Refeeding Syndrome,RFS
Conditions
Interventions
Fast Group(72 h to Target):Day 1: Administer 50% of the target caloric intake.
Day 2: Administer 75% of the target caloric intake.
Day 3 onward: Maintain 100% of the target caloric intake.
Medium Group (5 d to Target):Fifty percent of the target caloric intake is administered on Day 1 and Day 2, increasing to eighty-three percent on Day 3 and Day 4, with full caloric targets (100%) deli
Slow Group(7 d to Target):During the initial three days, patients are administered 50% of the target caloric requirement daily. On the fourth day, this is increased to 70% of the target caloric intake
Sponsors
Second Hospital of Shanxi Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Meets critical illness criteria 2. Age >=18 years 3. First-time ICU admission 4. No enteral or parenteral nutritional support within one week prior to ICU admission 5. Tolerance to enteral nutrition with expected duration >=7 days 6. Anticipated ICU stay >=7 days 7. Nutritional Risk Screening 2002 (NRS 2002) score >=3 8. Written informed consent obtained from the patient or legal guardian
Exclusion criteria
Exclusion criteria: 1. End-stage malignant disease; 2. Extremely high risk of refeeding syndrome (BMI 15 days / >20% body weight loss); 3. Other hypophosphatemia risk factors (dialysis / parathyroid surgery / tumor lysis / phosphate-binding agents for renal replacement therapy); 4. Pregnancy / lactation / severe immunodeficiency; 5. Patients diagnosed with or previously having refeeding syndrome; 6. Diabetic ketoacidosis complications.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence rate of refeeding syndrome; | — |
Secondary
| Measure | Time frame |
|---|---|
| serium inorganic phosphorus;The incidence of gastrointestinal intolerance;Energy and Protein Target Achievement Rate;serum potassium;Blood magnesium; | — |
Countries
China
Contacts
Public ContactWang Chujun
Second Hospital of Shanxi Medical University
Outcome results
None listed