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- W3204502174 abstract "<h3>Background</h3> The National Institute for Health Care Excellence (NICE) have no specific guidance on managing refeeding syndrome in paediatric patients. Current recommendations are based on the 2012 Junior Management of Really Sick Patients with Anorexia Nervosa (MARSIPAN) report which recommended that, because of the risk of refeeding syndrome characterised by low serum phosphate (PO4) levels less than 0.5mmol/L, paediatric inpatients require daily blood tests during the first 5 days of admission. <h3>Objectives</h3> To determine the utility of daily blood testing during the first 5 days of admission, and whether blood investigations could be minimised. <h3>Methods</h3> A single centre retrospective case note review of patients admitted to the paediatric Community Eating Disorder Service (CEDS) for inpatient treatment of anorexia nervosa January 2018- August 2020. Patients identified through hospital discharge coded diagnosis. Demographic data and refeeding biochemistry acquired through the online reporting and ordering system recorded onto Microsoft Excel for analysis. Daily results were recorded for Haemoglobin; white blood cell, neutrophil, and lymphocyte counts; urea, sodium, potassium, creatinine, phosphate, calcium and magnesium levels. <h3>Results</h3> There were 37 patients, all were female; ages ranging from 11–17 years old, weight ranging from 21.4 - 61.75Kg. Body Mass Index (BMI) on admission ranged from 11.6- 22.1 Kg/m<sup>2</sup>, mean 16.56, median 16.4. The range of PO<sub>4</sub> levels was 0.6–1.6 mmol/L. Mean PO<sub>4</sub> levels were 1.22 on admission and 1.16, 1.22, 1.20, 1.19 over the remaining days. These were all within the reference range (0.8–1.5mmol/L). Over the 5 days of testing, the mean and median values of all blood results remained within the reference ranges. No phosphate supplementation was given during the study period, and no medical intervention was needed. <h3>Conclusions</h3> No patients had any biochemical indication of refeeding syndrome during the first 5 days of their in-patient treatment for anorexia nervosa. We propose that that there is limited utility in routine daily blood testing of all patients during the first 5 days of admission." @default.
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- W3204502174 date "2021-09-30" @default.
- W3204502174 modified "2023-09-25" @default.
- W3204502174 title "1098 How useful are daily refeeding bloods in paediatric patients with anorexia nervosa?" @default.
- W3204502174 doi "https://doi.org/10.1136/archdischild-2021-rcpch.395" @default.
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