TABLE 6.

Criteria for Hospital Admission for Children, Adolescents, and Young Adults With Eating Disorders

Anorexia Nervosa
• <75% ideal body weight, or ongoing weight loss despite intensive management
• Refusal to eat
• Body fat <10%
• Heart rate <50 beats per minute daytime; <45 beats per min nighttime
• Systolic pressure <90
• Orthostatic changes in pulse (>20 beats per min) or blood pressure (>10 mm Hg)
• Temperature <96°F
• Arrhthymia
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