Work

The impact and predictive value of refeeding syndrome on the short-term prognosis of patients with severe stroke: a retrospective cohort study

Year: 2026

Type: article

Abstract: Introduction Refeeding syndrome (RFS) may have adverse effects on patients. However, the impact of RFS on the prognosis of severe stroke patients remain unclear. This study aims to explore the impact on short-term prognosis of patients with severe stroke. Methods A total of 305 patients were included for retrospective analysis. The electrolyte changes and short-term prognosis between RFS and Non-RFS (NRFS) groups of patients were compared. Besides, the risk factors for prognosis of patients and the predictive efficacy of RFS in patient prognosis were analyzed. Results The new acute liver injury (ALI), new acute kidney injury (AKI), new mechanical ventilation (MV), mortality within 28 d, and mRS scores at the discharge were higher in the RFS group than in the NRFS group ( p < 0.05). The serum phosphorus level in the RFS group decreased after EN compared to before EN ( p < 0.05). The area under the ROC curve (AUC) of RFS for predicting poor prognosis in patients with severe stroke was 0.678, with a sensitivity of 64.7%, and a specificity of 61.4%. Conclusion RFS is an independent risk factor for the patient’s functional prognosis, therefore, medical staff should screen high-risk populations as early as possible and provide preventive treatment according to the guidelines.

Source: Frontiers in Nutrition

DOI: 10.3389/fnut.2026.1682717

Authors: Wei Zhang, Shengxiang Zhang, Yun Tang, Tao Yu

Institution: First Affiliated Hospital of Wannan Medical College

Language: English

Topic: Clinical Nutrition and Gastroenterology

Subfield: Nutrition and Dietetics

Field: Nursing

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,801