TABLE 4

American Academy of Pediatrics Criteria for Inpatient Hospitalization in Eating Disorders

Anorexia NervosaBulimia Nervosa
Heart rate <50 beats/min daytime; < 45 beats/min nighttime Syncope
Systolic blood pressure <90 mm Hg Serum potassium <3.2 mmol/L
Orthostatic changes in pulse (>20 beats/min) or blood pressure (>10 mm Hg) Serum chloride <88 mmol/L
Arrhythmia Esophageal tears
Temperature <96°F Cardiac arrhythmias including prolonged QTc
<75% ideal body weight or ongoing weight loss despite intensive management Hypothermia
Body fat <10% Suicide risk
Refusal to eat Intractable vomiting
Failure to respond to outpatient treatment Hematemesis
 Failure to respond to outpatient treatment