Risk Factors for the Development of Refeeding Syndrome-Like Hypophosphatemia in Very Low Birth Weight Infants

Disease Markers
Aiko IgarashiYusei Ohshima

Abstract

Refeeding syndrome is characterized by metabolic disturbance including hypophosphatemia and hypokalemia upon reinstitution of nutrition in severely malnourished patients. The present study sought to identify the risk factors for the development of refeeding syndrome-like metabolic disturbance in very low birth weight infants. The correlations of severe hypophosphatemia with the serum levels of potassium and ionized calcium, daily calorie and phosphate intake, and umbilical cord blood flow on ultrasonography were analyzed in 49 very low birth weight infants. Fifteen infants (36%) presented with hypophosphatemia during the first postnatal week. Hypophosphatemia was significantly associated with birth weight z score (odds ratio, 1.60; 95% confidence interval, 1.04-2.47; p = 0.034) and umbilical artery resistance index (odds ratio, 7.72E-04; 95% confidence interval, 1.14E-06-0.523; p = 0.031). Multiple regression analysis revealed that umbilical artery resistance index was independently associated with hypophosphatemia. Umbilical artery resistance index may serve as a useful marker for future development of refeeding syndrome-like hypophosphatemia in very low birth weight infants. Close monitoring of serum phosphorus and potassium ...Continue Reading

References

Jan 1, 1990·JPEN. Journal of Parenteral and Enteral Nutrition·S M Solomon, D F Kirby
Oct 1, 1987·American Journal of Obstetrics and Gynecology·L M McCowanK Ritchie
Jan 1, 1985·British Journal of Obstetrics and Gynaecology·W B GilesP J Baird
Jul 1, 1997·Archives of Disease in Childhood. Fetal and Neonatal Edition·D C WilsonJ A Dodge
Aug 1, 1997·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·J KurmanaviciusA Huch
Apr 30, 2002·Placenta·Giorgio PardiIrene Cetin
Nov 25, 2003·American Journal of Physiology. Heart and Circulatory Physiology·Ganesh AcharyaJuha Rasanen
Apr 17, 2004·BMJ : British Medical Journal·Stephen D Hearing
May 29, 2004·Journal of Perinatology : Official Journal of the California Perinatal Association·Hassan M IbrahimRichard W Krouskop
Oct 11, 2005·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Rebecca L DunnMaria R Mascarenhas
Jun 28, 2008·BMJ : British Medical Journal·Hisham M MehannaJane Travis
May 19, 2011·European Journal of Clinical Nutrition·F BonsanteJ-B Gouyon
Jan 10, 2012·Journal of Pediatric Gastroenterology and Nutrition·Cynthia L BlancoRajam Ramamurthy
Sep 26, 2012·Pediatrics International : Official Journal of the Japan Pediatric Society·Hiroshi MizumotoDaisuke Hata
Mar 30, 2013·Journal of Perinatology : Official Journal of the California Perinatal Association·J R RossS N Taylor

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Citations

Aug 3, 2018·JPEN. Journal of Parenteral and Enteral Nutrition·Gerardo Bustos LozanoCarmen Rosa Pallás-Alonso
Mar 3, 2020·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Joshua S V da SilvaUNKNOWN Parenteral Nutrition Safety and Clinical Practice Committees, American Society for Parenteral and Enteral Nutrition
May 28, 2020·JPEN. Journal of Parenteral and Enteral Nutrition·Barbara E CormackUNKNOWN ProVIDe Trial Group
Apr 6, 2020·European Journal of Pediatrics·Daniel YakubovichIris Morag
Jul 31, 2021·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·Pirabakaran SivanesanPeter Elsner

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