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Table 2 Indication criteria of IDPN proposed in guidelines

From: A case of refeeding syndrome during intradialytic parenteral nutrition

 

BC Renal Agency 2007, updated in 2014

The German Society of Nutrition 2009

European Best Practice Guidelines on hemodialysis from ERA-EDTA 2007

Serum albumin

3-month average < 3.4 g/dL

3-month average < 3.4 g/dL

 

Weight loss

> 10% of IBW or UBW

> 10% of IBW or 20% of UBW

 

SGA

B or C indicating moderate to severe malnutrition

C indicating severe malnutrition

 

Oral protein intake

< 1.0 g/kg

< 0.8 g/kg

> 0.8 g protein/kg IBW

Oral calories intake

< 25 kcal/kg, can take ≥ 50% of needs orally

< 25 kcal/kg

> 20 kcal/kg IBW

Others

Documented diagnosis of a gastrointestinal disorder

3-month rolling average predialysis serum creatinine < 8.0 mg/dL

 
  1. BC Renal Agency, British Columbia Renal Agency, ERA-EDTA European Renal Association–European Dialysis and Transplant Association, IBW ideal body weight, SGA subjective global assessment, UBW usual body weight