Establishing the international research priorities for pediatric emergency medicine point-of-care ultrasound: A modified Delphi study.

Autor: Snelling PJ; Department of Emergency Medicine, Gold Coast University Hospital and Griffith University, Southport, Queensland, Australia., Shefrin AE; Department of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada., Moake MM; Department of Pediatric Emergency Medicine, Medical University of South Carolina, Charleston, South Carolina, USA., Bergmann KR; Department of Pediatric Emergency Medicine, Children's Minnesota, Minneapolis, Minnesota, USA., Constantine E; Division of Pediatric Emergency Medicine, Hasbro Children's Hospital/Rhode Island Hospital and Brown University, Providence, Rhode Island, USA., Deanehan JK; Division of Pediatric Emergency Medicine, Johns Hopkins Children's Center Baltimore, Baltimore, Maryland, USA., Dessie AS; Department of Emergency Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA., Elkhunovich MA; Division of Emergency and Transport Medicine, Children's Hospital Los Angeles, Los Angeles, California, USA., Gold DL; Division of Emergency Medicine, Nationwide Children's Hospital and Ohio State University, Columbus, Ohio, USA., Kornblith AE; Department of Emergency Medicine, University of California San Francisco, San Francisco, California, USA., Lin-Martore M; Department of Pediatrics, University of California San Francisco, San Francisco, California, USA., Nti B; Riley Hospital for Children at Indiana University Health, Indianapolis, Indiana, USA., Pade KH; Division of Pediatric Emergency Medicine, Rady Children's Hospital San Diego and University of California at San Diego, San Diego, California, USA., Parri N; Department of Emergency Medicine, Meyer University Children's Hospital, Florence, Italy., Sivitz A; Children's Hospital of New Jersey, Newark Beth Israel Medical Center, Newark, New Jersey, USA., Lam SHF; Sutter Medical Center, Sacramento, California, USA.
Jazyk: angličtina
Zdroj: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine [Acad Emerg Med] 2022 Nov; Vol. 29 (11), pp. 1338-1346. Date of Electronic Publication: 2022 Sep 13.
DOI: 10.1111/acem.14588
Abstrakt: Background: The Pediatric Emergency Medicine (PEM) Point-of-care Ultrasound (POCUS) Network (P2Network) was established in 2014 to provide a platform for international collaboration among experts, including multicenter research. The objective of this study was to use expert consensus to identify and prioritize PEM POCUS topics, to inform future collaborative multicenter research.
Methods: Online surveys were administered in a two-stage, modified Delphi study. A steering committee of 16 PEM POCUS experts was identified within the P2Network, with representation from the United States, Canada, Italy, and Australia. We solicited the participation of international PEM POCUS experts through professional society mailing lists, research networks, social media, and "word of mouth." After each round, responses were refined by the steering committee before being reissued to participants to determine the ranking of all the research questions based on means and to identify the high-level consensus topics. The final stage was a modified Hanlon process of prioritization round (HPP), which emphasized relevance, impact, and feasibility.
Results: Fifty-four eligible participants (16.6%) provided 191 items to Survey 1 (Round 1). These were refined and consolidated into 52 research questions by the steering committee. These were issued for rating in Survey 2 (Round 2), which had 45 participants. At the completion of Round 2, all questions were ranked with six research questions reaching high-level consensus. Thirty-one research questions with mean ratings above neutral were selected for the HPP round. Highly ranked topics included clinical applications of POCUS to evaluate and manage children with shock, cardiac arrest, thoracoabdominal trauma, suspected cardiac failure, atraumatic limp, and intussusception.
Conclusions: This consensus study has established a research agenda to inform future international multicenter PEM POCUS trials. This study has highlighted the ongoing need for high-quality evidence for PEM POCUS applications to guide clinical practice.
(© 2022 The Authors. Academic Emergency Medicine published by Wiley Periodicals LLC on behalf of Society for Academic Emergency Medicine.)
Databáze: MEDLINE
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