多学科新生儿急性损伤提供者认知和实践模式
Nicole Asdell1, Tahagod Mohamed1, Cherry Mammen2
1Nationwide Children's Hospital, Columbus, OH, USA.
Pediatric nephrology (Berlin, Germany)
|February 11, 2026
概括
新生儿急性损伤 (AKI) 的诊断和管理在专家之间仍然存在差异,尽管肌素监测和脏病学准入得到改善. 需要采用标准化的方法来改善AKI新生儿的护理.
科学领域:
- 新生儿科学 新生儿科学
- 儿科脏病学 儿科脏病学
- 关键护理医学 关键护理医学
背景情况:
- 新生儿急性损伤 (AKI) 在2017年的一项调查中被低估了,诊断和管理的差异很大.
- 一项最新的国际调查评估了儿科子专家对新生儿AKI的看法和实践的变化.
研究的目的:
- 确定与新生儿AKI相关的看法和做法是否在国际儿科子专家中演变.
- 确定AKI检测,监测和后续协议的当前趋势.
主要方法:
- 一项关于AKI的50个问题电子调查分发给新生儿科医生,儿科科医生,儿科重症专家和高级实践提供者 (APP).
- 答案从2024年3月到5月收集,并通过各个子专业和国家经济分类进行了比较.
主要成果:
- 来自68个国家的676个回答,最常用于AKI诊断的是修改后的KDIGO标准 (46.1%).
- 大多数受访者缺乏特定的AKI识别 (75.8%) 或监测协议 (75%).
- 对于氨基糖化物和印梅他辛的使用,肌素监测增加,常规电解质面板改善了肌素的获取;儿童科医生的可用性也增加了.
结论:
- 对新生儿AKI的看法和实践在各个子专业之间仍然存在差异.
- 观察到血清肌素监测访问和科咨询可用性的改善.
- 缺乏用于AKI检测,管理和跟踪的标准化方法,这突显了提供者教育和指导方针开发的必要性.
相关概念视频
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