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  • Title: Refeeding syndrome is uncommon in alcoholics admitted to a hospital detoxification unit.
    Author: Manning S, Gilmour M, Weatherall M, Robinson GM.
    Journal: Intern Med J; 2014 May; 44(5):512-4. PubMed ID: 24816312.
    Abstract:
    The refeeding syndrome is increasingly recognised. It is a serious change in electrolytes when nutrition is reintroduced to malnourished patients. Alcohol dependence is a risk factor for the refeeding syndrome. We report a prospective cohort study of 36 alcoholics hospitalised for withdrawal management. We found no evidence of refeeding syndrome in any patient after 3 days of hospitalisation, despite hypomagnesaemia, a risk factor for the refeeding syndrome being prevalent (44% of subjects). Low thiamine levels were infrequent affecting 3/29 (10%). We recommend that in alcoholics admitted for managed withdrawal, risk of refeeding syndrome appears to be low, and routine testing of repeat electrolytes appears unnecessary.
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