Acute Medicine | Medical complications following surgery case 05 knowledge A
Refeeding Syndrome
Session Overview
Description
A brief overview on identifying those patients at risk of refeeding syndrome, with reference to NICE guidelines.
By the end of this session you will be able to:
- Identify the risk factors for refeeding syndrome
Refeeding syndrome can occur when a previously malnourished patient receives adequate nutrition.
Incidence
In a meta-analysis of hyperalimentation, 34% of patients on an intensive care unit experienced hypophosphataemia soon after feeding was started.
In a study of 10,197 hospitalised patients, the rate of severe hypophosphataemia was 0.43%; malnourished patients were most at risk.
The syndrome is probably under-recognised and under-diagnosed on medical and surgical wards.
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