Refeeding syndrome in the frail elderly population: prevention, diagnosis and management.

Aubry, Emilie; Friedli, Natalie; Schütz, Philipp; Stanga, Zeno (2018). Refeeding syndrome in the frail elderly population: prevention, diagnosis and management. Clinical and experimental gastroenterology, 11, pp. 255-264. Dove Medical Press 10.2147/CEG.S136429

[img]
Preview
Text
ceg-136429-refeeding-syndrome-in-the-frail-elderly-population-preventi-070918.pdf - Published Version
Available under License Creative Commons: Attribution-Noncommercial (CC-BY-NC).

Download (1MB) | Preview

Aging is linked to physiological and pathophysiological changes. In this context, elderly patients often are frail, which strongly correlates with negative health outcomes and disability. Elderly patients are often malnourished, which again is an independent risk factor for both frailty and adverse clinical outcomes. Malnutrition and resulting frailty can be prevented by adequate nutritional interventions. Yet, use of nutritional therapy can also have negative consequences, including a potentially life-threatening metabolic alteration called refeeding syndrome (RFS) in high-risk patients. RFS is characterized by severe electrolyte shifts (mainly hypophosphatemia, hypomagnesemia and hypokalemia), vitamin deficiency (mainly thiamine), fluid overload and salt retention leading to organ dysfunction and cardiac arrhythmias. Although the awareness of malnutrition among elderly people is well established, the risk of RFS is often neglected, especially in the frail elderly population. This partly relates to the unspecific clinical presentation and laboratory changes in the geriatric population. The aim of this review is to summarize recently published recommendations for the management of RFS based on current evidence from clinical studies adapted with a focus on elderly patients.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Endocrinology, Diabetology and Clinical Nutrition

UniBE Contributor:

Reber-Aubry, Emilie and Stanga-Nodari, Zeno

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1178-7023

Publisher:

Dove Medical Press

Language:

English

Submitter:

Andreas Melmer

Date Deposited:

20 Aug 2019 08:55

Last Modified:

25 Sep 2020 13:59

Publisher DOI:

10.2147/CEG.S136429

PubMed ID:

30022846

Uncontrolled Keywords:

elderly frail malnutrition management refeeding syndrome

BORIS DOI:

10.7892/boris.126225

URI:

https://boris.unibe.ch/id/eprint/126225

Actions (login required)

Edit item Edit item
Provide Feedback