Emergency Department, Royal Children's Hospital, Melbourne, Victoria, Australia.
Emergency Research Group, Murdoch Childrens Research Institute, Parkville, Victoria, Australia.
Emerg Med J. 2018 Jan;35(1):39-45. doi: 10.1136/emermed-2017-206727. Epub 2017 Aug 30.
The Paediatric Research in Emergency Departments International Collaborative (PREDICT) performs multicentre research in Australia and New Zealand. Research priorities are difficult to determine, often relying on individual interests or prior work.
To identify the research priorities of paediatric emergency medicine (PEM) specialists working in Australia and New Zealand.
Online surveys were administered in a two-stage, modified Delphi study. Eligible participants were PEM specialists (consultants and senior advanced trainees in PEM from 14 PREDICT sites). Participants submitted up to 3 of their most important research questions (survey 1). Responses were collated and refined, then a shortlist of refined questions was returned to participants for prioritisation (survey 2). A further prioritisation exercise was carried out at a PREDICT meeting using the Hanlon Process of Prioritisation. This determined the priorities of active researchers in PEM including an emphasis on the feasibility of a research question.
One hundred and six of 254 (42%) eligible participants responded to survey 1 and 142/245 (58%) to survey 2. One hundred and sixty-eight (66%) took part in either or both surveys. Two hundred forty-six individual research questions were submitted in survey 1. Survey 2 established a prioritised list of 35 research questions. Priority topics from both the Delphi and Hanlon process included high flow oxygenation in intubation, fluid volume resuscitation in sepsis, imaging in cervical spine injury, intravenous therapy for asthma and vasopressor use in sepsis.
This prioritisation process has established a list of research questions, which will inform multicentre PEM research in Australia and New Zealand. It has also emphasised the importance of the translation of new knowledge.
儿科急诊研究国际协作组织（PREDICT）在澳大利亚和新西兰进行多中心研究。研究重点很难确定，通常依赖于个人兴趣或先前的工作。
确定在澳大利亚和新西兰工作的儿科急诊医学（PEM）专家的研究重点。
采用两阶段改良德尔菲法进行在线调查。合格的参与者是 PEM 专家（来自 14 个 PREDICT 站点的顾问和高级儿科急诊培训生）。参与者提交了最多 3 个他们最重要的研究问题（调查 1）。对答复进行整理和完善，然后将经过精炼的问题清单返还给参与者进行优先排序（调查 2）。在 PREDICT 会议上使用 Hanlon 优先排序法进行了进一步的优先排序。这确定了 PEM 活跃研究人员的优先事项，包括对研究问题可行性的重视。
254 名符合条件的参与者中有 106 名（42%）回复了调查 1，245 名中有 142 名（58%）回复了调查 2。168 名（66%）参加了一项或两项调查。在调查 1 中提交了 246 个单独的研究问题。调查 2 确定了 35 个优先研究问题的清单。德尔福和 Hanlon 流程中的优先主题包括插管时高流量吸氧、脓毒症时液体复苏、颈椎损伤的影像学、哮喘的静脉治疗和脓毒症中的血管加压素使用。
该优先排序过程确定了一系列研究问题，这将为澳大利亚和新西兰的多中心 PEM 研究提供信息。它还强调了新知识转化的重要性。
