Evidence map›Paper›PMID 40090863›Full record

GuidelineNutrition & dietetics : the journal of the Dietitians Association of Australia2025

The Australasian Society of Parenteral and Enteral Nutrition: Consensus statements on refeeding syndrome.

Kylie Matthews-Rensch, Kirrilee Blackwood, Deborah Lawlis, Lina Breik, Cameron McLean, Truc Nguyen, Sarah Phillips, Kimberly Small, Tim Stewart, Amber Thatcher and 8 more

Abstract readConsensus StatementPractice Guideline
In one paragraph

Guideline in Nutrition & dietetics : the journal of the Dietitians Association of Australia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. The Australasian Society of Parenteral and Enteral Nutrition: Consensus statements on refeeding syndrome.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2025
    Guideline
  2. Pooled it
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  5. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Kylie Matthews-RenschDietetics and Foodservices, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.ORCID 0000-0001-7158-3301
Kirrilee BlackwoodNutrition Services, Gosford Hospital, Central Coast Local Health District, Gosford, New South Wales, Australia.ORCID 0009-0005-7606-4670
Deborah LawlisBlue Mountains Memorial ANZAC Hospital/Springwood Hospital, Nepean Blue Mountains Local Health District, Kingswood, New South Wales, Australia.ORCID 0000-0002-2502-6165
Lina BreikHome Enteral Nutrition Care, Tube Dietitian, Melbourne, Victoria, Australia.ORCID 0000-0002-9294-6690
Cameron McLeanNutrition and Dietetics Department, St George Hospital, New South Wales, Australia.ORCID 0000-0002-6636-737X
Truc NguyenClinical Pharmacy Department, Middlemore Hospital, Auckland, New Zealand.
Sarah PhillipsDepartment of Clinical Nutrition, The Royal Melbourne Hospital, Parkville, Victoria, Australia.
Kimberly SmallNutrition and Dietetics, The Maitland Hospital, Metford, New South Wales, Australia.
Tim StewartDietetics and Meal Support Services, Grampians Health, Ballarat & Deakin Rural Health, Deakin University, Melbourne, Victoria, Australia.
Amber ThatcherNutrition and Dietetics Department, Royal Adelaide Hospital, Central Adelaide Local Health Network, Adelaide, South Australia, Australia.
Leanne VenkatDietetics Department, Liverpool Hospital, Liverpool, New South Wales, Australia.
Emily BrodieDepartment of Clinical Nutrition, The Royal Melbourne Hospital, Parkville, Victoria, Australia.ORCID 0000-0003-2286-1664
Brydie CleeveDietetics Department, Epworth Hospital- Richmond, Melbourne, Victoria, Australia.
Lauren DiamondNutrition and Dietetics Department, Royal Hobart Hospital, Tasmanian Health Service, Hobart, Tasmania, Australia.
Mei Yuen NgNutrition and Dietetics, Monash Health, Victoria, Australia.
Anna SmallNutrition and Dietetics, Auckland City Hospital, Auckland, New Zealand.
Elizabeth Viner SmithAdelaide Medical School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia.
Varsha AsraniDepartment of Critical Care Medicine, Nutrition and Dietetics, Auckland City Hospital, Auckland, New Zealand.ORCID 0000-0003-0032-2643

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThis consensus statement document describes the recommendations of the Australasian Society of Parenteral and Enteral Nutrition regarding the identification and management of refeeding syndrome and refeeding syndrome risk.

methodsAn expert working group completed a review of the literature to develop recommendations for the consensus statements. Review of the drafted consensus statements was undertaken by highly experienced clinicians.

resultsThe identification and management of refeeding syndrome requires a multidisciplinary approach. Actual refeeding syndrome is rare; however, all patients should be assessed for the risk of its development. Refeeding syndrome should only be diagnosed if the patient has had adequate nutrition intake (≥50% of estimated requirements), with electrolyte imbalances and clinical symptoms emerging after its commencement. Thiamin and multivitamin supplementation and regular electrolyte monitoring should be provided to all patients at risk of developing refeeding syndrome. There is no evidence that patients at risk of developing refeeding syndrome should be started at an initial lower enteral feeding rate than already recommended for checking tolerance to enteral feeds. Goal nutrition rates should be reached within 24-72 h for all routes of nutrition. Low electrolyte levels should be replaced as per local guidelines, with consideration given to the route of replacement.

conclusionThese consensus statements are expected to provide guidance at a national level to improve the identification and management of refeeding syndrome and refeeding syndrome risk.

Indexed as

Enteral NutritionParenteral NutritionRefeeding SyndromeAustralasiaAustraliaHumansThiamineThiamineAuSPENelectrolyte imbalancehypophosphataemiainpatientsmalnutritionnutrition supportrefeeding syndrome

Identifiers

PMID40090863
PMCPMC11973624

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.