The refeeding syndrome; easily overlooked as a cause of delirium in psychiatric and medical intensive care

Krabbenbos, Imre P.; Siegers, Peter; Bruins, Peter

doi:10.1017/s1742646412000234

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Description Of Patients Included In the Study (N = 36 Except1

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2013

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Cited by 2 publications

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“…The case report in this issue (Krabbenbos et al 2012) certainly supports the age old idea of providing the care needed in a timely and comprehensive fashion rather than defining it based on clusters. The aims of NAPICU include improving service user experience and outcome by improving mechanisms for the delivery of psychiatric intensive care and auditing effectiveness.…”

mentioning

confidence: 71%

Clusters, garlands or bouquets?

Dye

2013

J. Psychiatr. Intensive Care

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mentioning

confidence: 71%

Clusters, garlands or bouquets?

Dye

2013

J. Psychiatr. Intensive Care

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“…Various groups of malnourished patients are recognised to be at risk of developing RS, and alcohol dependence is among these . To our knowledge, the published literature on RS in alcoholics consists only of case reports, and we could not identify any cohort studies.…”

Section: Description Of Patients Included In the Study (N = 36 Exceptmentioning

confidence: 96%

Refeeding syndrome is uncommon in alcoholics admitted to a hospital detoxification unit

Manning

Gilmour

Weatherall

et al. 2014

Internal Medicine Journal

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The refeeding syndrome is increasingly recognised. It is a serious change in electrolytes when nutrition is reintroduced to malnourished patients. Alcohol dependence is a risk factor for the refeeding syndrome. We report a prospective cohort study of 36 alcoholics hospitalised for withdrawal management. We found no evidence of refeeding syndrome in any patient after 3 days of hospitalisation, despite hypomagnesaemia, a risk factor for the refeeding syndrome being prevalent (44% of subjects). Low thiamine levels were infrequent affecting 3/29 (10%). We recommend that in alcoholics admitted for managed withdrawal, risk of refeeding syndrome appears to be low, and routine testing of repeat electrolytes appears unnecessary.

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The refeeding syndrome; easily overlooked as a cause of delirium in psychiatric and medical intensive care

Cited by 2 publications

References 14 publications

Clusters, garlands or bouquets?

Clusters, garlands or bouquets?

Refeeding syndrome is uncommon in alcoholics admitted to a hospital detoxification unit

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