title: [Refeeding syndrome in geriatric patients : A frequently overlooked complication].
abstract: The refeeding syndrome is a life-threatening complication that can occur after initiation of a nutrition therapy in malnourished patients. If the risk factors and pathophysiology are known, the refeeding syndrome can effectively be prevented and treated, if recognized early. A slow increase of food intake and the close monitoring of serum electrolyte levels play an important role. Because the refeeding syndrome is not well known and the symptoms may vary extremely, this complication is poorly recognized, especially against the background of geriatric multimorbidity. This overview is intended to increase the awareness of the refeeding syndrome in the risk group of geriatric patients.
authors.affiliation: Klinik für Altersmedizin und Frührehabilitation, Marien Hospital Herne, Universitätsklinikum der Ruhr-Universität Bochum, Herne, Deutschland. rainer.wirth@elisabethgruppe.de.|Lehrstuhl für Geriatrie, Ruhr-Universität Bochum, Bochum, Deutschland. rainer.wirth@elisabethgruppe.de.
authors.forename: Rainer
authors.initials: R
authors.lastname: Wirth
authors.affiliation: Universitätsklinik für Geriatrie, Klinikum Oldenburg, Oldenburg, Deutschland.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Diekmann
authors.affiliation: Klinik für Innere Medizin, Franziskus Hospital Bielefeld, Bielefeld, Deutschland.
authors.forename: Olga
authors.initials: O
authors.lastname: Fleiter
authors.affiliation: Klinik für Geriatrie, St. Katharinen-Krankenhaus, Frankfurt, Deutschland.
authors.forename: Leonhardt
authors.initials: L
authors.lastname: Fricke
authors.affiliation: Lehrstuhl für Geriatrie, Ruhr-Universität Bochum, Bochum, Deutschland.
authors.forename: Annika
authors.initials: A
authors.lastname: Kreilkamp
authors.affiliation: Klinik für Geriatrie, Sana Hanse-Klinikum Wismar, Wismar, Deutschland.
authors.forename: Mirja Katrin
authors.initials: MK
authors.lastname: Modreker
authors.affiliation: Klinik für Geriatrische Rehabilitation, Klinikum Christophsbad, Göppingen, Deutschland.
authors.forename: Christian
authors.initials: C
authors.lastname: Marburger
authors.affiliation: Klinik für Geriatrie, Hochtaunus Kliniken, Bad Homburg, Deutschland.
authors.forename: Stefan
authors.initials: S
authors.lastname: Nels
authors.affiliation: Klinik für Geriatrie, Marien-Krankenhaus Bergisch-Gladbach, Bergisch-Gladbach, Deutschland.
authors.forename: Rolf
authors.initials: R
authors.lastname: Schaefer
authors.affiliation: Klinik für Innere Medizin/Geriatrie, Malteser Krankenhaus St. Josefshospital, Krefeld, Deutschland.
authors.forename: Heinz-Peter
authors.initials: HP
authors.lastname: Willschrei
authors.affiliation: Institut für Biomedizin des Alterns, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Deutschland.
authors.forename: Dorothee
authors.initials: D
authors.lastname: Volkert
mesh_terms: D000328:Adult; D000368:Aged; D001786:Blood Glucose / Q000378:metabolism; D002395:Catecholamines / Q000097:blood; D004573:Electrolytes / Q000097:blood; D005508:Food Deprivation / Q000502:physiology; D005934:Glucagon / Q000097:blood; D050261:Glycogenolysis / Q000502:physiology; D006801:Humans; D006854:Hydrocortisone / Q000097:blood; D007328:Insulin / Q000097:blood; D008875:Middle Aged; D011502:Protein-Energy Malnutrition / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D055677:Refeeding Syndrome / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D012307:Risk Factors; D014131:Trace Elements / Q000097:blood
chemical_list: D001786:Blood Glucose; D002395:Catecholamines; D004573:Electrolytes; D007328:Insulin; D014131:Trace Elements; D005934:Glucagon; D006854:Hydrocortisone
keywords: Electrolytes; Hypophosphatemia; Malnutrition; Thiamine deficiency; Undernutrition