Hartshorn Stuart, O'Sullivan Ronan, Maconochie Ian K, Bevan Catherine, Cleugh Francesca, Lyttle Mark D
Emergency Department, Birmingham Children's Hospital, Birmingham, UK.
School of Medicine, University College Cork, Cork, Ireland Paediatric Emergency Research Unit (PERU), National Children's Research Centre, Dublin 12, Ireland.
Emerg Med J. 2015 Nov;32(11):864-8. doi: 10.1136/emermed-2014-204484. Epub 2015 Feb 12.
Paediatric Emergency Research in the UK and Ireland (PERUKI) is a collaborative clinical studies group established in August 2012. It consists of a network of 43 centres from England, Ireland, Northern Ireland, Scotland and Wales, and aims to improve the emergency care of children through the performance of robust collaborative multicentre research within emergency departments. A study was conducted regarding the research priorities of PERUKI, to establish the research agenda for paediatric emergency medicine in the UK and Ireland.
A two-stage modified Delphi survey was conducted of PERUKI members via an online survey platform. Stage 1 allowed each member to submit up to 12 individual questions that they identified as priorities for future research. In stage 2, the shortlisted questions were each rated on a seven-point Likert scale of relative importance.
Members of PERUKI, including clinical specialists, academics, trainees and research nurses.
Stage 1 surveys were submitted by 46/91 PERUKI members (51%). A total of 249 research questions were generated and, following the removal of duplicate questions and shortlisting, 60 questions were carried forward for stage 2 ranking. Stage 2 survey responses were submitted by 58/95 members (61%). For the 60 research questions that were rated, the mean score of 'relative degree of importance' was 4.70 (range 3.36-5.62, SD 0.55). After ranking, the top 10 research priorities included questions on biomarkers for serious bacterial illness, major trauma, intravenous bronchodilators for asthma and decision rules for fever with petechiae, head injury and atraumatic limp.
Research priorities of PERUKI members have been identified. By sharing these results with clinicians, academics and funding bodies, future research efforts can be focused to the areas of greatest need.
英国和爱尔兰儿科急诊研究（PERUKI）是一个于2012年8月成立的临床协作研究小组。它由来自英格兰、爱尔兰、北爱尔兰、苏格兰和威尔士的43个中心组成的网络构成，旨在通过在急诊科开展有力的协作性多中心研究来改善儿童的急诊护理。开展了一项关于PERUKI研究重点的研究，以确立英国和爱尔兰儿科急诊医学的研究议程。
通过在线调查平台对PERUKI成员进行了两阶段的改良德尔菲调查。第一阶段允许每个成员提交多达12个他们确定为未来研究重点的个人问题。在第二阶段，入围的问题根据相对重要性的七点李克特量表进行评分。
PERUKI成员，包括临床专家、学者、实习生和研究护士。
46/91名（51%）PERUKI成员提交了第一阶段的调查问卷。共提出了249个研究问题，在去除重复问题并入围后，60个问题被推进到第二阶段进行排名。58/95名（61%）成员提交了第二阶段的调查回复。对于被评分的60个研究问题，“相对重要程度”的平均得分为4.70（范围3.36 - 5.62，标准差0.55）。排名后，前10项研究重点包括关于严重细菌性疾病生物标志物、重大创伤、哮喘静脉用支气管扩张剂以及伴有瘀点的发热、头部损伤和无创伤性跛行的决策规则等问题。
已确定PERUKI成员的研究重点。通过与临床医生、学者和资助机构分享这些结果，未来的研究工作可以聚焦于最需要的领域。
