دورية أكاديمية

Nutrition in critically ill children with acute kidney injury on continuous kidney replacement therapy: a 2023 executive summary.

التفاصيل البيبلوغرافية
العنوان: Nutrition in critically ill children with acute kidney injury on continuous kidney replacement therapy: a 2023 executive summary.
المؤلفون: Raina R; Akron Nephrology Associates, Cleveland Clinic Akron General, Akron, Ohio, USA; Akron Children's Hospital, Akron, Ohio, USA. Electronic address: rraina@akronchildrens.org., Suchan A; Johns Hopkins Bayview Medical Center, Baltimore, Maryland, USA., Soundararajan A; Akron Nephrology Associates, Cleveland Clinic Akron General, Akron, Ohio, USA., Brown AM; Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA; Children's Healthcare of Atlanta, Atlanta, Georgia, USA; ECU Health, Greenville, North Carolina, USA., Davenport A; UCL Department of Renal Medicine, Royal Free Hospital, University College London, London, UK., Shih WV; Children's Hospital Colorado, University of Colorado, Section of Pediatric Nephrology, Aurora, Colorado, USA., Nada A; Division of Pediatric Nephrology, Department of Pediatrics, Le Bonheur Children's Hospital and St. Jude Children's Research Hospital, University of Tennessee Health Science Center, Memphis, Tennessee, USA., Irving SY; University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA; Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA., Mannemuddhu SS; Division of Pediatric Nephrology, East Tennessee Children's Hospital, Knoxville, Tennessee, USA; Department of Medicine, University of Tennessee, Knoxville, Tennessee, USA., Vitale VS; Akron Children's Hospital, Akron, Ohio, USA., Crugnale AS; Akron Nephrology Associates, Cleveland Clinic Akron General, Akron, Ohio, USA., Keller GL; Akron Children's Hospital, Akron, Ohio, USA., Berry KG; University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA; Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA., Zieg J; Department of Pediatrics, Second Faculty of Medicine, Charles University 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, USA., Yap HK; Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore., Bunchman TE; Department of Pediatrics, Children's Hospital of Richmond, Virginia Commonwealth University, Richmond, Virginia, USA., Sethi SK; Department of Pediatric Nephrology, Kidney Institute, Medanta-The Medicity, Gurgaon, India.
المصدر: Nutrition (Burbank, Los Angeles County, Calif.) [Nutrition] 2024 Mar; Vol. 119, pp. 112272. Date of Electronic Publication: 2023 Nov 02.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Science Country of Publication: United States NLM ID: 8802712 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-1244 (Electronic) Linking ISSN: 08999007 NLM ISO Abbreviation: Nutrition
أسماء مطبوعة: Publication: Tarrytown, NY : Elsevier Science
Original Publication: [Burbank, Calif. : Nutrition, c1987-
مستخلص: Objectives: Nutrition plays a vital role in the outcome of critical illness in children, particularly those with acute kidney injury. Currently, there are no established guidelines for children with acute kidney injury treated with continuous kidney replacement therapy. Our objective was to create clinical practice points for nutritional assessment and management in critically ill children with acute kidney injury receiving continuous kidney replacement therapy.
Methods: An electronic search using PubMed and an inclusive academic library search (including MEDLINE, Cochrane, and Embase databases) was conducted to find relevant English-language articles on nutrition therapy for children (<18 y of age) receiving continuous kidney replacement therapy.
Results: The existing literature was reviewed by our work group, comprising pediatric nephrologists and experts in nutrition. The modified Delphi method was then used to develop a total of 45 clinical practice points. The best methods for nutritional assessment are discussed. Indirect calorimetry is the most reliable method of predicting resting energy expenditure in children on continuous kidney replacement therapy. Schofield equations can be used when indirect calorimetry is not available. The non-intentional calories contributed by continuous kidney replacement therapy should also be accounted for during caloric dosing. Protein supplementation should be increased to account for the proteins, peptides, and amino acids lost with continuous kidney replacement therapy.
Conclusions: Clinical practice points are provided on nutrition assessment, determining energy needs, and nutrient intake in children with acute kidney injury and on continuous kidney replacement therapy based on the existing literature and expert opinions of a multidisciplinary panel.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Acute kidney failure; Continuous kidney replacement therapy; Indirect calorimetry; Pediatrics; nutrition
تواريخ الأحداث: Date Created: 20231220 Latest Revision: 20240722
رمز التحديث: 20240722
DOI: 10.1016/j.nut.2023.112272
PMID: 38118382
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-1244
DOI:10.1016/j.nut.2023.112272