Risk factors of refeeding syndrome in malnourished older hospitalized patients
Abstract
Background & aims Despite the high prevalence of malnutrition among older hospitalized persons, it is unknown how many of these malnourished patients are at risk of developing the refeeding syndrome (RFS). In this study, we sought to compare the prevalence and severity of malnutrition among older hospitalized patients with prevalence of known risk factors of RFS. Methods This cross-sectional multicenter-study investigated older participants who were consecutively admitted to the geriatric acute care ward. Malnutrition screening was conducted using Nutritional Risk Screening (NRS-2002), Malnutrition Universal Screening Tool (MUST) and Mini Nutritional Assessment-Short Form (MNA-SF). The National Institute for Health and Clinical Excellence (NICE) criteria were applied for assessing patients at risk of RFS. Weight and height were measured. Degree of weight loss (WL) was obtained by interview. Serum phosphate, magnesium, potassium, sodium, calcium, creatinine and urea were analyzed according to standard procedures. Results The study group comprised 342 participants (222 females) with a mean age of 83.1 ± 6.8 and BMI range of 14.7-43.6 kg/m 2 . More participants were assessed at risk of malnutrition using NRS-2002 (n = 253, 74.0%) compared to MUST (n = 170, 49.7%) and MNA-SF (n = 191, 55.8%). Of total participants, 239 (69.9%; 157 females) were considered to be at risk of RFS. Based on NRS-2002, 75.9% (n = 192) of patients at risk of malnutrition are at risk of RFS whereas accord…
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A large overlap between the risk of malnutrition according to common screening tools and the risk of refeeding syndrome was observed in older hospitalized patients.
“A large overlap between the risk of malnutrition according to common screening tools and the risk of RFS was observed in the same patient group ( 174”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [174]
Cites
Rubenstein, L. Z., Harker, J. O., Salva, A., Guigoz, Y., & Vellas, B. (2001) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/56.6.m366 · Cited by 2,751 · see citing works
Sorensen, J., Kondrup, J., Prokopowicz, J., Schiesser, M., Krähenbühl, L., Meier, R., & Liberda, M. (2008) · Clinical Nutrition · doi:10.1016/j.clnu.2008.03.012 · Cited by 607 · see citing works
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ESPEN practical guideline: Clinical nutrition and hydration in geriatrics
Volkert, D., Beck, A. M., Cederholm, T., Cruz-Jentoft, A., Hooper, L., Kiesswetter, E., Maggio, M., Raynaud-Simon, A., Sieber, C., Sobotka, L., et al. (2022) · Clinical Nutrition · doi:10.1016/j.clnu.2022.01.024 · Cited by 516 · see citing works
Self-citationESPEN guideline on hospital nutrition
Thibault, R., Abbasoglu, O., Ioannou, E., Meija, L., Ottens-Oussoren, K., Pichard, C., Rothenberg, E., Rubin, D., Siljamäki-Ojansuu, U., Vaillant, M.-F., et al. (2021) · Clinical Nutrition · doi:10.1016/j.clnu.2021.09.039 · Cited by 259 · see citing works
- Authors
- Pourhassan, M., Cuvelier, I., Gehrke, I., Marburger, C., Modreker, M. K., Volkert, D., Willschrei, H.-P., & Wirth, R.
- Affiliations
- Universitätsklinik Marien Hospital Herne (DE)
- Sana Kliniken AG (DE)
- Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
- Corresponding author
- Pourhassan, Maryam
- Venue
- Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2018-08
- Volume
- 37
- Issue
- 4
- Pages
- 1354-1359
- ISSN
- 0261-5614 (ISSN-L)
- OpenAlex
- W2621808070
- Cited by
- 45
- References
- 2
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 5 · 2022: 2 · 2021: 7 · 2020: 6 · 2019: 7 · 2018: 8 · 2017: 1
- FWCI
- 4.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Health Professions › Health Information Management › Dietetics, Nutrition, and Education
- Keywords
- refeeding syndrome, malnutrition, hospitalized older adults, malnutrition screening, NRS-2002, Malnutrition Universal Screening Tool, Mini Nutritional Assessment Short Form, weight loss, disease severity, body mass index, serum electrolytes, risk factors, nutritional rehabilitation, NICE criteria
- MeSH terms
- Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Humans, Male, Risk Factors, Severity of Illness Index, Geriatric Assessment, Nutrition Assessment, Malnutrition, Refeeding Syndrome
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