Pediatric AKI in the real world: changing outcomes through education and advocacy—a report from the 26th Acute Disease Quality Initiative (ADQI) consensus conference

the ADQI 26 workgroup

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)1005-1014
Number of pages10
JournalPediatric Nephrology
Volume39
Issue number3
DOIs
StatePublished - Mar 2024

Funding

The ADQI 26 workgroup: The following individuals contributed to the formulation and content of this work in accordance with their participation in the 26thAcute Disease Quality Initiative (ADQI XXVI). Chairs: Ayse Akcan Arikan, MD, Baylor College of Medicine, Department of Pediatrics, Divisions of Critical Care Medicine and Nephrology, Houston, TX, USA. Rajit K. Basu, MD, MS, Northwestern University Feinberg School of Medicine, Ann & Robert Lurie Children’s Hospital of Chicago, Department of Pediatrics, Division of Critical Care Medicine, Chicago, IL, USA. Stuart L. Goldstein, MD, Cincinnati Children’s Hospital Medical Center, Department of Pediatrics, Division of Nephrology & Hypertension, Cincinnati, OH, USA. Rashid Alobaidi1, David J. Askenazi2, Sean M. Bagshaw1, Matthew Barhight3, Erin Barreto4, Benan Bayrakci5, O.N. Ray Bignall II6, Erica Bjornstad2, Patrick Brophy7, Jennifer Charlton8, Rahul Chanchlani9, Andrea L. Conroy10, Akash Deep11, Prasad Devarajan12, Kristin Dolan13, Dana Fuhrman14, Katja M. Gist12, Stephen M. Gorga15, Jason H. Greenberg16, Denise Hasson12, Emma Heydari1, Arpana Iyengar17, Jennifer Jetton18, Catherine Krawczeski6, Leslie Meigs19, Shina Menon20, Catherine Morgan1, Jolyn Morgan12, Theresa Mottes3, Tara Neumayr21, Zaccaria Ricci22, David T. Selewski23, Danielle Soranno10, Natalja Stanski12, Michelle Starr10, Scott M. Sutherland24, Jordan Symons20, Marcelo Tavares25, Molly Vega13, Michael Zappitelli26, Claudio Ronco27, Ravindra L. Mehta28, John Kellum29, and Marlies Ostermann30.1Alberta Health Sciences University, Edmonton, Alberta, Canada2University of Alabama at Birmingham, Children’s Hospital of Alabama, Birmingham, AL, USA3Northwestern University Feinberg School of Medicine, Ann & Robert Lurie Children’s Hospital of Chicago, Chicago, IL, USA4Hacettepe University, Ankara, Türkiye5Mayo Clinic, Rochester, MN, USA6Nationwide Children’s Hospital, Ohio State University, Columbus, OH, USA7Golisano Children’s Hospital, Rochester University Medical Center, Rochester, NY, USA8University of Virginia, Charlottesville, VA, USA9McMaster University, McMaster Children’s Hospital, Hamilton, ON, Canada10Riley Children’s Hospital, Indiana University School of Medicine, Indianapolis, IN, USA11King’s College London, King’s College Hospital NHS Foundation Trust, London, UK12Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA13Texas Children’s Hospital, Baylor College of Medicine, Houston, TX, USA14Children’s Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, PA, USA15C.S. Mott Children’s Hospital, University of Michigan, Ann Arbor, MI, USA16Yale University Medical Center, New Haven, CT, USA17St. John’s National Academy of Health Sciences, Bangalore, India18Stead Family Children’s Hospital, University of Iowa, Iowa City, IA, USA19University of St. Thomas, Houston, TX USA20Seattle Children’s Hospital, University of Washington, Seattle, WA, USA21Washington University School of Medicine, St. Louis, MO, USA.22University of Florence, Florence, Italy23Medical University of South Carolina, Charleston, SC, USA24Lucille Packard Children’s Hospital, Stanford University, Palo Alto, CA, USA25Santa Casa dela Belo Horizonte, Belo Horizonte, Brazil26Hospital for Sick Children, Toronto, Ontario, Canada27San Bartolo Hospital, Universita di Padova, Vicenza, Italy28University of California San Diego School of Medicine, La Jolla, CA, USA29University of Pittsburgh Medical Center, Pittsburgh, PA, USA30Guy’s and St. Thomas’ NHS Foundation Trust, London, UK Andrea Conroy has grant funding from the National Institute of Allergy and Infectious Diseases that is not related to this project.

Keywords

  • Acute kidney injury
  • Advocacy
  • Education
  • Education Design Research (EDR)

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Nephrology

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