Refeeding hypophosphatemia: a potentially fatal danger in the intensive care unit.
نویسندگان
چکیده
AIM To determine the overall and comparative incidence of refeeding hypophosphatemia (RH) between enteral and parenteral nutrition in general adult intensive care unit (ICU) patients. MATERIALS AND METHODS This study was performed as a retrospective analysis. A total of 117 patients who received enteral and parenteral nutrition were included in the study. Demographic characteristics, type of nutrition, daily energy intake, and serum phosphorus levels before and after the initiation of the nutrition were recorded for 7 days. RESULTS The mean age of the patients was 65.8 ± 16.7 years. RH was found in 61 patients (52.14%). There was no significant difference in RH with regard to nutrition type (P = 0.756). The duration of the ICU stay was longer in the patients with RH compared with the patients without RH [median: 12 (3-68) and 8.5 (3-41) days, respectively; P = 0.025]. The mortality rate was higher in patients with RH compared with patients without RH (P = 0.037). CONCLUSION The incidence of RH was quite high in our medical ICU. The mortality rate and the duration of ICU stay were higher in the patients with RH than those without RH.
منابع مشابه
Varicella Exposure in Neonatal Intensive Care Unit in a Low Resource Country: Successful Prophylaxis with Intravenous Immunoglobulins
Background: Varicella-zoster infection is a serious and potentially fatal disease, especially among newborns.Several studies have described postnatal varicella zoster exposure among neonates and reported on the efficacy of varicella-zoster immunoglobulins (VZIG) used as post-exposure prophylaxis. Unfortunately, VZIG is not available in Jordan. A limited number of studies have investigated the e...
متن کاملبررسی شیوع هایپوفسفاتمی در کودکان و شیرخواران تحت عمل جراحی قلب باز و تاثیر آن بر پیش آگهی کوتاه مدت بعد از عمل این کودکان
Background & Aims: Hypophosphatemia is seen in very ill patients and can affect treatment outcomes. The aim of this study is the assessment of the prevalence and the effect of the hypophosphatemia in immediate outcome of open heart surgeries in children. Materials & Methods: The patients were divided into two groups of normal and low serum phosphor level. In each group the duration of h...
متن کاملLow serum phosphate is not diagnostic for refeeding syndrome in critical care
Introduction Refeeding syndrome (RFS) is a complication of malnutrition. It consists of electrolyte derangements and organ failure. National Institute of Clinical Excellence (NICE) have outlined specific risk factors for identifying patients at risk of RFS, including low levels of phosphate, potassium and magnesium before feed, low body mass index, starving for >5 days, weight loss, history of ...
متن کاملارزیابی پیامد بیماران با نشانگان تغذیه مجدد بستری در بخش مراقبتهای ویژه
Background and Objective: Refeeding syndrome (RFS) is comprised of severe electrolyte disturbances and metabolic abnormalities that occur after the reinstitution of nutrition to starved patients. Materials and Methods: This prospective study was conducted on patients aged over 18 years who were admitted to the Intensive Care Unit (ICU) of Taleghani and Emam hospitals in Urmia, Iran, during the...
متن کاملRefeeding hypophosphataemia after enteral nutrition in a Malaysian intensive care unit: risk factors and outcome.
BACKGROUND AND OBJECTIVES Refeeding hypophosphataemia (RH) is characterized by an acute electrolyte derangement following nutrition therapy. Complications associated include heart failure, respiratory failure, paraesthesia, seizure and death. We aim to assess its incidence, risk factors, and outcome in our local intensive care unit (ICU). METHODS AND STUDY DESIGN A prospective observational c...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Turkish journal of medical sciences
دوره 44 3 شماره
صفحات -
تاریخ انتشار 2014