Advances in kidney disease and health最新文献

Navigating the Complex Pathogenesis of Acute Kidney Injury: Exploring Macrophage Dynamics, Mitochondrial Dysfunction, and Ferroptosis Pathways 探索急性肾损伤的复杂发病机制：探索巨噬细胞动力学、线粒体功能障碍和铁蛋白沉积途径

Advances in kidney disease and health Pub Date : 2025-03-01 DOI: 10.1053/j.akdh.2024.12.004

Tanima Chatterjee, Abolfazl Zarjou

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Clinical Trials Targeting Recovery and Postdischarge Care in Dialysis for Acute Kidney Injury 急性肾损伤透析患者康复及出院后护理的临床研究

Advances in kidney disease and health Pub Date : 2025-03-01 DOI: 10.1053/j.akdh.2025.01.008

Ian E. McCoy , Samuel A. Silver

{"title":"Clinical Trials Targeting Recovery and Postdischarge Care in Dialysis for Acute Kidney Injury","authors":"Ian E. McCoy , Samuel A. Silver","doi":"10.1053/j.akdh.2025.01.008","DOIUrl":"10.1053/j.akdh.2025.01.008","url":null,"abstract":"<div><div>Receipt of dialysis for acute kidney injury is common and increasing. For patients still actively receiving dialysis, it is possible that the dialysis procedure itself decreases the likelihood of kidney recovery or confounds recognition that recovery has occurred. Accordingly, 2 ongoing trials are testing hypotheses that dialysis prescriptions to minimize dialysis-induced ischemia and/or standardize dialysis discontinuation will increase the likelihood of renal recovery compared to usual care. These will be some of the first clinical trials to focus on hospitalized patients during the recovery phase of their acute illness. Meanwhile, clinical trials in the postdischarge population have found that less than 30% of patients choose to enroll when interventions require in-person nephrology follow-up, suggesting more flexible and pragmatic follow-up pathways are needed. Key considerations for future trials in dialysis for acute kidney injury will include recruiting patients at the right time in their clinical course during the window between acute kidney injury development and recovery or death, as well as providing interventions/follow-up over great distances and in multiple care settings. Testing different care strategies in this rigorous manner may eventually help reduce variation in care across centers and identify evidence-based practices that promote kidney recovery in dialysis for acute kidney injury.</div></div>","PeriodicalId":72096,"journal":{"name":"Advances in kidney disease and health","volume":"32 2","pages":"Pages 194-199"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Postdischarge Care of Acute Kidney Injury Survivors: An Opportunity for Targeted Nurse and Pharmacist Interventions 急性肾损伤幸存者出院后的护理：护士和药剂师进行有针对性干预的机会

Advances in kidney disease and health Pub Date : 2025-03-01 DOI: 10.1053/j.akdh.2025.01.005

Melanie M. Manis , Jessica L. Wallace , Emily F. Boyd , Kaleab Z. Abebe , Linda Fried , Paul M. Palevsky , Paul T. Conway , Edward J. Horwitz , Kathleen D. Liu , Chirag R. Parikh , Emilio Poggio , Edward D. Siew , Javier A. Neyra , Matthew R. Weir , F. Perry Wilson , Sandra L. Kane-Gill

{"title":"Postdischarge Care of Acute Kidney Injury Survivors: An Opportunity for Targeted Nurse and Pharmacist Interventions","authors":"Melanie M. Manis , Jessica L. Wallace , Emily F. Boyd , Kaleab Z. Abebe , Linda Fried , Paul M. Palevsky , Paul T. Conway , Edward J. Horwitz , Kathleen D. Liu , Chirag R. Parikh , Emilio Poggio , Edward D. Siew , Javier A. Neyra , Matthew R. Weir , F. Perry Wilson , Sandra L. Kane-Gill","doi":"10.1053/j.akdh.2025.01.005","DOIUrl":"10.1053/j.akdh.2025.01.005","url":null,"abstract":"<div><div>The incidence of acute kidney injury (AKI) is increasing, and with it, the population of individuals requiring post-AKI care. Postdischarge follow-up for AKI survivors is recommended within 90 days of an AKI episode to promote kidney recovery and potentially prevent progression of kidney disease. However, timely postdischarge care is often lacking or fragmented and poses a missed opportunity to prevent long-term complications of this condition. Suggested elements of follow-up care begin with a scheduled appointment with a physician and involve a bundled approach to care with health care providers’ communicating across sites, remote patient monitoring devices, review of medications, education, access, kidney care evaluation, and interdisciplinary collaboration to achieve these patient care goals. This article provides an overview of guidance documents for post-AKI care and the roles of the nurse and pharmacist as part of an interdisciplinary team in postdischarge care after a patient incurs an episode of AKI.</div></div>","PeriodicalId":72096,"journal":{"name":"Advances in kidney disease and health","volume":"32 2","pages":"Pages 154-161"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementation Science in Acute Kidney Injury Care: Challenges and Opportunities 急性肾损伤护理中的实施科学：挑战与机遇

Advances in kidney disease and health Pub Date : 2025-03-01 DOI: 10.1053/j.akdh.2025.01.010

Jeremiah R. Brown , Julia S. Shaw , Oleksa Rewa , Javier A. Neyra

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Management of Patients With Acute Kidney Injury Undergoing Dialysis After Hospital Discharge 急性肾损伤患者出院后透析的处理

Advances in kidney disease and health Pub Date : 2025-03-01 DOI: 10.1053/j.akdh.2024.12.003

Sarah F. Sanghavi , Anitha Vijayan

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Acute Kidney Injury Provider and Survivor Education: Current and Emerging Tools 急性肾损伤提供者和幸存者教育：当前和新兴工具

Advances in kidney disease and health Pub Date : 2025-03-01 DOI: 10.1053/j.akdh.2025.03.001

Yuenting Diana Kwong , Patricia F. Kao

{"title":"Acute Kidney Injury Provider and Survivor Education: Current and Emerging Tools","authors":"Yuenting Diana Kwong , Patricia F. Kao","doi":"10.1053/j.akdh.2025.03.001","DOIUrl":"10.1053/j.akdh.2025.03.001","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":72096,"journal":{"name":"Advances in kidney disease and health","volume":"32 2","pages":"Pages 144-153"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Pediatric Considerations in Post Acute Kidney Injury Care 急性肾损伤后护理中的儿科注意事项

Advances in kidney disease and health Pub Date : 2025-03-01 DOI: 10.1053/j.akdh.2025.01.007

Shina Menon , Stuart L. Goldstein

{"title":"Pediatric Considerations in Post Acute Kidney Injury Care","authors":"Shina Menon , Stuart L. Goldstein","doi":"10.1053/j.akdh.2025.01.007","DOIUrl":"10.1053/j.akdh.2025.01.007","url":null,"abstract":"<div><div>Acute kidney injury in children is associated with adverse outcomes. These include longer hospital stays, increased mortality, and nonrecovery of kidney function in the short term and increased health care utilization, new onset hypertension, and chronic kidney disease in the long term. Systematic post acute kidney injury care may help mitigate some of the complications that follow acute kidney injury. Patient, family, and health care team education is a key aspect of post acute kidney injury care. This includes individualized education to the patient and family, ideally prior to hospital discharge, provision of a discharge summary with details of the acute kidney injury episode and follow-up plan, and communication with the primary care provider. Given that severe acute kidney injury may often be seen in patients with other underlying medical conditions, partnership between the primary care provider, non-nephrology specialist and the nephrologist, and the use of telehealth may facilitate follow-up without increasing caregiver burden. Ongoing surveillance includes monitoring kidney function, proteinuria, and hypertension. There are no guidelines on the frequency of this evaluation or the duration of follow-up. These decisions should be individualized based on the characteristics of the index acute kidney injury episode and underlying risk factors for chronic kidney disease.</div></div>","PeriodicalId":72096,"journal":{"name":"Advances in kidney disease and health","volume":"32 2","pages":"Pages 179-186"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Thinking and Acting Outside the Hospitalization Box in AKI Care: Beyond Acute Care 在AKI护理的住院盒子之外思考和行动：超越急性护理

Advances in kidney disease and health Pub Date : 2025-03-01 DOI: 10.1053/j.akdh.2025.02.001

Anitha Vijayan, Javier A. Neyra

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Unraveling the Epidemiology of Acute Kidney Injury Recovery 揭示急性肾损伤恢复的流行病学

Advances in kidney disease and health Pub Date : 2025-03-01 DOI: 10.1053/j.akdh.2025.01.006

Ilka Decker , Michael Heung , Jorge Cerda

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Holistic Patient-Centered Outcomes in Post-Acute Kidney Injury Care: Physical, Emotional, Cognitive, and Social Outcomes 急性肾损伤后护理中以患者为中心的整体效果：身体、情感、认知和社会成果

Advances in kidney disease and health Pub Date : 2025-03-01 DOI: 10.1053/j.akdh.2024.10.001

Jia H. Ng , Mahie M. Abdullah , Emaad M. Abdel-Rahman

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