Refeeding Syndrome in Critically Ill Children

Launched by ASSIUT UNIVERSITY · Aug 31, 2024

Keywords

ClinConnect Summary

This clinical trial is studying a condition called refeeding syndrome (RFS) in critically ill children. RFS can happen when malnourished children start receiving food or nutrition again after a period of not eating. If they get too much too quickly, it can lead to serious problems with important minerals in their bodies, like potassium and magnesium. The trial aims to better understand how to safely reintroduce nutrition to these children to prevent complications.

To be eligible for the trial, children aged 1 month to 18 years who have been in the hospital and are severely malnourished (not fed for at least three days) may be included. Researchers will look at their levels of certain minerals in the blood to determine if they are at risk for refeeding syndrome. Unfortunately, children under 1 month, over 18 years, or those with certain health conditions will not be able to participate. If your child qualifies, they will receive special nutritional support while being closely monitored for their health and well-being throughout the study.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Children included were those (1month to 18 years) admitted at hospital with minimum of one phosphorus, potassium, and/or magnesium assay and who are severely malnourished and starved (no feeding )for at least 3 days then received exclusive or supplemental nutritional support.
• • Undernourished children (body mass index z-score \< -2 standard deviations) were considered at risk of refeeding syndrome. The ASPEN critiera were used to identify those with probable refeeding syndrome.
• Exclusion Criteria:
• • Patients age less than 1month and more than 18 years' old and patients with CKD ,liver cirrhosis and endocrinal diseases.