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Research priorities for European paediatric emergency medicine
Silvia Bressan1, Luigi Titomanlio2,3, Borja Gomez4
1Department of Pediatrics, University of Padova, Padova, Italy.
Insights
European paediatric emergency medicine researchers identified key priorities for future studies. Top areas include fever, sepsis, respiratory infections, biomarkers, risk stratification, and practice variation to improve care.
Area of Science:
- Paediatric Emergency Medicine
- Clinical Research Prioritization
Background:
- The Research in European Paediatric Emergency Medicine (REPEM) network comprises 69 physicians from 20 European countries.
- Established in 2006, the network aims to enhance paediatric emergency care across Europe.
Purpose of the Study:
- To define research priorities for paediatric emergency medicine (PEM) in Europe.
- To guide the development of future collaborative research projects within the REPEM network.
Main Methods:
- A modified three-stage Delphi study was conducted online among REPEM network members.
- The study involved initial topic generation, rating of research topics on a 6-point scale, and prioritization using the Hanlon Process of Prioritisation (HPP) to assess feasibility.
Main Results:
- Fifty-two respondents participated, with response rates ranging from 41% to 57%.
- Key research themes identified include fever, sepsis, respiratory infections, biomarkers, risk stratification, and practice variation.
- The HPP confirmed high priority for conditions like fever and sepsis, considering prevalence, severity, and research feasibility.
Conclusions:
- The identified research priorities address critical areas in European paediatric emergency medicine.
- These priorities will guide collaborative research efforts to improve the quality of care provided in European paediatric emergency departments.
- Addressing practice variation is crucial given the diverse healthcare systems and patient populations across Europe.
Objective:
Research in European Paediatric Emergency Medicine (REPEM) network is a collaborative group of 69 paediatric emergency medicine (PEM) physicians from 20 countries in Europe, initiated in 2006. To further improve paediatric emergency care in Europe, the aim of this study was to define research priorities for PEM in Europe to guide the development of future research projects.
Design And Setting:
We carried out an online survey in a modified three-stage Delphi study. Eligible participants were members of the REPEM network. In stage 1, the REPEM steering committee prepared a list of research topics. In stage 2, REPEM members rated on a 6-point scale research topics and they could add research topics and comment on the list for further refinement. Stage 3 included further prioritisation using the Hanlon Process of Prioritisation (HPP) to give more emphasis to the feasibility of a research topic.
Results:
Based on 52 respondents (response rates per stage varying from 41% to 57%), we identified the conditions 'fever', 'sepsis' and 'respiratory infections', and the processes/interventions 'biomarkers', 'risk stratification' and 'practice variation' as common themes of research interest. The HPP identified highest priority for 4 of the 5 highest prioritised items by the Delphi process, incorporating prevalence and severity of each condition and feasibility of undertaking such research.
Conclusions:
While the high diversity in emergency department (ED) populations, cultures, healthcare systems and healthcare delivery in European PEM prompts to focus on practice variation of ED conditions, our defined research priority list will help guide further collaborative research efforts within the REPEM network to improve PEM care in Europe.
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