| Autor: |
Kellie Draffin, Amy Gregor, Shea Edsall, Terrill Bruere |
| Rok vydání: |
2013 |
| Předmět: |
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| Zdroj: |
Journal of Eating Disorders |
| ISSN: |
2050-2974 |
| DOI: |
10.1186/2050-2974-1-s1-o17 |
| Popis: |
Historically, a cautious approach to refeeding has been taken due to lack of evidence about refeeding syndrome. The aim of this study was to evaluate outcomes following the introduction of a more aggressive feeding protocol in a paediatric eating disorder program. This included commencing at a higher energy intake, more rapid energy increases and macronutrient manipulation of meal plans while maintaining a food based approach. A restrospective audit of 38 Austin Hospital patients admitted for medical stabilisation of their eating disorder, using rapid refeeding proto cols, were compared to previous refeeeding protocols. Thirty-seven patients (97%) were commenced on 8.2 megajoules (MJ) or more and increased to 11 MJ within one week. Previously, 23 patients (60%) had commenced on 6.8 MJ or less. With more intensive feeding 30 patients (79%) gained more than the target of 1 to 1.5 kilograms per week (compared to 35% previously). Evidence of refeeding syndrome was identified and treated in only two patients (5%). Only one patient required a lower energy intake (6.5MJ) with reduced contribution to energy from carbohydrates (40%) due to high risk of refeeding syndrome. These findings suggest more rapid refeeding can be achieved safely with a food based approach in this patient group. This abstract was presented in the Care in Inpatient and Community Settings stream of the 2013 ANZAED Conference. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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