Refeeding Syndrome Risk (NICE) — free guideline decision tool
This tool applies the NICE criteria to determine high or extremely-high risk of refeeding syndrome and to guide safe feeding initiation and electrolyte monitoring.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Common questions
What does Refeeding Syndrome Risk (NICE) do?
Use to classify risk and set the starting calorie rate, thiamine supplementation, and electrolyte monitoring before and during refeeding.
How is the result calculated?
High risk = ≥ 1 major (BMI < 16, loss > 15%, minimal intake > 10 days, low pre-feeding K/PO4/Mg) or ≥ 2 minor criteria. Extremely high = BMI < 14 or near-no intake > 15 days. Start 10 kcal/kg/d (extreme 5), thiamine first.
Is this a substitute for clinical judgement?
No. All results are decision-support only, for licensed clinicians. They must be individualized to the whole patient and the latest guideline version.
Run Refeeding Syndrome Risk (NICE) now
This tool applies the NICE criteria to determine high or extremely-high risk of refeeding syndrome and to guide safe feeding initiation and electrolyte monitoring.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.