We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Development, Design and Utilization of a CDSS for Refeeding Syndrome in Real Life Inpatient Care—A Feasibility Study.
- Authors
Heuft, Lara; Voigt, Jenny; Selig, Lars; Schmidt, Maria; Eckelt, Felix; Steinbach, Daniel; Federbusch, Martin; Stumvoll, Michael; Schlögl, Haiko; Isermann, Berend; Kaiser, Thorsten
- Abstract
Background: The refeeding syndrome (RFS) is an oftentimes-unrecognized complication of reintroducing nutrition in malnourished patients that can lead to fatal cardiovascular failure. We hypothesized that a clinical decision support system (CDSS) can improve RFS recognition and management. Methods: We developed an algorithm from current diagnostic criteria for RFS detection, tested the algorithm on a retrospective dataset and combined the final algorithm with therapy and referral recommendations in a knowledge-based CDSS. The CDSS integration into clinical practice was prospectively investigated for six months. Results: The utilization of the RFS-CDSS lead to RFS diagnosis in 13 out of 21 detected cases (62%). It improved patient-related care and documentation, e.g., RFS-specific coding (E87.7), increased from once coded in 30 month in the retrospective cohort to four times in six months in the prospective cohort and doubled the rate of nutrition referrals in true positive patients (retrospective referrals in true positive patients 33% vs. prospective referrals in true positive patients 71%). Conclusion: CDSS-facilitated RFS diagnosis is possible and improves RFS recognition. This effect and its impact on patient-related outcomes needs to be further investigated in a large randomized-controlled trial.
- Subjects
REFEEDING syndrome; PILOT projects; CLINICAL decision support systems; NUTRITIONAL assessment; RETROSPECTIVE studies; ACQUISITION of data; HEALTH outcome assessment; HUMAN services programs; MEDICAL records; RESEARCH funding; PATIENT care; LONGITUDINAL method
- Publication
Nutrients, 2023, Vol 15, Issue 17, p3712
- ISSN
2072-6643
- Publication type
Article
- DOI
10.3390/nu15173712