Publications by authors named "E Bern"

Background And Objective: Few studies have examined pediatric hospital utilization across the spectrum of eating disorder (ED) diagnoses among hospitalized patients. We describe sociodemographic and clinical characteristics, hospital utilization, and enteral tube feeding and examine factors associated with hospital utilization among patients with EDs.

Methods: Using data from the Pediatric Health Information System, we included patients aged 4 to 20 years with primary ED diagnoses hospitalized from 2018 to 2022.

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Avoidant/restrictive food intake disorder (ARFID) is distinct from other restrictive eating disorders in that body image disturbance or fear of weight gain do not drive restrictive eating. ARFID occurs across the full weight spectrum and youth with ARFID may still experience body weight/shape concerns, not necessarily pathological like body image disturbance is, but research is currently very limited. The current study examined how body weight/shape concerns vary across the full weight spectrum in youth with ARFID.

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Introduction: There is limited evidence to guide management of patients with avoidant restrictive food intake disorder (ARFID) admitted for medical stabilization. We describe variations in inpatient care which led to the development of a multidisciplinary inpatient clinical pathway (ICP) to provide standardized management and examine differences after the ICP was implemented.

Methods: A retrospective review of patients with ARFID admitted to Adolescent Medicine, Gastroenterology, and General Pediatrics at a single academic center was conducted.

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Article Synopsis
  • The study aimed to assess the progression of avoidant/restrictive food intake disorder (ARFID) in youth aged 9 to 23 over two years, focusing on factors influencing treatment outcomes and diagnostic changes.* -
  • Among 100 participants, 50% maintained their ARFID diagnosis while a small percentage shifted to anorexia nervosa; severity in certain ARFID profiles affected persistence and remission rates during follow-ups.* -
  • The results highlight the unique characteristics of ARFID compared to other eating disorders and emphasize how specific profiles can help predict the course of the disorder.*
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