持续RRT的AKI重症儿童的营养:共识建议
Rupesh Raina1,2, Andrew Suchan3, Sidharth K Sethi4
1Akron Nephrology Associates/Cleveland Clinic Akron General Medical Center, Akron, Ohio.
这项研究提供了44个临床实践点,用于治疗急性损伤 (AKI) 的重症儿童的营养,这些儿童接受连续置换疗法 (CRRT). 这些指导方针涉及评估,能源需求和营养摄入量,以改善患者的治疗结果.
科学领域:
- 儿科脏病学 儿科脏病学
- 关键护理医学 关键护理医学
- 临床营养学 临床营养学
背景情况:
- 营养对于重症儿童至关重要,尤其是急性损伤 (AKI) 的儿童.
- 由于缺乏针对接受连续置换疗法 (CRRT) 的儿科AKI患者的确立指南,因此需要明确的营养策略.
- 了解AKI和CRRT中的代谢变化和营养挑战对于有效的管理至关重要.
研究的目的:
- 开发临床实践点,用于对接受CRRT的重症儿童进行营养评估和管理.
- 提供基于证据的建议,以优化这种脆弱儿科群体的营养治疗.
主要方法:
- 在PubMed,MEDLINE,Cochrane和Embase数据库中进行了全面的文献搜索,搜索到2023年1月的文章.
- 来自多学科工作组的专家共识被利用,包括儿科脏病学家和营养学家.
- 修改后的Delphi方法被用于完善和完成临床实践点.
主要成果:
- 一个由儿科脏病学和营养专家组成的小组对现有文献进行了彻底的审查.
- 专家小组将文献发现与他们的临床专业知识综合起来,制定实践建议.
- 修改后的Delphi方法促进了基于共识的方法来识别和完善临床实践的关键点.
结论:
- 已经建立了44个临床实践点,用于CRRT的儿科AKI患者的营养评估和管理.
- 这些点涵盖了关键方面,包括能源需求和营养摄入量.
- 这些指导方针基于当前的文献和多学科小组的集体专业知识.
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