I learned so much at Kartini. The one thing I didn't know when I left was the possibilities that still existed. I am married, with a...
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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 (> 20 bpm) or blood pressure (> 10 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

Criteria as of 1 January, 2003. See Pediatrics, Vol. 111, pp. 204-11.

For a discussion on how to determine "ideal" body weight in context of a suspected eating disorder, please read this.