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2022 ISFM Consensus Guidelines on Management of the Inappetent Hospitalised Cat.

Samantha Taylor1, Daniel L Chan2, Cecilia Villaverde3

  • 1International Society of Feline Medicine, Tisbury, Wiltshire, UK.

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PubMed
Summary

Promptly addressing inappetence in hospitalized cats is crucial for recovery. Early nutritional assessment and interventions, including feeding tubes, prevent malnutrition and improve outcomes in feline patients.

Keywords:
Feeding tubesanorexiaappetite stimulantsgastrostomyhyporexianaso-oesophagealnasogastricnutritional assessmentnutritional supportoesophagostomyrefeeding syndrome

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Area of Science:

  • Veterinary Medicine
  • Feline Nutrition
  • Critical Care

Background:

  • Inappetence is common in hospitalized cats, significantly impacting recovery due to unique feline metabolism and stress susceptibility.
  • Malnutrition in cats can prolong illness, impair wound healing, and compromise gut health and immunity.
  • Hospital environments and handling can exacerbate feline inappetence, negatively affecting patient outcomes.

Purpose of the Study:

  • To provide evidence-based guidelines for managing inappetent hospitalized cats.
  • To emphasize the importance of early nutritional assessment and intervention.
  • To guide clinicians on timely and appropriate nutritional support strategies.

Main Methods:

  • Development of consensus guidelines by a panel of experts from the International Society of Feline Medicine (ISFM).
  • Information synthesis based on available literature, expert opinion, and clinical experience.
  • Focus on practical management of inappetence in hospitalized feline patients.

Main Results:

  • Nutritional assessment is vital for identifying intervention needs in hospitalized cats.
  • Prompt management of underlying causes (illness, pain, nausea, stress) is essential for optimizing food intake.
  • Multimodal management includes stress reduction, medications, and assisted nutrition (tube feeding or parenteral nutrition).

Conclusions:

  • Delayed intervention for feline inappetence can lead to deterioration and worsen nutritional deficits.
  • Feeding tubes are generally well-tolerated and should not be delayed due to clinician apprehension.
  • Awareness of potential complications like stoma infections and refeeding syndrome is necessary when implementing assisted nutrition.