Evidence map›Paper›PMID 39981469›Full record

ArticleCureus2025

Navigating the Complexities of Managing Severe Anorexia Nervosa in a Medical Ward: A Case Report.

Khaled Alharmoodi, Mateen Durrani

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Khaled AlharmoodiConsultation Liaison Psychiatry, The Lakes Mental Health Hospital, Colchester, GBR.
Mateen DurraniConsultation Liaison Psychiatry, The Lakes Mental Health Hospital, Colchester, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anorexia nervosa (AN) is a severe, life-threatening psychiatric disorder often accompanied by significant physical health complications, requiring specialized treatment that is challenging to provide in a general medical setting. This case report presents the complex challenges encountered in managing a 49-year-old woman with severe AN of the purging subtype in a general medical ward setting. Admitted with a life-threatening low body mass index (BMI) of 7.9 and critical physical health issues, her case underscores the intricate relationship between the psychiatric and physical health aspects of AN, especially in an environment with limited specialized resources. The report details her care course, which included medical stabilization, management under the Mental Health Act (MHA), and challenges such as observation, nutritional support, and the ethical complexities surrounding patient autonomy and consent. Additionally, the case highlights systemic limitations, including the lack of specialized training for medical and nursing staff in treating severe AN, as well as the need for multidisciplinary collaboration to navigate risks associated with nasogastric (NG) feeding, refeeding syndrome, and co-occurring psychiatric issues. This report emphasizes the necessity for improved training, specialized resources, and coordinated care in treating complex cases of AN in non-specialized settings to enhance patient outcomes.

Indexed as

anorexia nervosabody mass index (bmi)feeding nasogastric tubemental health actmultidisciplinary carerefeeding syndromesevere malnutrition

Identifiers

PMID39981469
PMCPMC11840994

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.