成人不过是长大了的孩子：成人重症监护肾脏病学中的儿科考量
Adults are just big kids: pediatric considerations for adult critical care nephrology.
作者信息
Starr Michelle C, Gilley Stephanie P, See Emily J, Slagle Cara, Soranno Danielle E
机构信息
Indiana University School of Medicine, Department of Pediatrics, Pediatric Nephrology.
Child Health Service Research Division, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana.
出版信息
Curr Opin Crit Care. 2023 Dec 1;29(6):580-586. doi: 10.1097/MCC.0000000000001100. Epub 2023 Sep 26.
PURPOSE OF REVIEW
In recent years, there has been growing attention to pediatric kidney health, especially pediatric acute kidney injury (AKI). However, there has been limited focus on the role of pediatric AKI on adult kidney health, specifically considerations for the critical care physician.
RECENT FINDINGS
We summarize what is known in the field of pediatric AKI to inform adult medical care including factors throughout the early life course, including perinatal, neonatal, and pediatric exposures that impact survivor care later in adulthood.
SUMMARY
The number of pediatric AKI survivors continues to increase, leading to a higher burden of chronic kidney disease and other long-term co-morbidities later in life. Adult medical providers should consider pediatric history and illnesses to inform the care they provide. Such knowledge may help internists, nephrologists, and intensivists alike to improve risk stratification, including a lower threshold for monitoring for AKI and kidney dysfunction in their patients.
综述目的
近年来，儿科肾脏健康，尤其是儿童急性肾损伤（AKI）受到越来越多的关注。然而，儿科急性肾损伤对成人肾脏健康的作用，特别是对重症监护医生的考虑，关注较少。
最新发现
我们总结了儿科急性肾损伤领域的已知情况，以为成人医疗护理提供信息，包括生命早期整个过程中的因素，包括围产期、新生儿期以及影响成年后幸存者护理的儿科暴露因素。
总结
儿科急性肾损伤幸存者的数量持续增加，导致慢性肾病和其他长期合并症在以后生活中的负担加重。成人医疗服务提供者应考虑儿科病史和疾病，以为他们提供的护理提供信息。这些知识可能有助于内科医生、肾病学家和重症监护医生改善风险分层，包括对患者进行急性肾损伤和肾功能障碍监测的较低阈值。
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