Priorities for Nutrition Research in Pediatric Critical Care
Lyvonne N Tume1, Frédéric V Valla2, Alejandro A Floh3,4
1Faculty of Health & Applied Sciences, University of the West of England, Bristol, UK.
JPEN. Journal of Parenteral and Enteral Nutrition
|December 28, 2018
Summary
Pediatric critical care nutrition research needs clear priorities due to practice variations. A Delphi process identified key areas, including malnutrition, nutrition assessment, and long-term outcomes, to guide future studies.
Area of Science:
- Pediatric critical care
- Nutrition science
- Clinical research methodology
Background:
- Significant variability exists in pediatric critical care nutrition practices.
- Lack of evidence hinders the development of best practice recommendations.
- This necessitates a structured approach to identify research priorities.
Purpose of the Study:
- To establish a prioritized list of research topics in pediatric critical care nutrition for the next decade.
- To guide future research endeavors and funding allocations.
- To address critical knowledge gaps in the field.
Main Methods:
- A modified 3-round Delphi process involving 11 international pediatric critical care nutrition researchers.
- Utilized a 5-point Likert scale for ranking research topics.
- Multidisciplinary group consensus building.
Main Results:
- Identified 45 research topics across 10 domains, including malnutrition, nutrition assessment, energy/protein requirements, enteral/parenteral nutrition, and long-term outcomes.
- Top 10 research topics were identified with high priority scores.
- Key areas include pathophysiology of malnutrition, accurate nutrition assessment, and impact on long-term patient outcomes.
Conclusions:
- Established consensus-driven priorities for pediatric critical care nutrition research.
- Emphasizes the need for research focused on patient and parent priorities.
- Advocates for international collaboration and targeted funding to improve patient outcomes.
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