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Pediatric critical care medicine: planning for our research future
Carol E Nicholson1, Bruce M Gans, Anthony C Chang
1National Institute of Child Health and Human Development, 6100 Executive Boulevard, Room 2A03 MSC 7510, Bethesda, MD 20892, USA. nicholca@mail.nih.gov
Insights
A new pediatric critical care and rehabilitation research program at NICHD aims to improve long-term outcomes. Recommendations focus on increasing clinical trials and developing clinician scientists.
Area of Science:
- Pediatric Critical Care Medicine
- Rehabilitation Research
Background:
- The National Institute of Child Health and Human Development (NICHD) has established a new program focused on pediatric critical care and rehabilitation research.
- This initiative aims to improve long-term outcomes for critically ill children by integrating rehabilitation medicine.
Purpose of the Study:
- To introduce a new research program in pediatric critical care medicine at the National Institutes of Health (NIH).
- To foster collaboration between pediatric critical care and rehabilitation medicine to enhance research efforts.
Main Methods:
- A literature review and conference proceedings were summarized.
- A planning conference was held with experts in pediatric critical care and rehabilitation research to guide the new program's direction.
Main Results:
- A new program in pediatric critical care and rehabilitation research was established at the NICHD.
- The program is directed by a pediatric intensivist and focuses on improving long-term outcomes.
- Conference participants represented diverse expertise in pediatric critical care and rehabilitation.
Conclusions:
- The program's structure, including its integration with physical medicine and rehabilitation, is detailed.
- Recommendations were made to promote randomized controlled trials and cultivate clinician scientists in pediatric critical care.
- The goal is to advance research and improve care for critically ill children.
Objective:
To introduce to the pediatric critical care medicine community a new program in pediatric critical care medicine at the National Institutes of Health.
Data Source:
Summary of literature review and conference proceedings.
Data Synthesis:
At the National Institute of Child Health and Human Development (NICHD), a new program in pediatric critical care and rehabilitation research has been established in the National Center for Medical Rehabilitation Research. The program is directed by a pediatric intensivist and is focused on developing research directed toward improving long-term outcomes in pediatric critical care and on incorporating pediatric rehabilitation medicine as a partner in this goal. To provide strategic direction for the new program, the NICHD sponsored a planning conference May 3-4, 2002, at the NICHD in Bethesda, MD. The conference invitees represented a broad range of pediatric critical care medicine clinical and research interests, expertise, and career stages. It also included individuals with expertise in rehabilitation research.
Conclusion:
The composition of the new program, including its link to physical medicine and rehabilitation, is discussed. In addition, recommendations by the conference participants and program director are provided to foster the development of more randomized, controlled clinical trials and to develop successful clinician scientists in pediatric critical care medicine.

