Management and prevention of refeeding syndrome in medical inpatients: An evidence-based and consensus-supported algorithm

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11150%2F18%3A10381051" target="_blank" >RIV/00216208:11150/18:10381051 - isvavai.cz</a>

Alternative codes found

RIV/00179906:_____/18:10381051

Result on the web

<a href="https://doi.org/10.1016/j.nut.2017.09.007" target="_blank" >https://doi.org/10.1016/j.nut.2017.09.007</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.nut.2017.09.007" target="_blank" >10.1016/j.nut.2017.09.007</a>

Result language

angličtina

Original language name

Management and prevention of refeeding syndrome in medical inpatients: An evidence-based and consensus-supported algorithm

Original language description

Objectives: Refeeding syndrome (RFS) can be a life-threatening metabolic condition after nutritional replenishment if not recognized early and treated adequately. There is a lack of evidence-based treatment and monitoring algorithm for daily clinical practice. The aim of the study was to propose an expert consensus guideline for RFS for the medical inpatient (not including anorexic patients) regarding risk factors, diagnostic criteria, and preventive and therapeutic measures based on a previous systematic literature search. Methods: Based on a recent qualitative systematic review on the topic, we developed clinically relevant recommendations as well as a treatment and monitoring algorithm for the clinical management of inpatients regarding RFS. With international experts, these recommendations were discussed and agreement with the recommendation was rated. Results: Upon hospital admission, we recommend the use of specific screening criteria (i.e., low body mass index, large unintentional weight loss, little or no nutritional intake, history of alcohol or drug abuse) for risk assessment regarding the occurrence of RFS. According to the patient&apos;s individual risk for RFS, a careful start of nutritional therapy with a stepwise increase in energy and fluids goals and supplementation of electrolyte and vitamins, as well as close clinical monitoring, is recommended. We also propose criteria for the diagnosis of imminent and manifest RFS with practical treatment recommendations with adoption of the nutritional therapy. Conclusion: Based on the available evidence, we developed a practical algorithm for risk assessment, treatment, and monitoring of RFS in medical inpatients. In daily routine clinical care, this may help to optimize and standardize the management of this vulnerable patient population. We encourage future quality studies to further refine these recommendations. (C) 2017 Elsevier Inc. All rights reserved.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30308 - Nutrition, Dietetics

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Nutrition

ISSN

0899-9007

e-ISSN

—

Volume of the periodical

47

Issue of the periodical within the volume

March

Country of publishing house

US - UNITED STATES

Number of pages

8

Pages from-to

13-20

UT code for WoS article

000426228400003

EID of the result in the Scopus database

2-s2.0-85034617864