Nutrition in Critically Ill Children with AKI on Continuous RRT: Consensus Recommendations.

Autor:	Raina R; Akron Nephrology Associates/Cleveland Clinic Akron General Medical Center, Akron, Ohio.; Akron Children's Hospital, Akron, Ohio., Suchan A; Johns Hopkins Bayview Medical Center, Baltimore, Maryland., Sethi SK; Department of Pediatric Nephrology, Kidney Institute, Medanta, The Medicity, Gurgaon, India., Soundararajan A; Akron Nephrology Associates/Cleveland Clinic Akron General Medical Center, Akron, Ohio., Vitale VS; Akron Children's Hospital, Akron, Ohio., Keller GL; Akron Children's Hospital, Akron, Ohio., Brown AM; Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.; Children's Healthcare of Atlanta, Atlanta, Georgia.; ECU Health, Greenville, North Carolina., Davenport A; UCL Department of Renal Medicine, Royal Free Hospital, University College London, London, United Kingdom., Shih WV; Section of Pediatric Nephrology, Children's Hospital Colorado, University of Colorado, Aurora, Colorado., Nada A; Department of Pediatrics, Division of Pediatric Nephrology, Le Bonheur Children's & St. Jude Children's Research Hospitals, University of Tennessee Health Science Center, Memphis, Tennessee., Irving SY; Children's Hospital of Philadelphia, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania., Mannemuddhu SS; Division of Pediatric Nephrology, East Tennessee Children's Hospital, Knoxville, Tennessee.; Department of Medicine, University of Tennessee at Knoxville, Knoxville, Tennessee., Crugnale AS; Akron Nephrology Associates/Cleveland Clinic Akron General Medical Center, Akron, Ohio., Myneni A; Akron Nephrology Associates/Cleveland Clinic Akron General Medical Center, Akron, Ohio., Berry KG; Children's Hospital of Philadelphia, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania., Zieg J; Department of Pediatrics, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital, Prague, Czech Republic., Alhasan K; Pediatrics Department, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia., Guzzo I; Division of Nephrology and Dialysis, Department of Pediatrics, Bambino Gesù Children's Hospital and Research Institute, Rome, Italy., Lussier NH; Akron Children's Hospital, Akron, Ohio., Yap HK; Department of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore., Bunchman TE; Department of Pediatrics, Childrens Hospital of Richmond, Virginia Commonwealth University, Richmond, Virginia.
Jazyk:	angličtina
Zdroj:	Kidney360 [Kidney360] 2024 Feb 01; Vol. 5 (2), pp. 285-309. Date of Electronic Publication: 2023 Dec 19.
DOI:	10.34067/KID.0000000000000339
Abstrakt:	Background: Nutrition plays a vital role in the outcome of critically ill children, particularly those with AKI. Currently, there are no established guidelines for children with AKI treated with continuous RRT (CRRT). A thorough understanding of the metabolic changes and nutritional challenges in AKI and CRRT is required. Our objective was to create clinical practice points for nutritional assessment and management in critically ill children with AKI receiving CRRT. Methods: PubMed, MEDLINE, Cochrane, and Embase databases were searched for articles related to the topic. Expertise of the authors and a consensus of the workgroup were additional sources of data in the article. Available articles on nutrition therapy in pediatric patients receiving CRRT through January 2023. Results: On the basis of the literature review, the current evidence base was examined by a panel of experts in pediatric nephrology and nutrition. The panel used the literature review as well as their expertise to formulate clinical practice points. The modified Delphi method was used to identify and refine clinical practice points. Conclusions: Forty-four clinical practice points are provided on nutrition assessment, determining energy needs, and nutrient intake in children with AKI and on CRRT on the basis of the existing literature and expert opinions of a multidisciplinary panel. (Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Nephrology.)
Databáze:	MEDLINE
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