PDF(Pubmed)
Abstract：
BACKGROUND: Acute kidney injury (AKI) is independently associated with increased morbidity and mortality across the life course, yet care for AKI remains mostly supportive. Raising awareness of this life-threatening clinical syndrome through education and advocacy efforts is the key to improving patient outcomes. Here, we describe the unique roles education and advocacy play in the care of children with AKI, discuss the importance of customizing educational outreach efforts to individual groups and contexts, and highlight the opportunities created through innovations and partnerships to optimize lifelong health outcomes.
METHODS: During the 26th Acute Disease Quality Initiative (ADQI) consensus conference, a multidisciplinary group of experts discussed the evidence and used a modified Delphi process to achieve consensus on recommendations on AKI research, education, practice, and advocacy in children.
RESULTS: The consensus statements developed in response to three critical questions about the role of education and advocacy in pediatric AKI care are presented here along with a summary of available evidence and recommendations for both clinical care and research.
CONCLUSIONS: These consensus statements emphasize that high-quality care for patients with AKI begins in the community with education and awareness campaigns to identify those at risk for AKI. Education is the key across all healthcare and non-healthcare settings to enhance early diagnosis and develop mitigation strategies, thereby improving outcomes for children with AKI. Strong advocacy efforts are essential for implementing these programs and building critical collaborations across all stakeholders and settings.
METHODS: During the 26th Acute Disease Quality Initiative (ADQI) consensus conference, a multidisciplinary group of experts discussed the evidence and used a modified Delphi process to achieve consensus on recommendations on AKI research, education, practice, and advocacy in children.
RESULTS: The consensus statements developed in response to three critical questions about the role of education and advocacy in pediatric AKI care are presented here along with a summary of available evidence and recommendations for both clinical care and research.
CONCLUSIONS: These consensus statements emphasize that high-quality care for patients with AKI begins in the community with education and awareness campaigns to identify those at risk for AKI. Education is the key across all healthcare and non-healthcare settings to enhance early diagnosis and develop mitigation strategies, thereby improving outcomes for children with AKI. Strong advocacy efforts are essential for implementing these programs and building critical collaborations across all stakeholders and settings.
摘要：
背景：急性肾损伤（AKI）在整个生命过程中与发病率和死亡率的增加独立相关，然而，对AKI的护理仍然主要是支持性的。通过教育和宣传努力提高对这种危及生命的临床综合征的认识是改善患者预后的关键。这里,我们描述了教育和宣传在照顾AKI儿童中的独特作用，讨论为个人群体和环境定制教育外展工作的重要性，并强调通过创新和伙伴关系创造的机会，以优化终身健康成果。
方法：在第26届急性疾病质量倡议（ADQI）共识会议上，一个多学科专家组讨论了证据，并使用改进的Delphi程序就AKI研究的建议达成共识，教育,实践,和倡导儿童。
结果：针对关于教育和倡导在小儿AKI护理中的作用的三个关键问题提出的共识声明，以及对临床护理和研究的现有证据和建议的总结。
结论：这些共识声明强调，针对AKI患者的高质量护理始于社区，开展教育和宣传活动，以识别有AKI风险的患者。教育是所有医疗保健和非医疗保健机构加强早期诊断和制定缓解策略的关键。从而改善AKI儿童的预后。强有力的宣传工作对于实施这些计划和在所有利益相关者和环境中建立关键合作至关重要。
方法：在第26届急性疾病质量倡议（ADQI）共识会议上，一个多学科专家组讨论了证据，并使用改进的Delphi程序就AKI研究的建议达成共识，教育,实践,和倡导儿童。
结果：针对关于教育和倡导在小儿AKI护理中的作用的三个关键问题提出的共识声明，以及对临床护理和研究的现有证据和建议的总结。
结论：这些共识声明强调，针对AKI患者的高质量护理始于社区，开展教育和宣传活动，以识别有AKI风险的患者。教育是所有医疗保健和非医疗保健机构加强早期诊断和制定缓解策略的关键。从而改善AKI儿童的预后。强有力的宣传工作对于实施这些计划和在所有利益相关者和环境中建立关键合作至关重要。
