Acute Kidney Injury in Hospitalized Pediatric Patients

被引:7
作者
Basu, Rajit K. [1 ,2 ]
机构
[1] Childrens Healthcare Atlanta, Div Crit Care Med, 1405 Clifton Ave, Atlanta, GA 30322 USA
[2] Emory Univ, Dept Pediat, Atlanta, GA 30322 USA
来源
PEDIATRIC ANNALS | 2018年 / 47卷 / 07期
关键词
ACUTE-RENAL-FAILURE; CRITICALLY-ILL CHILDREN; FLUID ACCUMULATION; ANGINA INDEX; FOLLOW-UP; AKI; BIOMARKERS; CLASSIFICATION; EPIDEMIOLOGY; DEFINITIONS;
D O I
10.3928/19382359-20180619-02
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Acute kidney injury (AKI) is pervasive, affecting a significant proportion of critically ill and noncritically ill children. Recent data demonstrate a clear independent association of escalating AKI severity with not only mortality, but also with longer-term disability and chronic kidney disease in children. The paradigm has shifted-patients are no longer dying with AKI, but rather from AKI. In this review, AKI is described in the paradigms of"past,""present," and "future" to stimulate a reassessment of our understanding of this organ dysfunction syndrome. Current treatment strategies as well as novel methodologies are discussed. A global effort is required to make progress in the fight against AKI and improve patient outcomes. [Pediatr Ann. 2018;47(7):e286-e291.]
引用
收藏
页码:E286 / E291
页数:6
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