promoting psychological recov- ery and linking patients with outpatient treatment. Method We conducted a retrospective descriptive study using data collected routinely at the RBWH EDU between October 2008 and October 2012. Psychopathology was evaluated using the Eating Disorder Examination (EDE), Eating Disorder Inventory (EDI), and Depression Anxiety Stress Scale (DASS). Patients and carers were also asked to provide feedback on satisfaction of care. Results During the 4-year period of study there were 109 admis- sions (104 female, 5 male) of 72 patients. Admission diagnoses were Anorexia Nervosa (AN, 58%), Bulimia Nervosa (3%), and Eating Disorder Not Otherwise Specified (40%). Mean duration of stay was 46 days (range 2 to 186). Body Mass Indeces (BMIs) at admis- sion were between 11.6 and 27.3 (mean of 14.9 for AN) and increased significantly (p<.01) at discharge by 1.6 (2.1 for AN). Psychopathology was significantly decreased at discharge on all EDE and DASS scales and on 14 of 18 EDI scales. A high level of satisfaction with the RBWH EDU program was reported by both patients and carers. Authorsdetails 1 Royal Brisbane and Womens Hospital, Australia. 2 University of Queensland, Australia. Published: 14 November 2013 doi:10.1186/2050-2974-1-S1-P3 Cite this article as: Patterson et al.: Evaluation of an adult inpatient eating disorders unit. Journal of Eating Disorders 2013 1(Suppl 1):P3. Submit your next manuscript to BioMed Central and take full advantage of: Convenient online submission Thorough peer review No space constraints or color figure charges Immediate publication on acceptance Inclusion in PubMed, CAS, Scopus and Google Scholar Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit * Correspondence: [email protected] 1 Royal Brisbane and Womens Hospital, Australia Full list of author information is available at the end of the article Patterson et al. Journal of Eating Disorders 2013, 1(Suppl 1):P3 http://www.jeatdisord.com/content/1/S1/P3 © 2013 Patterson et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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POSTER PRESENTATION Open Access

Evaluation of an adult inpatienteating disorders unitSue Patterson1, Warren Ward1*, Jeremy Johnson2, Rachael Bellair1, Shane Jeffrey1

From 2013 ANZAED Conference: Inspiring Change: Person and ContextMelbourne, Australia. 23-24 August 2013

IntroductionWhilst most treatment for eating disorders occurs in anoutpatient setting, inpatient treatment and care can playan important role if a patient is medically unstable, or isnot responding to outpatient or day program treat-ments. With limited research conducted to date, theeffectiveness of inpatient care and the role it plays inpromoting recovery remain incompletely elucidated.

Study ContextThe Royal Brisbane and Women’s Hospital (RBWH)Eating Disorders Unit (EDU), one of few public adultinpatient units for eating disorders in Australia, com-prises five beds in a general psychiatric ward. Treatmentis provided by a multi-disciplinary team. The goals ofinpatient treatment include medical stabilisation, nutri-tional rehabilitation with restoration of weight (BodyMass Index (BMI)>17), promoting psychological recov-ery and linking patients with outpatient treatment.

MethodWe conducted a retrospective descriptive study usingdata collected routinely at the RBWH EDU betweenOctober 2008 and October 2012. Psychopathology wasevaluated using the Eating Disorder Examination (EDE),Eating Disorder Inventory (EDI), and Depression AnxietyStress Scale (DASS). Patients and carers were also askedto provide feedback on satisfaction of care.

ResultsDuring the 4-year period of study there were 109 admis-sions (104 female, 5 male) of 72 patients. Admissiondiagnoses were Anorexia Nervosa (AN, 58%), BulimiaNervosa (3%), and Eating Disorder Not Otherwise

Specified (40%). Mean duration of stay was 46 days(range 2 to 186). Body Mass Indeces (BMIs) at admis-sion were between 11.6 and 27.3 (mean of 14.9 for AN)and increased significantly (p<.01) at discharge by 1.6(2.1 for AN). Psychopathology was significantlydecreased at discharge on all EDE and DASS scales andon 14 of 18 EDI scales. A high level of satisfaction withthe RBWH EDU program was reported by both patientsand carers.

Authors’ details1Royal Brisbane and Women’s Hospital, Australia. 2University of Queensland,Australia.

Published: 14 November 2013

doi:10.1186/2050-2974-1-S1-P3Cite this article as: Patterson et al.: Evaluation of an adult inpatienteating disorders unit. Journal of Eating Disorders 2013 1(Suppl 1):P3.

Submit your next manuscript to BioMed Centraland take full advantage of:

• Convenient online submission

• Thorough peer review

• No space constraints or color figure charges

• Immediate publication on acceptance

• Inclusion in PubMed, CAS, Scopus and Google Scholar

• Research which is freely available for redistribution

Submit your manuscript at www.biomedcentral.com/submit

* Correspondence: [email protected] Brisbane and Women’s Hospital, AustraliaFull list of author information is available at the end of the article

Patterson et al. Journal of Eating Disorders 2013, 1(Suppl 1):P3http://www.jeatdisord.com/content/1/S1/P3

© 2013 Patterson et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the CreativeCommons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, andreproduction in any medium, provided the original work is properly cited.