Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada.
Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada.
Emerg Med Australas. 2021 Oct;33(5):900-910. doi: 10.1111/1742-6723.13801. Epub 2021 Jul 3.
The Pediatric Emergency Research Network (PERN) was launched in 2009 with the intent for existing national and regional research networks in paediatric emergency care to organise globally for the conduct of collaborative research across networks.
PERN has grown from five to eight member networks over the past decade. With an executive committee comprising representatives from all member networks, PERN plays a supportive and collaborative rather than governing role. The full impact of PERN's facilitation of international collaborative research, although somewhat difficult to quantify empirically, can be measured indirectly by the observed growth of the field, the nature of the increasingly challenging research questions now being addressed and the collective capacity to generate and implement new knowledge in treating acutely ill and injured children.
Beginning as a pandemic response studying H1N1 influenza risk factors in children, PERN research has progressed to multiple observational studies and ongoing global randomised controlled trials (RCTs). As a recent example, PERN has developed sufficient network infrastructure to enable the rapid initiation of a prospective observational study in response to the current COVID-19 pandemic.
Following its success with developing global research, the PERN goal now is to promote the implementation of scientific advances into everyday clinical practice by: (i) expanding the capacity for global RCTs; (ii) deepening the focus on implementation science; (iii) increasing attention to healthcare disparities; and (iv) expanding PERN's reach into resource-restricted regions. Through these actions, PERN aims to meet the needs of acutely ill and injured children throughout the world.
儿科急诊研究网络(PERN)于 2009 年成立,旨在使现有的儿科急诊护理国家和地区研究网络在全球范围内组织起来,以便在网络之间开展合作研究。
在过去的十年中,PERN 已从五个成员网络发展到八个成员网络。PERN 执行委员会由所有成员网络的代表组成,其作用是支持和协作,而不是管理。虽然 PERN 促进国际合作研究的全面影响在某种程度上难以用经验数据来量化,但可以通过该领域的明显发展、目前正在解决的越来越具有挑战性的研究问题的性质以及在治疗急性病和受伤儿童方面产生和实施新知识的集体能力来间接衡量。
PERN 的研究始于一项大流行应对研究,即研究儿童感染 H1N1 流感的风险因素,现已发展为多项观察性研究和正在进行的全球随机对照试验(RCT)。作为最近的一个例子,PERN 已经建立了足够的网络基础设施,能够快速启动一项前瞻性观察性研究,以应对当前的 COVID-19 大流行。
在成功开展全球研究之后,PERN 的目标现在是通过以下方式将科学进展推广到日常临床实践中:(i)扩大全球 RCT 的能力;(ii)深化实施科学的重点;(iii)更多地关注医疗保健差距;(iv)扩大 PERN 在资源有限地区的影响力。通过这些行动,PERN 旨在满足全世界急性病和受伤儿童的需求。