Refeeding risk criteria

If your patient has any of the following, they may be at risk of refeeding syndrome:

Check if the ward nurses have calculated a Paediatric Yorkhill Malnutrition Score (PYMS); a score of 2 or more could indicate risk - See appendix 3 for PYMS information.

If unable to complete PYMS as no height: plot weight on growth chart. Score 2 if below 2^nd centile.

Nutritional intake less than half usual for > 5 days?

Chronic disease state: malignant or malabsorptive disease / acutely ill?

Low serum levels of Phosphate, Potassium and Magnesium prior to feeding?

If infant under 1 year, please see supplementary table 1.

If worried about your patient but unsure if they are at risk, please speak with the dietetic or GI teams

PYMS 2 or more?

OR

Nutritional intake less than half usual for > 5 days?

Any of the following?

Chronic disease state: malignant or malabsorptive disease / acutely ill?

Low serum levels of Phosphate, Potassium and Magnesium prior to feeding?