Review of the refeeding syndrome.
Nutr Clin Pract
; 20(6): 625-33, 2005 Dec.
Article
in En
| MEDLINE
| ID: mdl-16306300
ABSTRACT
Refeeding syndrome describes a constellation of metabolic disturbances that occur as a result of reinstitution of nutrition to patients who are starved or severely malnourished. Patients can develop fluid and electrolyte disorders, especially hypophosphatemia, along with neurologic, pulmonary, cardiac, neuromuscular, and hematologic complications. We reviewed literature on refeeding syndrome and the associated electrolyte abnormalities, fluid disturbances, and associated complications. In addition to assessing scientific literature, we also considered clinical experience and judgment in developing recommendations for prevention and treatment of refeeding syndrome. The most important steps are to identify patients at risk for developing refeeding syndrome, institute nutrition support cautiously, and correct and supplement electrolyte and vitamin deficiencies to avoid refeeding syndrome. We provide suggestions for the prevention of refeeding syndrome and suggestions for treatment of electrolyte disturbances and complications in patients who develop refeeding syndrome, according to evidence in the literature, the pathophysiology of refeeding syndrome, and clinical experience and judgment.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Malnutrition
/
Metabolic Diseases
Type of study:
Etiology_studies
/
Guideline
Aspects:
Determinantes_sociais_saude
Limits:
Humans
Language:
En
Journal:
Nutr Clin Pract
Journal subject:
CIENCIAS DA NUTRICAO
/
ENFERMAGEM
Year:
2005
Document type:
Article
Affiliation country:
Estados Unidos