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2015 PEDIATRIC RESEARCH PRIORITIES IN PREHOSPITAL CARE

机译：2015年住院前儿科研究的重点

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Background: Pediatric prehospital research has been limited, but work in this area is starting to increase particularly with the growth of pediatric-specific research endeavors. Given the increased interest in pediatric prehospital research, there is a need to identify specific research priorities that incorporate the perspective of prehospital providers and other emergency medical services (EMS) stakeholders. Objectives: To develop a list of specific research priorities that is relevant, specific, and important to the practice of pediatric prehospital care. Methods: Three independent committees of EMS providers and researchers were recruited. Each committee developed a list of research topics. These topics were collated and used to initiate a modified Delphi process for developing consensus on a list of research priorities. Participants were the committee members. Topics approved by 80% were retained as research priorities. Topics that were rejected by more than 50% were eliminated. The remaining topics were modified and included on subsequent surveys. Each survey allowed respondents to add additional topics. The surveys were continued until all topics were either successfully retained or rejected and no new topics were suggested. Results: Fifty topics were identified by the three independent committees. These topics were included on the initial electronic survey. There were 5 subsequent surveys. At the completion of the final survey a total of 29 research priorities were identified. These research priorities covered the following study areas: airway management, asthma, cardiac arrest, pain, patient-family interaction, resource utilization, seizure, sepsis, spinal immobilization, toxicology, trauma, training and competency, and vascular access. The research priorities were very specific. For example, under airway the priorities were: "identify the optimal device for effectively managing the airway in the prehospital setting" and "identify the optimal airway management device for specific disease processes." Conclusion: This project developed a list of relevant, specific, and important research priorities for pediatric prehospital care. Some similarities exist between this project and prior research agendas but this list represents a current, more specific research agenda and reflects the opinions of working EMS providers, researchers, and leaders.
机译：背景：儿科院前研究一直很有限，但是随着儿科特定研究工作的增长，该领域的工作开始增加。鉴于对儿科院前研究的兴趣日益增加，有必要确定具体的研究重点，以纳入院前提供者和其他紧急医疗服务（EMS）利益相关者的观点。目标：制定与儿科院前护理实践相关，具体且重要的具体研究重点列表。方法：召集了三个独立的EMS提供者和研究人员委员会。每个委员会都制定了研究主题清单。这些主题经过整理，用于启动经过改进的Delphi流程，以就一系列研究重点达成共识。参加者为委员会成员。 80％批准的主题保留为研究重点。排除了50％以上被拒绝的主题。其余主题已修改，并包含在后续调查中。每个调查都允许受访者添加其他主题。继续进行调查，直到所有主题都被成功保留或拒绝，并且没有提出新主题。结果：三个独立委员会确定了50个主题。这些主题已包含在初始电子调查中。随后进行了5次调查。最终调查完成后，共确定了29个研究重点。这些研究重点涵盖以下研究领域：气道管理，哮喘，心脏骤停，疼痛，患者与家庭的互动，资源利用，癫痫发作，败血症，脊柱固定，毒理学，创伤，训练和能力以及血管通路。研究重点非常具体。例如，在气道下的优先事项是：“确定在院前环境中有效管理气道的最佳装置”和“为特定疾病过程确定最佳的气道管理装置”。结论：该项目为儿科院前护理制定了相关，具体和重要的研究重点清单。该项目与先前的研究议程之间存在一些相似之处，但此清单代表了当前更具体的研究议程，并反映了工作中的EMS提供者，研究人员和领导者的观点。

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