Risk of refeeding syndrome: an observational study in primary healthcare.

IF 2.4 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Family practice Pub Date : 2025-06-04 DOI:10.1093/fampra/cmaf038

Clément de Begon de Larouzière de Montlosier, Candy Guiguet-Auclair, Pierre Mély, David Julien, Laurent Gerbaud, Marie Blanquet

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引用次数: 0

Abstract

Background: Refeeding syndrome (RFS) is a complex phenomenon associated with increased mortality. However, the prevalence of risk factors for RFS has never been assessed in primary care. Our aim was to assess the prevalence of risk for developing RFS in primary care.

Methods: A retrospective observational study was conducted in a general practitioner (GP) surgery in June 2022. The study included older adult patients (aged ≥75 years) or adult patients with chronic disease (aged 18-74 years), living at home and receiving care at home or at the GP's surgery between January 1 and June 30, 2021. Patients at high risk of developing RFS were identified using the National Institute for Health and Clinical Excellence (NICE) criteria. The risk of RFS was also assessed in patients aged ≥70 years using an adaptation of the NICE criterion for body mass index based on the Global Leadership Initiative on Malnutrition guidelines.

Results: The prevalence of patients at risk for RFS was 2.8% (95% CI: 1.5%-4.1%) in the full population of 611 patients and 8.8% (95% CI: 6.1%-6.4%) in the subset of patients aged ≥70 years assessed using the adapted NICE criterion. The prevalence of patients at risk for RFS increased with age and chronic conditions. More severe comorbidity and home care were factors associated with higher risk of RFS.

Conclusion: The risk of developing RFS in primary care settings is not negligible. GPs should consider this risk in their practice to develop a more comprehensive care programme.

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再喂养综合征的风险：一项初级保健的观察性研究

背景：再进食综合征（RFS）是一种与死亡率升高相关的复杂现象。然而，在初级保健中从未评估过RFS危险因素的流行程度。我们的目的是评估初级保健中发生RFS风险的流行程度。方法：回顾性观察研究于2022年6月在全科医生（GP）手术中进行。该研究包括2021年1月1日至6月30日期间住在家中并在家中或全科医生的手术中接受护理的老年成人患者（年龄≥75岁）或患有慢性疾病的成年患者（年龄18-74岁）。根据国家健康与临床卓越研究所（NICE）的标准确定发生RFS的高风险患者。还对年龄≥70岁的患者进行了RFS风险评估，采用了基于全球营养不良领导倡议指南的NICE体重指数标准。结果：在611例患者中，RFS风险患者的患病率为2.8% (95% CI: 1.5%-4.1%)，在使用NICE标准评估的≥70岁患者亚组中，RFS风险患者的患病率为8.8% （95% CI: 6.1%-6.4%）。有RFS风险的患者患病率随着年龄和慢性疾病的增加而增加。更严重的合并症和家庭护理是与RFS高风险相关的因素。结论：在初级保健机构发生RFS的风险不容忽视。全科医生应该在实践中考虑到这种风险，以制定更全面的护理方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Family practice 医学-医学：内科

CiteScore

4.30

自引率

9.10%

发文量

144

审稿时长

4-8 weeks

期刊介绍： Family Practice is an international journal aimed at practitioners, teachers, and researchers in the fields of family medicine, general practice, and primary care in both developed and developing countries. Family Practice offers its readership an international view of the problems and preoccupations in the field, while providing a medium of instruction and exploration. The journal''s range and content covers such areas as health care delivery, epidemiology, public health, and clinical case studies. The journal aims to be interdisciplinary and contributions from other disciplines of medicine and social science are always welcomed.