Extended period NPO (>5 days). Over time, this change can deplete electrolyte stores. 2014;71(2):1007. Complications associated with NG feeding found in this review are summarised in Table 2, with the most frequently described being nasal irritation or epistaxis, anxiety related to the procedure and electrolyte disturbance (which occurred with both oral and NG refeeding). The .gov means its official. 1. Studies identified 1) a wide range of refeeding regimes depending on country, settings, and the reason for initiation; 2) standard practice is to introduce Nasogastric feeds (NG) if medically unstable or oral intake alone is inadequate; 3) NG may enable greater initial weight gain due to increased caloric intake; 4) there are 3 main types of feeding regime: continuous, nocturnal and bolus; 5) complications included nasal irritation, epistaxis, electrolyte disturbance, distress and tube removal; 6) where NG is routinely implemented to increase total calorie intake, length of stay in hospital may be reduced; however where NG is implemented in correlation to severity of symptoms, it may be increased; 7) both medical and psychiatric wards most commonly report using NG in addition to oral intake. https://doi.org/10.1002/eat.1040. FOIA 152-158, The incidence of the refeeding syndrome. In 13 studies (3 high risk of bias [28, 35, 47]) in which NG was not implemented as standard protocol for all patients, the percentage of ED YP administered NG feeding in all contexts (due to medical instability or inadequate oral diet) varied between 6 and 66% [9, 18, 29, 31, 36, 37, 41,42,43,44]. Patient profile, clinical course and treatment outcomes were assessed. PubMed Central The incidence of RFS varied from 0% to 62% across the studies. Despite this, the patient encountered refeeding syndrome with significant electrolyte Refeeding protocols daily calorie intake varied greatly between studies particularly as many studies were evaluating the outcome of higher calorie refeeding protocols [9, 18, 22, 24, 31]. (2001). NICE. Refeeding syndrome affects the length of stay in part of, but not all, patients. (1) Cessation of nutrition followed by refeeding. The risk of bias was serious in 16 studies and moderate in the remaining 19. The reintroduction of enteral or parenteral nutrition, leading to refeeding hypophosphatemia (RFH), has been presented as potential risk factor.
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