Current Situation and Influencing Factors of Refeeding Syndrome in Children with Sepsis Supported Receiving Enteral Nutrition Support
SHAO Tong
ZHAO Yueyue
MA Jie
XU Dandan
GUO Jie
Abstract：Objective To investigate the current status and influencing factors of refeeding syndrome(RFS)in children with sepsis receiving enteral nutrition support.Methods A total of 120 children with sepsis who were admitted to Children's Hospital of Zhengzhou University from January 2023 to April 2024 were enrolled in the study.According to whether the children had RFS during enteral nutrition support,they were divided into control group and observation group.The children in the control group did not have RFS(91 cases),and there were 29 children with RFS in the observation group.The general data of the patients were collected.Univariate analysis and binary logistic regression analysis were used to analyze the independent risk factors affecting the occurrence of RFS in children with sepsis.Results Univariate analysis and binary logistic regression analysis showed that enteral nutrition initiation time＞48 hours,high average caloric intake,nutrition risk screening 2002(NRS 2002)score≥3,acutephysiology and chronic health evaluation-Ⅱ(APACHE-Ⅱ)score ≥15,and low albumin and prealbumin levels were independent risk factors for RFS in children with sepsis receiving enteral nutrition support.Conclusion The occurrence of RFS in children with sepsis who receive enteral nutrition support is affected by many factors,such as the nutritional support program and the physiological state of the children.Clinical researchers should strengthen the detection of high risk factors and provide targeted preventive measures to reduce the risk of RFS.
Keywords：sepsisenteral nutrition supportrefeeding syndromeinfluencing factors
Publication Date：2025-02-28
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：4( 607-610 )