Kwong Yuenting Diana, Kao Patricia F
Division of Nephrology, University of California San Francisco, San Francisco, CA.
Division of Nephrology, Washington University School of Medicine in St. Louis, St Louis, MO.
Adv Kidney Dis Health. 2025 Mar;32(2):144-153. doi: 10.1053/j.akdh.2025.03.001.
Acute kidney injury (AKI) is associated with an increased risk of adverse health outcomes, but the proportion of patients receiving optimal care is low. Barriers to improving outcomes after AKI include limited recognition of AKI by providers, the required transitions of care from the inpatient and outpatient settings, and lack of patient awareness of the AKI event. Gaps in the care of AKI survivors may be improved with enhanced education for providers and patients. Some tools focused on early detection of AKI and improving AKI management have been developed with variable success in addressing adverse outcomes. Significant heterogeneity within the AKI population and complexities of care coordination continue to hinder programs focused on improving AKI survivorship. On the horizon, promising programs are emerging that may overcome these barriers by offering an individualized, patient-centered approach to AKI survivorship by integrating technological advances and multidisciplinary support. Greater emphasis is being placed on ensuring that tactics for AKI management can be implemented beyond the nephrology subspecialty. These programs can potentially prevent AKI, optimize recovery, and increase patient satisfaction. This review discusses the current and emerging educational resources for AKI survivors and their providers.
急性肾损伤(AKI)与不良健康结局风险增加相关,但接受最佳治疗的患者比例较低。AKI后改善结局的障碍包括医疗服务提供者对AKI的认识有限、住院和门诊环境中所需的护理过渡,以及患者对AKI事件缺乏认识。通过加强对医疗服务提供者和患者的教育,可能会改善AKI幸存者护理方面的差距。一些专注于AKI早期检测和改善AKI管理的工具已被开发出来,但在解决不良结局方面取得的成功程度不一。AKI人群内部的显著异质性以及护理协调的复杂性继续阻碍着旨在改善AKI患者生存状况的项目。即将出现一些有前景的项目,这些项目可能通过整合技术进步和多学科支持,为AKI患者生存提供个性化、以患者为中心的方法来克服这些障碍。目前更加注重确保AKI管理策略能够在肾脏病亚专业之外得到实施。这些项目有可能预防AKI、优化恢复并提高患者满意度。本综述讨论了目前以及新出现的针对AKI幸存者及其医疗服务提供者的教育资源。