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Consensus-Based Recommendations on Priority Activities to Address Acute Kidney Injury in Children: A Modified Delphi Consensus Statement.

Consensus statementAcute Disease Quality Initiative (ADQI)2022Full text
  • Acute kidney injury
  • Communicating with families
  • Fluids and electrolytes
  • Gastrointestinal and nutrition
  • Medical
  • Nursing
  • Nutrition
  • Professional practice
  • Renal and metabolic
  • Renal replacement therapy

Summary

A modified Delphi consensus statement from the 26th Acute Disease Quality Initiative meeting, involving 47 international experts in paediatrics, nephrology and critical care, setting priorities for paediatric acute kidney injury. Six domains were addressed: epidemiology, diagnostics, fluid overload, kidney support therapies, biology/pharmacology/nutrition, and education and advocacy, yielding 12 consensus statements and 29 research recommendations. Key themes include broadening AKI phenotype definitions, adjudicating fluid balance by disease severity, incorporating child growth and development biology, including diverse socioeconomic populations, and partnering with families in advocacy. Useful for PICU clinicians as a research and practice roadmap rather than bedside prescriptive guidance.

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Licence:
Open (Creative Commons)

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