{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T08:04:53Z","timestamp":1769501093587,"version":"3.49.0"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,11,19]],"date-time":"2019-11-19T00:00:00Z","timestamp":1574121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study assesses the impact of a clinical refeeding guideline on weight restoration, length of stay, rate of refeeding complications, and rehospitalizations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This retrospective study included patient records of 107 participants aged 13\u201355 years with a diagnosis of AN, admitted for at least 7 days for renutrition before and after introduction of the refeeding guideline. Weight evolution graphs were rated by 2 clinical experts independently. Binary logistic regression models were erected to identify clinical outcomes associated independently with the guideline as well as to control for potential confounding by sociodemographic and clinical characteristics at\u00a0admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The proportion of patients achieving optimal weight gain after the first 2 weeks increased significantly from 6.3% pre\u2010guideline to 41.8% post guideline (adjusted odds ratio [AOR] = 37.6; 95% confidence interval [CI], 2.77\u2013510.3; <jats:italic>P<\/jats:italic>\u00a0= 0.006). Average length of hospitalization was reduced from 96.7 (SD 48.3) days pre\u2010guideline to 62.2 (SD 45.5) days post guideline (AOR = 0.99; 95% CI, 0.97\u20131.01; <jats:italic>P<\/jats:italic>\u00a0= 0.18). None of the patients developed a full refeeding syndrome. There was no significant change in the rate of rehospitalization: 48.5% pre\u2010guideline to 43.2% post guideline (OR = 0.81; 95% CI, 0.36\u20131.84; <jats:italic>P<\/jats:italic>\u00a0= 0.62).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The clinical guideline proved highly effective in bolstering weight gain via intensive refeeding procedures while also being safe. Harmonizing clinical practices improves quality of care for patients with anorexia and, interestingly, may decrease costs by cutting average length of stay by a third without increasing the rehospitalization rate.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpen.1723","type":"journal-article","created":{"date-parts":[[2019,11,19]],"date-time":"2019-11-19T13:26:59Z","timestamp":1574170019000},"page":"1124-1139","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Nutrition Approach for Inpatients With Anorexia Nervosa: Impact of a Clinical Refeeding Guideline"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8889-2581","authenticated-orcid":false,"given":"Mathea","family":"Gjoertz","sequence":"first","affiliation":[{"name":"Faculty of Biology and Medicine University of Lausanne (UNIL)  Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jen","family":"Wang","sequence":"additional","affiliation":[{"name":"Interdisciplinary Division for Adolescent Health (DISA) Lausanne University Hospital (CHUV)  Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sol\u00e8ne","family":"Chatelet","sequence":"additional","affiliation":[{"name":"Faculty of Biology and Medicine University of Lausanne (UNIL)  Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carole","family":"Monney Chaubert","sequence":"additional","affiliation":[{"name":"North Vaudois Hospital Establishments (eHnv): St. Loup Hospital  Pompaples Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fran\u00e7oise","family":"Lier","sequence":"additional","affiliation":[{"name":"Interdisciplinary Division for Adolescent Health (DISA) Lausanne University Hospital (CHUV)  Lausanne Switzerland"},{"name":"Vaudois Centre for Anorexia and Bulimia (abC) Lausanne University Hospital (CHUV)  Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne\u2010Emmanuelle","family":"Ambresin","sequence":"additional","affiliation":[{"name":"Faculty of Biology and Medicine University of Lausanne (UNIL)  Lausanne Switzerland"},{"name":"Interdisciplinary Division for Adolescent Health (DISA) Lausanne University Hospital (CHUV)  Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,11,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders: Diagnostic and Statistical Manual of Mental Disorders Fifth Edition.Arlington VA: American Psychiatric Association 2013.","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_3_1","unstructured":"SchnyderU MilosG Mohler\u2010KuoM DermotaP.Prevalence of eating disorders in Switzerland. 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