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ASPEN Consensus Recommendations for Refeeding Syndrome.

Joshua S V da Silva1, David S Seres2, Kim Sabino3

  • 1Boonshoft Emergency Medicine Residency Program, Kettering, Ohio, USA.

Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
|March 3, 2020
PubMed
Summary
This summary is machine-generated.

This study introduces a new definition and risk stratification for refeeding syndrome (RS) to guide clinical practice. It provides consensus recommendations for identifying, avoiding, and managing RS in adult and pediatric patients.

Keywords:
consensusmagnesiumnutrition assessmentnutrition supportphosphoruspotassiumrefeeding syndrome

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Area of Science:

  • Clinical Nutrition
  • Metabolic Disorders
  • Patient Safety

Background:

  • Refeeding syndrome (RS) poses a significant risk to hospitalized patients.
  • Existing definitions and management strategies for RS lack standardization.
  • The American Society for Parenteral and Enteral Nutrition (ASPEN) convened a task force to address these issues.

Purpose of the Study:

  • To develop consensus recommendations for identifying, stratifying risk, avoiding, and managing refeeding syndrome.
  • To propose a standardized clinical definition and diagnostic criteria for RS.
  • To provide guidance for both adult and pediatric hospitalized populations.

Main Methods:

  • An interprofessional task force conducted a narrative review of the literature.
  • Subgroups investigated specific issues through literature review.
  • A consensus process involving email and teleconference discussions refined the recommendations.

Main Results:

  • A new clinical definition for RS is proposed.
  • Criteria for stratifying RS risk (mild, moderate, severe) based on electrolyte changes and organ dysfunction within 5 days of caloric reintroduction are outlined.
  • Recommendations cover identification, risk stratification, avoidance, and management strategies.

Conclusions:

  • The consensus recommendations aim to improve the recognition and management of RS.
  • The proposed definition and criteria will serve as a foundation for future research on RS incidence, pathophysiology, and treatment.