《2023年国际儿童肾脏营养工作组临床实践建议：儿童急性肾损伤的营养管理》解读

doi:10.12372/jcp.2024.23e0820

Abstract

Abstract:

Acute kidney injury is one of the most common multiple organ dysfunctions in critically ill children, which can cause protein-energy wasting, exacerbate renal impairment, and lead to extremely high mortality. Given the complexity of the nutritional and metabolic mechanisms of AKI and the lack of relevant basic research, and how to meet the nutritional needs of AKI substitutes faces more unique challenges. The Pediatric Kidney Injury Nutrition Working Group formulated the clinical practice recommendations of “Nutritional Management of Children with Acute Kidney Injury”. The purpose of this article is to interpret the recommendation, with a view to providing reference for the construction of a systematic nutritional management program for children with AKI in the in the domestic field of pediatrics.

Key words: acute kidney injury, nutrition, expert consensus, child

DING Yaping, XIA Shanshan, ZHANG Chenmei. Interpretation of “2023 Children’s Renal Nutrition Working Group Clinical Practice Recommendations: Nutritional Management of Children with Acute Kidney Injury”[J].Journal of Clinical Pediatrics, 2024, 42(8): 667-672.

References 21

[1]	曹杰, 赵宇亮, 付平. 急性肾损伤流行病学的新进展[J]. 中国循证医学杂志, 2019, 19(6): 631-634.
[2]	贾鑫磊, 钱素云. 急性肾损伤患儿的营养支持[J]. 中国小儿急救医学, 2017, 24(1): 9-12.
[3]	Vega MRW, Cerminara D, Desloovere A, et al. Nutritional management of children with acute kidney injury-clinical practice recommendations from the Pediatric Renal Nutrition Taskforce[J]. Pediatr Nephrol, 2023, 38(11): 3559-3580. doi: 10.1007/s00467-023-05884-3 pmid: 36939914
[4]	Becker PJ, Gunnell Bellini S, Wong Vega M, et al. Validity and reliability of pediatric nutrition screening tools for hospital, outpatient, and community settings: a 2018 evidence analysis center systematic review[J]. J Acad Nutr Diet, 2020, 120(2): 288-318. doi: S2212-2672(19)30846-9 pmid: 31547992
[5]	张莉, 姚文英, 阐玉英, 等. 儿科Yorkhill营养不良评分在普外科患儿入院营养风险筛查中的应用[J]. 中国实用护理杂志, 2017, 33(2): 112-115.
[6]	罗红凤, 邝彩云, 刘喜红. 住院患儿营养风险筛查工具研究进展[J]. 发育医学电子杂志, 2020, 8(1): 86-91.
[7]	危重症儿童营养评估及支持治疗指南(中国)工作组, 钱素云, 陆国平, 等. 危重症儿童营养评估及支持治疗指南(2018, 中国, 标准版)[J]. 中国循证儿科杂志, 2018, 13(1): 1-29.
[8]	Mehta NM, Bechard LJ, Zurakowski D, et al. Adequate enteral protein intake is inversely associated with 60-d mortality in critically ill children: a multicenter, prospective, cohort study[J]. Am J Clin Nutr, 2015, 102(1): 199-206. doi: 10.3945/ajcn.114.104893 pmid: 25971721
[9]	Tume LN, Valla FV, Joosten K, et al. Nutritional support for children during critical illness: European Society of Pediatric and Neonatal Intensive Care (ESPNIC) metabolism, endocrine and nutrition section position statement and clinical recommendations[J]. Intensive Care Med, 2020, 46(3): 411-425. doi: 10.1007/s00134-019-05922-5 pmid: 32077997
[10]	Fivez T, Kerklaan D, Mesotten D, et al. Early versus late parenteral nutrition in critically ill children[J]. N Engl J Med, 2016, 374(12): 1111-1122.
[11]	Joosten KF, Kerklaan D, Verbruggen SC. Nutritional support and the role of the stress response in critically ill children[J]. Curr Opin Clin Nutr Metab Care, 2016, 19(3): 226-233.
[12]	Preiser JC, Ichai C, Orban JC, et al. Metabolic response to the stress of critical illness[J]. Br J Anaesth, 2014, 113(6): 945-954. doi: 10.1093/bja/aeu187 pmid: 24970271
[13]	Joosten KFM, Eveleens RD, Verbruggen SCAT. Nutritional support in the recovery phase of critically ill children[J]. Curr Opin Clin Nutr Metab Care, 2019, 22(2): 152-158.
[14]	Fiaccadori E, Sabatino A, Barazzoni R, et al. ESPEN guideline on clinical nutrition in hospitalized patients with acute or chronic kidney disease[J]. Clin Nutr, 2021, 40(4): 1644-1668. doi: 10.1016/j.clnu.2021.01.028 pmid: 33640205
[15]	Jonckheer J, Van Hoorn A, Oshima T, et al. Bioenergetic balance of continuous venovenous hemofiltration, a retrospective analysis[J]. Nutrients, 2022, 14(10): 2112.
[16]	Hellerman M, Sabatino A, Theilla M, et al. Carbohydrate and lipid prescription, administration, and oxidation in critically ill patients with acute kidney injury: a post hoc analysis[J]. J Ren Nutr, 2019, 29(4): 289-294.
[17]	Shaw V, Polderman N, Renken-Terhaerdt J, et al. Energy and protein requirements for children with CKD stages 2-5 and on dialysis-clinical practice recommendations from the Pediatric Renal Nutrition Taskforce[J]. Pediatr Nephrol, 2020, 35(3): 519-531. doi: 10.1007/s00467-019-04426-0 pmid: 31845057
[18]	KDOQI Work Group. KDOQI Clinical practice guideline for nutrition in children with CKD: 2008 update. Executive summary[J]. Am J Kidney Dis, 2009, 53(3Suppl 2): S11- S104.
[19]	纪健, 钱素云. 2017版美国危重患儿营养支持治疗实施与评价指南解读[J]. 中华儿科杂志, 2018, 56(5): 332-335.
[20]	Harshman LA, Lee-Son K, Jetton JG. Vitamin and trace element deficiencies in the pediatric dialysis patient[J]. Pediatr Nephrol, 2018, 33(7): 1133-1143. doi: 10.1007/s00467-017-3751-z pmid: 28752387
[21]	Adrogué HJ, Tucker BM, Madias NE. Diagnosis and management of hyponatremia: a review[J]. JAMA, 2022, 328(3): 280-291. doi: 10.1001/jama.2022.11176 pmid: 35852524

Interpretation of “2023 Children’s Renal Nutrition Working Group Clinical Practice Recommendations: Nutritional Management of Children with Acute Kidney Injury”

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