A case of refeeding syndrome during intradialytic parenteral nutrition

Table 3 Representative randomized controlled trials for IDPN

	FineS trial 2007	German IDPN trial 2017
Inclusion criteria
Age	18–80 years old	> 18 years old
Hemodialysis vintage	> 6 months	> 6 months
BMI	< 20 kg/m²
BW loss within 6 months	> 10%
Serum albumin	< 3.5 g/dL	< 3.5 g/dL
Serum prealbumin	< 30 mg/dL	< 25 mg/dL
SGA		B or C
Exposure	IDPN with oral nutritional supplements for 1 year	IDPN (3 times per week) with standardized nutritional counseling over 16 weeks
Comparison	Oral nutritional supplements only	Standardized nutritional counseling only
Outcome	IDPN did not have additional benefit on 2-year all-cause mortality	IDPN significantly increased prealbumin (changes in serum prealbumin from baseline to week 16) (p = 0.02)

BMI body mass index, BW body weight, IBW ideal body weight, SGA subjective global assessment

ISSN: 2059-1381