Nutritional status and risk of refeeding syndrome in hospitalized patients due to acute heart failure at Cardiac Intensive Care Unit

  • Luu Quang Minh 108 Military Central Hospital
  • Nguyen Thi Phuong 108 Military Central Hospital
  • Dang Viet Duc 108 Military Central Hospital

Main Article Content

Keywords

Acute heart failure, nutritional status, SGA, , refeeding syndrome

Tóm tắt

Objective: To investigate the nutritional characteristics and risk of refeeding syndrome in acute heart failure patients at 108 Military Central Hospital. Subject and method: 90 patients with acute cardiovascular disease at the Cardiovascular Intensive Care Unit - 108 Military Central Hospital from 6/2020 to 6/2021. Assessing some risk factors, outcomes, length of hospital stay, SGA, risk of refeeding syndrome. Result: Most patients had moderate (SGA-B) (51.1%) and severe (SGA-C) (28.9%) malnutrition. The risk of refeeding syndrome appeared in 13/45 patients with acute cardiovascular disease (accounting for 28.9%). The total hospitalization duration tended to be prolonged in patients with poor nutritional status or at risk of refeeding syndrome (p<0.05). Rerefeeding syndrome increased the risk of mortality in AHF patients (p<0.05). Conclusion: Patients with acute heart failure have a high rate of malnutrition. Poor nutritional status is associated with increased treatment duration and mortality.

Article Details

Các tài liệu tham khảo

1. Boban M, Bulj N, Kolačević Zeljković M et al (2019) Nutritional considerations of cardiovascular diseases and treatments. Nutr Metab Insights 12:1178638819833705.
2. Greene SJ et al (2015) The vulnerable phase after hospitalization for heart failure. Nat. Rev. Cardiol 12: 220-229.
3. Singer P, Blaser AR, Berger MM et al (2019) ESPEN guideline on clinical nutrition in the Intensive Care Unit. Clinical nutrition (Edinburgh, Scotland) 38(1): 48-79.
4. Tevik K, Thürmer H, Husby MI et al (2015) Nutritional risk screening in hospitalized patients with heart failure. Clin Nutr 34(2): 257-264.
5. Yamauti AK, Ochiai ME, Bifulco PS et al (2006) Subjective global assessment of nutritional status in cardiac patients. Arq Bras Cardiol 87(6): 772-777.
6. Friedli N, Baumann J, Hummel R et al (2020) Refeeding syndrome is associated with increased mortality in malnourished medical inpatients. Medicine 99(1): 18506.