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Evolution and current state of global research on paediatric resuscitation: a systematic scientometric analysis
Sean S Scholz1, Rainer Borgstedt2, Leoni C Menzel3
1Department of Anaesthesiology, Intensive Care, Emergency Medicine, Transfusion Medicine and Pain Therapy, Protestant Hospital of the Bethel Foundation, Burgsteig 13, Haus Gilead I, 33617, Bielefeld, Germany. sean.scholz@evkb.de.
Insights
Research on pediatric resuscitation has grown but remains limited compared to adult resuscitation. International collaboration is crucial, especially for nations with high infant mortality rates, to improve outcomes and address gender disparities in research.
Area of Science:
- Medical Research
- Resuscitation Science
- Pediatric Critical Care
Background:
- Pediatric resuscitation research is vital due to its impact on long-term health outcomes.
- High infant mortality rates in several nations underscore the need for improved pediatric resuscitation efforts.
- A comprehensive analysis of pediatric resuscitation research is essential for clinical advancement and future studies.
Purpose of the Study:
- To analyze the evolution and current state of global research on pediatric resuscitation.
- To evaluate research performance in terms of quality and quantity over time.
- To compare pediatric resuscitation research with that of adult resuscitation and identify national research performance factors.
Main Methods:
- A systematic search of Web of Science for pediatric resuscitation publications (1900-2019).
- Analysis of publication metadata using the Science Performance Evaluation (SciPE) protocol.
- Evaluation of research quantity, quality, international collaborations, and gender distribution.
Main Results:
- Pediatric resuscitation research has grown exponentially, but remains only 14% of adult resuscitation research output.
- The United States leads in publications, Hirsch-Index, and citations, with the US and Canada being most collaborative.
- Norway excels in research output relative to population and GDP; India and Brazil show notable efforts relative to infant mortality rates.
Conclusions:
- Despite growth, pediatric resuscitation research is underrepresented globally.
- Enhanced international collaborations are needed, particularly with nations facing high infant mortality rates.
- Addressing gender disparities in research authorship is necessary to foster equitable scientific contribution.
Background:
Paediatric resuscitation is rare but potentially associated with maximal lifetime reduction. Notably, several nations experience high infant mortality rates even today. To improve clinical outcomes and promote research, detailed analyses on evolution and current state of research on paediatric resuscitation are necessary.
Methods:
Research on paediatric resuscitation published in-between 1900 and 2019 were searched using Web of Science. Metadata were extracted and analyzed based on the science performance evaluation (SciPE) protocol. Research performance was evaluated regarding quality and quantity over time, including comparisons to adult resuscitation. National research performance was related to population, financial capacities, infant mortality rate, collaborations, and authors' gender.
Results:
Similar to adult resuscitation, research performance on paediatric resuscitation grew exponentially with most original articles being published during the last decade (1106/1896). The absolute number, however, is only 14% compared to adults. The United States dominate global research by contributing the highest number of articles (777), Hirsch-Index (70), and citations (18,863). The most productive collaboration was between the United States and Canada (52). When considering nation's population and gross domestic product (GDP) rate, Norway is leading regarding population per article (62,467), per Hirsch-Index (223,841), per citation (2226), and per GDP (2.3E-04). Regarding publications per infant mortality rate, efforts of India and Brazil are remarkable. Out of the 100 most frequently publishing researchers, 25% were female.
Conclusion:
Research efforts on paediatric resuscitation have increased but remain underrepresented. Specifically, nations with high infant mortality rates should be integrated by collaborations. Additional efforts are required to overcome gender disparities.
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