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Strategic Planning for Research in Pediatric Critical Care
Robert F Tamburro1, Tammara L Jenkins, Patrick M Kochanek
11Pediatric Trauma and Critical Illness Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD.2Safar Center for Resuscitation Research, Departments of Critical Care Medicine, Anesthesiology, Pediatrics, Bioengineering, and Clinical and Translational Science, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Insights
Pediatric critical care research priorities include multiple organ dysfunction syndrome, critical illness impact on child development, and family functioning. Future research should focus on long-term outcomes and data sharing to advance the field.
Area of Science:
- Pediatric Critical Care Research
- Trauma and Critical Illness
- Child Health and Human Development
Background:
- Expert consensus identified key research priorities for pediatric critical care.
- The Strategic Planning Conference convened experts to define future research directions.
Framework:
- Multiple organ dysfunction syndrome (MODS) identified as a critical area for further investigation.
- Interplay between critical illness, child development, and family functioning highlighted as a research priority.
- Emphasis on long-term outcomes research in pediatric critical care.
Implementation:
- Advocacy for multidisciplinary conferences to identify knowledge gaps.
- Recognition of successful programs like the Pediatric Critical Care and Trauma Scientist Development National K12 Program and the Collaborative Pediatric Critical Care Research Network.
- Emphasis on developing core data resources, biorepositories, and common data elements for enhanced data sharing and discovery.
Implications:
- Call for multicenter clinical trials and innovative study designs for understudied conditions.
- Prioritization of pediatric critical care research workforce growth through collaboration and diversity.
- Need for strategic planning to advance pediatric critical care research and improve child outcomes.
Objective:
To summarize the scientific priorities and potential future research directions for pediatric critical care research discussed by a panel of experts at the inaugural Strategic Planning Conference of the Pediatric Trauma and Critical Illness Branch of the Eunice Kennedy Shriver National Institute of Child Health and Human Development.
Data Sources:
Expert opinion expressed during the Strategic Planning Conference.
Study Selection:
Not applicable.
Data Extraction:
Chaired by an experienced expert from the field, issues relevant to the conduct of pediatric critical care research were discussed and debated by the invited participants.
Data Synthesis:
Common themes and suggested priorities were identified and coalesced.
Conclusions:
Of the many pathophysiologic conditions discussed, the multiple organ dysfunction syndrome emerged as a topic in need of more study that is most relevant to the field. Additionally, the experts offered that the interrelationship and impact of critical illness on child development and family functioning are important research priorities. Consequently, long-term outcomes research was encouraged. The expert group also suggested that multidisciplinary conferences are needed to help identify key knowledge gaps to advance and direct research in the field. The Pediatric Critical Care and Trauma Scientist Development National K12 Program and the Collaborative Pediatric Critical Care Research Network were recognized as successful and important programs supported by the branch. The development of core data resources including biorepositories with robust phenotypic data using common data elements was also suggested to foster data sharing among investigators and to enhance disease diagnosis and discovery. Multicenter clinical trials and innovative study designs to address understudied and poorly understood conditions were considered important for field advancement. Finally, the growth of the pediatric critical care research workforce was offered as a priority that could be spawned in many ways including by expanded transdisciplinary and multiprofessional collaboration and diversity representation.
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