ArticleJournal of eating disorders2025
Restraint for nasogastric tube feeding in young people with anorexia nervosa or atypical anorexia nervosa: a retrospective audit.
Article in Journal of eating disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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.
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.
Who cites it
4 citing papers in PubMed.
- Updated Dietetic Prescribing Guidelines When Naso-Gastric Tube Feeding Under Physical Restraint Is Required: A Modified Nominal Group Technique Study.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026Article
- The importance of learning from people with lived experiences of eating disorders.Journal of eating disorders · 2026Article
- Intermittent oroesophageal vs. nasogastric tube feeding in frail elderly with dysphagia: a retrospective comparative study.Frontiers in medicine · 2026Article
- "It gave me a sense of control in a treatment where I felt I had none": the use of social stories and preferences to reduce the use of restraint during nasogastric tube feeding in young people with anorexia nervosa.Frontiers in psychiatry · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMedically unstable young people with anorexia nervosa or atypical anorexia nervosa, are admitted to the adolescent medical ward at the reporting institution for nutritional rehabilitation. If meals are refused a nasogastric tube may be needed. At times restraint is used to ensure the required feeds are administered. This is an ethically complex and distressing dilemma for all involved and can result in long-term trauma for young people. The aim of this project was to establish a profile of young people with anorexia nervosa or atypical anorexia nervosa who require restraint for nasogastric tube insertion and/or feeding in the acute care paediatric setting and to understand the extent of restraint events occurring.
methodWe undertook a retrospective audit of inpatients admitted to the adolescent medical ward at a quaternary pediatric hospital in Melbourne, Australia, between 2021 and 2023, for the treatment of anorexia nervosa or atypical anorexia nervosa. Data points were agreed by multidisciplinary stakeholders and were collected from the institution's electronic medical record. Data were analysed using descriptive statistics.
resultsOf the 217 young people admitted, 23 (11%) had documented physical restraint for nasogastric tube feeding. Mental health comorbidities, neurodivergence, and social or behavioural complexity were higher in the young people who required feeding restraint as compared to those that did not. Of note, 15 (65%) of young people who were restrained for feeds had a diagnosis of autism, or a clinical note in their medical record indicating possible autism.
conclusionsYoung people in our institution admitted to the adolescent medical ward with anorexia nervosa or atypical anorexia nervosa who are restrained for feeding have a more complex clinical, social and behavioural profile than those who do not require restraint. Care and treatment tailored to the individual, sensitive to neurodivergence, encourages clinicians to consider the young person they are treating to reduce or prevent restraint and to inform a restraint approach that mitigates iatrogenic harm.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.