The refeeding syndrome. Importance of phosphorus. / El síndrome de realimentación. Importancia del fósforo.
Med Clin (Barc)
; 150(12): 472-478, 2018 06 22.
Article
in En, Es
| MEDLINE
| ID: mdl-29448987
ABSTRACT
Refeeding syndrome (RS) is a complex disease that occurs when nutritional support is initiated after a period of starvation. The hallmark feature is the hypophosphataemia, however other biochemical abnormalities like hypokalaemia, hypomagnesaemia, thiamine deficiency and disorder of sodium and fluid balance are common. The incidence of RS is unknown as no universally accepted definition exists, but it is frequently underdiagnosed. RS is a potentially fatal, but preventable, disorder. The identification of patients at risk is crucial to improve their management. If RS is diagnosed, there is one guideline (NICE 2006) in place to help its treatment (but it is based on low quality of evidence). The aims of this review are highlight the importance of this problem in malnourished patients, discuss the pathophysiology and clinical characteristics, with a final series of recommendations to reduce the risk of the syndrome and facilitate the treatment.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Nutritional Support
/
Refeeding Syndrome
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Guideline
/
Incidence_studies
/
Prognostic_studies
/
Screening_studies
Limits:
Humans
Language:
En
/
Es
Journal:
Med Clin (Barc)
Year:
2018
Document type:
Article