TÌNH TRẠNG DINH DƯỠNG VÀ HỘI CHỨNG NUÔI ĂN LẠI TẠI KHOA HỒI SỨC NHIỄM BỆNH VIỆN NHI ĐỒNG 1

Abstract

Objective: To describe the nutritional status and feeding characteristics; and to determine the prevalence, clinical features, as well as related factors among patients with refeeding syndrome (RFS). Methods: A prospective descriptive case series was conducted on 156 patients aged 2 months to 16 years admitted to the Infectious Disease Intensive Care Unit, Children’s Hospital 1. Results: Among the 156 children, 38,2% had at least one type of undernutrition (acute malnutrition, chronic malnutrition, underweight, or low mid–upper arm circumference), while 14,7% presented with overnutrition (overweight or obesity). In children aged ≤5 years, malnutrition predominated, with rates of acute and chronic malnutrition of 17,1% and 23,1%, respectively. In contrast, among those aged >5 years, overweight and obesity accounted for a substantial proportion (37,5%). Most patients (92,3%) received exclusive enteral nutrition, and 9,0% experienced feeding interruptions, most commonly due to gastrointestinal intolerance (42,9%). Regarding refeeding syndrome, 19,5% of patients were affected. Among them, 50% exhibited concurrent reductions in all three electrolytes (K, Mg, and P), with phosphorus showing the highest rate of severe depletion (57,7%). Two factors found to be associated with refeeding syndrome were age over 24 months and receiving parenteral nutrition. Conclusion: The prevalence of malnutrition among critically ill children remains high. RFS occurs frequently, especially among children over 2 years and those receiving parenteral nutrition