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Refeeding Syndrome in a Critically Ill Child
ISSN: 1929 - 4247
Publisher: author
Refeeding Syndrome in a Critically Ill Child
Indexed in
Health Sciences
ARTICLE-FACTOR
1.3
Article Basics Score: 3
Article Transparency Score: 2
Article Operation Score: 3
Article Articles Score: 3
Article Accessibility Score: 2
SUBMIT PAPER ASK QUESTION
International Category Code (ICC):
ICC-0702
Publisher: Lifescience Global Inc.
International Journal Address (IAA):
IAA.ZONE/1929100994247
eISSN
:
1929 - 4247
VALID
ISSN Validator
Abstract
Objective: To report a case of a child interned in an ICU of a University Hospital who developed refeeding syndrome, and to review the specific literature pertinent to this area. Case Report: An eight year-old, previously healthy, male patient was admitted for necrotizing pneumonia. On admission the child had a z-score of weight for height of 0.38 and height for age of -0.74. Following 60 days’ hospital admission he had lost 27.5% of initial weight. Enteral tube feeding, with an energy intake equivalent to the basal metabolic rate plus 20% for stress, was initiated and gradually increased during the stabilization phase. After receiving 2000 kcal/day for 5 days, hypophosphatemia was detected in association with an increase in hepatic enzymes and hyperglycemia. No concomitant worsening of the white blood count or evidence of inflammatory activity was present. These alterations were accompanied by an increase in pulse rate and body tempe...
