Document Detail


Refeeding syndrome as an iatrogenic cause of delirium: a retrospective pilot study.
MedLine Citation:
PMID:  20833941     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Refeeding syndrome describes a pattern of electrolyte disturbances occurring after the reintroduction of nutrition to the malnourished patient; it is often associated with delirium.
OBJECTIVE: The authors investigated whether hospitalized elderly patients who develop delirium are more likely to have laboratory findings consistent with refeeding syndrome.
METHOD: The authors conducted a retrospective chart review of 100 patients over age 60. Charts were examined for indications of delirium and refeeding syndrome.
RESULTS: Significantly lower serum levels of magnesium and phosphate were found in patients with delirium. Delirium was not associated with any significant difference in levels of potassium.
CONCLUSION: This study supports an association between delirium in elderly patients and electrolyte changes consistent with those seen in refeeding syndrome.
Authors:
Jason P Caplan; Grace Chang
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Psychosomatics     Volume:  51     ISSN:  1545-7206     ISO Abbreviation:  Psychosomatics     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-09-13     Completed Date:  2011-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376506     Medline TA:  Psychosomatics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  419-24     Citation Subset:  IM    
Affiliation:
St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013, USA.
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MeSH Terms
Descriptor/Qualifier:
APACHE
Aged
Chi-Square Distribution
Delirium / etiology*
Female
Humans
Iatrogenic Disease
Magnesium / blood
Male
Middle Aged
Phosphates / blood
Pilot Projects
Refeeding Syndrome / complications*
Retrospective Studies
Statistics, Nonparametric
Water-Electrolyte Imbalance / complications*
Grant Support
ID/Acronym/Agency:
K24 AA 00289/AA/NIAAA NIH HHS
Chemical
Reg. No./Substance:
0/Phosphates; 7439-95-4/Magnesium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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