Hospital admission and short-term mortality rates in anorexia nervosa:efficacy of an integrated medical-psychiatric outpatient treatment

AbiectívesT: o evaluateth e etreaivenesosf an integratedm edical-psychiatric {ea\nent of maior eatingd rggrderyD esigmH-- istoricalc ohortstud'yS. efrrng , Oupitin;Ù"it 'fF-oelnd yetreicko F!"!w Ma\ytritigy-of. the Departmenotf Clinicalu ndE *p"í^entàl meiiane, II" Univers.ityo f Napleg time of study:J anuaryt gg+ to Oecemneii bgl Participants1: 47 femalep ahentsw .rfhr estn'ctiv'eo ibulimic incirexian ervosa(m ean age 19.8x73.7B,M I 14.7x2.K1 g/r*).consecuùi.elayt tendingth e outpatienut nitb ettueenJ anuary 7994a ndD ecember1 997M. ain outcomem easures-H.-o spitàIizationa nd^ omlity'iit", were.evaluateudp to Jan 1999w ith a minimumî ollow-upo f 18 monthsR. esulfs:T he,íeie re 23 admissiontso the Clinicail\ rut.,tonw *d for 19 patients(i .e.1 2.g%^) ortfy ari ioi.uuo prylgin gnerw malnutritiorya ndZ deaths,o nly I imAy retatedt o anorexii( moftality ràte 0.7%).C onclusions:I ntegratedo utpatienmt eacafpsychiatrictr eatmentf oì maioi éaing dsordersi s an effectir'eandln e,rpensivper ccedure'tiafr educesm ortalitya nd a"dmissrbns duet o medicalc omplicationms tàe mediurnt ern.