Development of a core outcome set for pediatric critical care outcomes research

Pediatric Intensive Care Unit (PICU) teams provide care for critically ill children with diverse and often complex medical and surgical conditions. Researchers often lack guidance on an approach to select the best outcomes when evaluating this critically ill population. Studies would be enhanced by...

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Bibliographic Details
Published in:Contemporary clinical trials 2020-04, Vol.91, p.105968-105968, Article 105968
Main Authors: Fink, Ericka L., Jarvis, Jessica M., Maddux, Aline B., Pinto, Neethi, Galyean, Patrick, Olson, Lenora M., Zickmund, Susan, Ringwood, Melissa, Sorenson, Samuel, Dean, J. Michael, Carcillo, Joseph A., Berg, Robert A., Zuppa, Athena, Pollack, Murray M., Meert, Kathleen L., Hall, Mark W., Sapru, Anil, McQuillen, Patrick S., Mourani, Peter M., Watson, R. Scott
Format: Article
Language:English
Subjects:
Adolescent
Child
Child, Preschool
Clinical research
Core outcomes set
Critical illness
Critical Illness - therapy
Delphi Technique
Endpoint Determination
Female
Guidelines as Topic
Humans
Infant
Intensive Care Units, Pediatric - organization & administration
Intensive Care Units, Pediatric - standards
Male
Morbidity
Outcome Assessment, Health Care - organization & administration
Pediatrics
Research Design
Stakeholder Participation
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Summary:Pediatric Intensive Care Unit (PICU) teams provide care for critically ill children with diverse and often complex medical and surgical conditions. Researchers often lack guidance on an approach to select the best outcomes when evaluating this critically ill population. Studies would be enhanced by incorporating multi-stakeholder preferences to better evaluate clinical care. This manuscript outlines the methodology currently being used to develop a PICU Core Outcome Set (COS). This PICU COS utilizes mixed methods, an inclusive stakeholder approach, and a modified Delphi consensus process that will serve as a resource for PICU research programs. A Scoping Review of the PICU literature evaluating outcomes after pediatric critical illness, a qualitative study interviewing PICU survivors and their parents, and other relevant literature will serve to inform a modified, international Delphi consensus process. The Delphi process will derive a set of minimum domains for evaluation of outcomes of critically ill children and their families. Delphi respondents include researchers, multidisciplinary clinicians, families and former patients, research funding agencies, payors, and advocates. Consensus meetings will refine and finalize the domains of the COS, outline a battery instruments for use in future studies, and prepare for extensive dissemination for broad implementation. The PICU COS will be a guideline resource for investigators to assure that outcomes most important to all stakeholders are considered in PICU clinical research in addition to those deemed most important to individual scientists. Trial registration: COMET database (http://www.comet-initiative.org/, Record ID 1131, 01/01/18).
ISSN:1551-7144
1559-2030
DOI:10.1016/j.cct.2020.105968