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EMERGENCY

Refeeding Syndrome

High EvidenceUpdated: 2025-12-22

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Red Flags

  • Hypophosphataemia → Cardiac arrest
  • Severe electrolyte disturbances
  • Cardiac arrhythmias
Overview

Refeeding Syndrome

1. Clinical Overview

Summary

Refeeding syndrome is a potentially fatal metabolic complication that occurs when nutrition is reintroduced to a severely malnourished patient. During starvation, the body switches from carbohydrate to fat metabolism and depletes intracellular stores of phosphate, potassium, and magnesium. When feeding resumes (especially with carbohydrates), insulin is released, driving electrolytes into cells and causing dangerous hypophosphataemia, hypokalaemia, and hypomagnesaemia. This can lead to cardiac arrhythmias, heart failure, respiratory failure, and death. Prevention is key: identify at-risk patients, start feeding low and slow (10 kcal/kg/day), give thiamine before feeding, and monitor and replace electrolytes aggressively.

Key Facts

  • Mechanism: Starvation → Fat metabolism → Refeeding with carbs → Insulin → Electrolyte shift
  • Key Electrolytes: Low Phosphate, Potassium, Magnesium
  • At-Risk: BMI <16, Weight loss >15%, No food >10 days, Anorexia nervosa
  • Prevention: Start low and slow; Thiamine before feeding; Monitor electrolytes
  • Complication: Cardiac arrest, Heart failure

Clinical Pearls

"Phosphate is the Key": Hypophosphataemia is the hallmark of refeeding syndrome and can cause ATP depletion, cardiac failure, and death.

"Thiamine Before Feeding": Give IV thiamine (Pabrinex) BEFORE starting nutrition to prevent Wernicke's encephalopathy.

"Low and Slow": Start at 10 kcal/kg/day in high-risk patients and increase gradually.

"Monitor Daily": Check phosphate, potassium, and magnesium daily for the first 7-10 days.


2. Epidemiology

At-Risk Groups

GroupNotes
Anorexia nervosaMost common cause
Chronic alcoholismWernicke's also risk
Cancer patientsCachexia
Post-surgical patientsProlonged fasting
Elderly neglect
ICU patientsProlonged starvation
Homeless individuals

NICE Criteria for High Risk

One or more of:

  • BMI <16 kg/m²
  • Unintentional weight loss >15% in 3-6 months
  • Little or no nutritional intake for >10 days
  • Low levels of K, PO4, Mg before feeding

Two or more of:

  • BMI <18.5 kg/m²
  • Unintentional weight loss >10% in 3-6 months
  • Little or no nutritional intake for >5 days
  • History of alcohol abuse or drugs (insulin, chemotherapy, antacids, diuretics)

3. Pathophysiology

During Starvation

  • Body switches from carbohydrate to fat metabolism (ketosis)
  • Insulin levels fall
  • Intracellular stores of phosphate, potassium, magnesium, and thiamine deplete
  • Total body depletion, but serum levels may appear normal

On Refeeding

  1. Carbohydrate intake → Insulin release
  2. Insulin drives glucose AND electrolytes into cells
  3. Serum phosphate, potassium, magnesium plummet
  4. ATP production fails (needs phosphate)
  5. Cardiac, respiratory, and neurological dysfunction

Thiamine Deficiency

  • Glucose metabolism requires thiamine
  • Refeeding without thiamine → Wernicke's encephalopathy

4. Clinical Presentation

Features of Refeeding Syndrome

SystemFeatures
CardiacArrhythmias, Heart failure, QT prolongation, Sudden death
RespiratoryRespiratory weakness, Failure
NeurologicalConfusion, Seizures, Wernicke's (if thiamine depleted)
MuscularWeakness, Rhabdomyolysis
HaematologicalHaemolytic anaemia, Platelet dysfunction

Timing


Typically occurs within first 3-4 days of refeeding
Common presentation.
5. Clinical Examination

General

  • Signs of malnutrition (cachexia, muscle wasting)
  • Confusion
  • Tachycardia, hypotension

Cardiovascular

  • Peripheral oedema (fluid retention from insulin)
  • Heart failure signs

Neurological

  • Wernicke's triad (if thiamine deficient): Confusion, Ataxia, Ophthalmoplegia

6. Investigations

Electrolytes (Monitor Daily)

TestExpected in Refeeding
PhosphateLOW (hallmark)
PotassiumLOW
MagnesiumLOW
GlucoseElevated (insulin resistance initially)

Other

TestNotes
U&EsSodium, Renal function
CalciumMay be low
ECGQT prolongation, Arrhythmias
LFTsMay derange

7. Management

Management Approach

┌──────────────────────────────────────────────────────────┐
│   REFEEDING SYNDROME MANAGEMENT                          │
├──────────────────────────────────────────────────────────┤
│                                                          │
│  PREVENTION (Key to success):                             │
│                                                          │
│  1. IDENTIFY AT-RISK PATIENTS (NICE Criteria)            │
│                                                          │
│  2. THIAMINE BEFORE FEEDING                               │
│     • IV Pabrinex (Vitamins B and C)                     │
│     • Start 30 min before nutrition                      │
│     • Continue for 10 days                               │
│                                                          │
│  3. START LOW AND SLOW                                    │
│     • 10 kcal/kg/day initially (high risk)               │
│     • 5 kcal/kg/day if very high risk (BMI &lt;14)          │
│     • Increase slowly over 5-7 days                      │
│                                                          │
│  4. REPLACE ELECTROLYTES                                  │
│     • Check PO4, K, Mg before feeding                    │
│     • Replace if low                                     │
│     • Monitor DAILY for first 7-10 days                  │
│                                                          │
│  5. FLUID BALANCE                                         │
│     • Restrict sodium initially                          │
│     • Monitor for fluid overload                         │
│                                                          │
│  TREATMENT IF REFEEDING OCCURS:                           │
│     • STOP or REDUCE feeding                             │
│     • Replace phosphate (IV if severe)                   │
│     • Replace potassium and magnesium                    │
│     • Cardiac monitoring                                 │
│     • Escalate to HDU/ICU if unstable                    │
│                                                          │
└──────────────────────────────────────────────────────────┘

8. Complications

Cardiovascular

  • Cardiac arrhythmias
  • Heart failure
  • Sudden cardiac death

Respiratory

  • Respiratory failure

Neurological

  • Wernicke's encephalopathy
  • Seizures
  • Delirium

9. Prognosis & Outcomes

With Prevention

  • Refeeding syndrome is largely preventable

If Occurs

  • High mortality if not recognised and treated

10. Evidence & Guidelines

Key Guidelines

  1. NICE CG32: Nutrition Support for Adults
  2. MARSIPAN: Management of Really Sick Patients with Anorexia Nervosa

11. Patient/Layperson Explanation

What is Refeeding Syndrome?

Refeeding syndrome is a dangerous condition that can happen when someone who has been starving starts eating again. The body's chemistry becomes unbalanced, which can affect the heart and other organs.

Who is at Risk?

  • People with eating disorders (like anorexia nervosa)
  • Anyone who hasn't eaten properly for a long time

How is It Prevented?

  • Starting nutrition slowly ("low and slow")
  • Giving vitamins (especially thiamine) before feeding
  • Checking and replacing minerals like phosphate, potassium, and magnesium

Is It Serious?

Yes, it can be life-threatening if not managed properly. However, with careful monitoring and prevention, it can be avoided.


12. References

Primary Guidelines

  1. NICE. Nutrition Support for Adults: Oral Nutrition Support, Enteral Tube Feeding and Parenteral Nutrition (CG32). 2006. nice.org.uk/guidance/cg32

Key Studies

  1. Stanga Z, et al. Refeeding syndrome: illustrative cases and guidelines for prevention and treatment. Eur J Clin Nutr. 2008;62(6):687-694. PMID: 17609717

Last updated: 2025-12-22

At a Glance

EvidenceHigh
Last Updated2025-12-22
Emergency Protocol

Red Flags

  • Hypophosphataemia → Cardiac arrest
  • Severe electrolyte disturbances
  • Cardiac arrhythmias

Clinical Pearls

  • **"Phosphate is the Key"**: Hypophosphataemia is the hallmark of refeeding syndrome and can cause ATP depletion, cardiac failure, and death.
  • **"Thiamine Before Feeding"**: Give IV thiamine (Pabrinex) BEFORE starting nutrition to prevent Wernicke's encephalopathy.
  • **"Low and Slow"**: Start at 10 kcal/kg/day in high-risk patients and increase gradually.
  • **"Monitor Daily"**: Check phosphate, potassium, and magnesium daily for the first 7-10 days.

Guidelines

  • NICE Guidelines
  • BTS Guidelines
  • RCUK Guidelines