PREDICT prioritisation study: establishing the research priorities of paediatric emergency medicine physicians in Australia and New Zealand

Deane, Heather; Wilson, Catherine L; Babl, Franz E; Dalziel, Stuart R; Cheek, John A; Craig, Simon; Oakley, Ed; Borland, Meredith L; Cheng, Nicholas; Zhang, Michael; Cotterell, Elizabeth; Schuster, Tibor; Krieser, David

doi:10.1136/emermed-2017-206727

Cited by 32 publications

(64 citation statements)

References 22 publications

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“…When comparing our results with prior initiatives in PEM there is some alignment in research topics. For example, pain and sedation, respiratory illnesses/wheeze, patient safety/medication error, and sepsis were identified as priorities in our work and prior publications . Major/multisystem trauma were also priorities identified in our work and in the UK and Ireland and Australia and New Zealand .…”

Section: Discussionmentioning

confidence: 73%

“…Table shows the topics and rankings from this process compared to prior research priority setting initiatives in the ED setting …”

Section: Resultsmentioning

confidence: 99%

“…We used a systematic process to combine data on patient presentations with multiple stakeholder input to identify research priorities in PEM. In contrast to prior research priority setting initiatives in PEM we included parents in the prioritization and used a data‐driven process. The top five priorities included mental health presentations, pain and sedation, practice tools, quality of care delivery, and resource utilization.…”

Section: Discussionmentioning

confidence: 99%

“…In 1995 Canadian PEM physicians created a research network called Pediatric Emergency Research Canada (PERC; http://www.perc-canada.ca/), which brought together tertiary pediatric emergency care institutions throughout Canada to conduct research designed to improve the health of children . Similar research networks in the United States (Pediatric Emergency Care Applied Research Network [PECARN]), the United Kingdom (Pediatric Emergency Research in the UK and Ireland [PERUKI]), and Australia and New Zealand (Paediatric Research in Emergency Department International Collaborative [PREDICT]) have published consensus‐based research priorities for their networks . However, these processes focused on clinicians, investigators, and administrators and they did not include patients or families.…”

mentioning

confidence: 99%

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Pediatric Emergency Research Canada (PERC): Patient/Family‐informed Research Priorities for Pediatric Emergency Medicine

Bialy

Plint

Freedman

et al. 2018

Academic Emergency Medicine

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Section: Discussionmentioning

confidence: 73%

“…Table shows the topics and rankings from this process compared to prior research priority setting initiatives in the ED setting …”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Pediatric Emergency Research Canada (PERC): Patient/Family‐informed Research Priorities for Pediatric Emergency Medicine

Bialy

Plint

Freedman

et al. 2018

Academic Emergency Medicine

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“…1 It also features prominently among the top research priorities identified by emergency physicians in the UK, Australia and New Zealand. 2,3 The amount of fluid given in sepsis has changed over the past two decades. Early goal-directed therapy (EGDT) decreased sepsis mortality in ED patients in a small, single-centre study in the USA published in 2001.…”

Section: Introductionmentioning

confidence: 99%

The Australasian Resuscitation In Sepsis Evaluation: FLUid or vasopressors In Emergency Department Sepsis, a multicentre observational study (ARISE FLUIDS observational study): Rationale, methods and analysis plan

Keijzers

Macdonald

Udy

et al. 2019

Emerg Medicine Australasia

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Objective There is uncertainty about the optimal i.v. fluid volume and timing of vasopressor commencement in the resuscitation of patients with sepsis and hypotension. We aim to study current resuscitation practices in EDs in Australia and New Zealand (the Australasian Resuscitation In Sepsis Evaluation: FLUid or vasopressors In Emergency Department Sepsis [ARISE FLUIDS] observational study). Methods ARISE FLUIDS is a prospective, multicentre observational study in 71 hospitals in Australia and New Zealand. It will include adult patients presenting to the ED during a 30 day period with suspected sepsis and hypotension (systolic blood pressure <100 mmHg) despite at least 1000 mL fluid resuscitation. We will obtain data on baseline demographics, clinical and laboratory variables, all i.v. fluid given in the first 24 h, vasopressor use, time to antimicrobial administration, admission to intensive care, organ failure and in‐hospital mortality. We will specifically describe (i) the volume of fluid administered at the following time points: when meeting eligibility criteria, in the first 6 h, at 24 h and prior to vasopressor commencement and (ii) the frequency and timing of vasopressor use in the first 6 h and at 24 h. Screening logs will provide reliable estimates of the proportion of ED patients meeting eligibility criteria for a subsequent randomised controlled trial. Discussion This multicentre, observational study will provide insight into current haemodynamic resuscitation practices in patients with sepsis and hypotension as well as estimates of practice variation and patient outcomes. The results will inform the design and feasibility of a multicentre phase III trial of early haemodynamic resuscitation in patients presenting to ED with sepsis and hypotension.

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Research priority setting in emergency care: A scoping review

et al. 2022

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Objective Priority areas for emergency care research are emerging and becoming ever more important. The objectives of this scoping review were to (1) provide a comprehensive overview of published emergency care priority‐setting studies by collating and comparing priority‐setting methodology and (2) describe the resulting research priorities identified. Methods The Joanna Briggs Institute methodological framework was used. Inclusion criteria were peer‐review articles available in English, published between January 1, 2008 and March 31, 2019 and used 2 or more search terms. Five databases (Scopus, AustHealth, EMBASE, CINAHL, and Ovid MEDLINE) were searched. REporting guideline for PRIority SEtting of health research (REPRISE) criteria were used to assess the quality of evidence of included articles. Results Forty‐five studies were included. Fourteen themes for emergency care research were considered within 3 overarching research domains: emergency populations (pediatrics, geriatrics), emergency care workforce and processes (nursing, shared decision making, general workforce, and process), and emergency care clinical areas (imaging, falls, pain management, trauma care, substance misuse, infectious diseases, mental health, cardiology, general clinical care). Variation in the reporting of research priority areas was evident. Priority areas to drive the global agenda for emergency care research are limited given the country and professional group‐specific context of existing studies. Conclusion This comprehensive summary of generated research priorities across emergency care provides insight into current and future research agendas. With the nature of emergency care being inherently broad, future priorities may warrant population (eg, children, geriatrics) or subspecialty (eg, trauma, toxicology, mental health) focus and be derived using a rigorous framework and patient engagement.

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PREDICT prioritisation study: establishing the research priorities of paediatric emergency medicine physicians in Australia and New Zealand

Abstract: 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.

Cited by 32 publications

References 22 publications

Pediatric Emergency Research Canada (PERC): Patient/Family‐informed Research Priorities for Pediatric Emergency Medicine

Pediatric Emergency Research Canada (PERC): Patient/Family‐informed Research Priorities for Pediatric Emergency Medicine

The Australasian Resuscitation In Sepsis Evaluation: FLUid or vasopressors In Emergency Department Sepsis, a multicentre observational study (ARISE FLUIDS observational study): Rationale, methods and analysis plan

Research priority setting in emergency care: A scoping review

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