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Nutritional management of children with acute kidney injury—clinical practice recommendations from the Pediatric Renal Nutrition Taskforce
The nutritional management of children with acute kidney injury (AKI) is complex. The dynamic nature of AKI necessitates frequent nutritional assessments and adjustments in management. Dietitians providing medical nutrition therapies to this patient population must consider the interaction of medica...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10514117/ https://www.ncbi.nlm.nih.gov/pubmed/36939914 http://dx.doi.org/10.1007/s00467-023-05884-3 |
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author | Vega, Molly R. Wong Cerminara, Dana Desloovere, An Paglialonga, Fabio Renken-Terhaerdt, José Walle, Johan Vande Shaw, Vanessa Stabouli, Stella Anderson, Caroline Elizabeth Haffner, Dieter Nelms, Christina L. Polderman, Nonnie Qizalbash, Leila Tuokkola, Jetta Warady, Bradley A. Shroff, Rukshana Greenbaum, Larry A. |
author_facet | Vega, Molly R. Wong Cerminara, Dana Desloovere, An Paglialonga, Fabio Renken-Terhaerdt, José Walle, Johan Vande Shaw, Vanessa Stabouli, Stella Anderson, Caroline Elizabeth Haffner, Dieter Nelms, Christina L. Polderman, Nonnie Qizalbash, Leila Tuokkola, Jetta Warady, Bradley A. Shroff, Rukshana Greenbaum, Larry A. |
author_sort | Vega, Molly R. Wong |
collection | PubMed |
description | The nutritional management of children with acute kidney injury (AKI) is complex. The dynamic nature of AKI necessitates frequent nutritional assessments and adjustments in management. Dietitians providing medical nutrition therapies to this patient population must consider the interaction of medical treatments and AKI status to effectively support both the nutrition status of patients with AKI as well as limit adverse metabolic derangements associated with inappropriately prescribed nutrition support. The Pediatric Renal Nutrition Taskforce (PRNT), an international team of pediatric renal dietitians and pediatric nephrologists, has developed clinical practice recommendations (CPR) for the nutritional management of children with AKI. We address the need for intensive collaboration between dietitians and physicians so that nutritional management is optimized in line with AKI medical treatments. We focus on key challenges faced by dietitians regarding nutrition assessment. Furthermore, we address how nutrition support should be provided to children with AKI while taking into account the effect of various medical treatment modalities of AKI on nutritional needs. Given the poor quality of evidence available, a Delphi survey was conducted to seek consensus from international experts. Statements with a low grade or those that are opinion-based must be carefully considered and adapted to individual patient needs, based on the clinical judgment of the treating physician and dietitian. Research recommendations are provided. CPRs will be regularly audited and updated by the PRNT. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00467-023-05884-3. |
format | Online Article Text |
id | pubmed-10514117 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-105141172023-09-23 Nutritional management of children with acute kidney injury—clinical practice recommendations from the Pediatric Renal Nutrition Taskforce Vega, Molly R. Wong Cerminara, Dana Desloovere, An Paglialonga, Fabio Renken-Terhaerdt, José Walle, Johan Vande Shaw, Vanessa Stabouli, Stella Anderson, Caroline Elizabeth Haffner, Dieter Nelms, Christina L. Polderman, Nonnie Qizalbash, Leila Tuokkola, Jetta Warady, Bradley A. Shroff, Rukshana Greenbaum, Larry A. Pediatr Nephrol Guidelines The nutritional management of children with acute kidney injury (AKI) is complex. The dynamic nature of AKI necessitates frequent nutritional assessments and adjustments in management. Dietitians providing medical nutrition therapies to this patient population must consider the interaction of medical treatments and AKI status to effectively support both the nutrition status of patients with AKI as well as limit adverse metabolic derangements associated with inappropriately prescribed nutrition support. The Pediatric Renal Nutrition Taskforce (PRNT), an international team of pediatric renal dietitians and pediatric nephrologists, has developed clinical practice recommendations (CPR) for the nutritional management of children with AKI. We address the need for intensive collaboration between dietitians and physicians so that nutritional management is optimized in line with AKI medical treatments. We focus on key challenges faced by dietitians regarding nutrition assessment. Furthermore, we address how nutrition support should be provided to children with AKI while taking into account the effect of various medical treatment modalities of AKI on nutritional needs. Given the poor quality of evidence available, a Delphi survey was conducted to seek consensus from international experts. Statements with a low grade or those that are opinion-based must be carefully considered and adapted to individual patient needs, based on the clinical judgment of the treating physician and dietitian. Research recommendations are provided. CPRs will be regularly audited and updated by the PRNT. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00467-023-05884-3. Springer Berlin Heidelberg 2023-03-20 2023 /pmc/articles/PMC10514117/ /pubmed/36939914 http://dx.doi.org/10.1007/s00467-023-05884-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/ Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Guidelines Vega, Molly R. Wong Cerminara, Dana Desloovere, An Paglialonga, Fabio Renken-Terhaerdt, José Walle, Johan Vande Shaw, Vanessa Stabouli, Stella Anderson, Caroline Elizabeth Haffner, Dieter Nelms, Christina L. Polderman, Nonnie Qizalbash, Leila Tuokkola, Jetta Warady, Bradley A. Shroff, Rukshana Greenbaum, Larry A. Nutritional management of children with acute kidney injury—clinical practice recommendations from the Pediatric Renal Nutrition Taskforce |
title | Nutritional management of children with acute kidney injury—clinical practice recommendations from the Pediatric Renal Nutrition Taskforce |
title_full | Nutritional management of children with acute kidney injury—clinical practice recommendations from the Pediatric Renal Nutrition Taskforce |
title_fullStr | Nutritional management of children with acute kidney injury—clinical practice recommendations from the Pediatric Renal Nutrition Taskforce |
title_full_unstemmed | Nutritional management of children with acute kidney injury—clinical practice recommendations from the Pediatric Renal Nutrition Taskforce |
title_short | Nutritional management of children with acute kidney injury—clinical practice recommendations from the Pediatric Renal Nutrition Taskforce |
title_sort | nutritional management of children with acute kidney injury—clinical practice recommendations from the pediatric renal nutrition taskforce |
topic | Guidelines |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10514117/ https://www.ncbi.nlm.nih.gov/pubmed/36939914 http://dx.doi.org/10.1007/s00467-023-05884-3 |
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