Malnutrition and Alcohol-Associated Hepatitis

. Author manuscript; available in PMC: 2021 Dec 15.

Published in final edited form as: Clin Liver Dis. 2021 May 26;25(3):557–570. doi: 10.1016/j.cld.2021.03.002

Risk of re-feeding syndrome
Extremely High risk BMI<14/m2 Negligible intake>15 days
High risk (NICE criteria for refeeding syndrome) One or more of the following BMI<16 Kg/m2 Unintentional weight loss >15% over the last 6 months Little or no nutritional intake for>10 days Low K, PO4, or Mg before feeding. Two or more of the following BMI<18.5Kg/m2 Unintentional weight loss >10% over the last 6 months Little or no nutritional intake in >5 days History of alcohol abuse, or use of the following drugs: insulin, chemotherapy, diuretics, or antiacids with Mg or Al *NICE (National Institute for Health and Clinical Excellence)³⁰

Risk of re-feeding syndrome

Extremely High risk

High risk (NICE criteria for refeeding syndrome)

One or more of the following
1. BMI<16 Kg/m2
2. Unintentional weight loss >15% over the last 6 months
3. Little or no nutritional intake for>10 days
4. Low K, PO4, or Mg before feeding.
Two or more of the following
1. BMI<18.5Kg/m2
2. Unintentional weight loss >10% over the last 6 months
3. Little or no nutritional intake in >5 days
4. History of alcohol abuse, or use of the following drugs: insulin, chemotherapy, diuretics, or antiacids with Mg or Al

*NICE (National Institute for Health and Clinical Excellence)³⁰