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What are the initial research priorities for paediatric emergency medicine in India? A prioritisation study
Indumathy Santhanam1, Muralidharan Jayashree2, Suresh Kumar Angurana2
1Madras Medical College, Chennai, Tamil Nadu, India.
Insights
Researchers identified key pediatric emergency medicine research priorities in India. Top areas include prehospital care, septic shock, and trauma, aiming to improve child emergency care and establish a research network.
Area of Science:
- Pediatric Emergency Medicine
- Health Services Research
- Clinical Research
Background:
- Paediatric emergency medicine (PEM) in India is rapidly evolving.
- Context-specific research priorities are crucial due to India's unique epidemiological profile and healthcare system limitations.
- Previous research priority-setting in high-income countries may not directly translate to India's needs.
Purpose of the Study:
- To develop a prioritized list of research questions and topics for pediatric emergency care in India.
- To guide future research efforts and the establishment of a multicenter PEM research network.
- To address disparities in resource allocation and clinical outcomes for children in emergency departments.
Main Methods:
- A nominal group technique (NGT) approach was employed during a 1-day workshop at the Society for Emergency Medicine in India conference (EMCON2023).
- Thirty participants engaged in idea generation, discussion, clarification, and voting, facilitated by experienced PEM researchers.
- The NGT method ensured balanced participation and focused discussion, leading to the generation of 48 prioritized research topics.
Main Results:
- The study identified multicenter research priorities for PEM in India for the first time.
- Top-ranking research areas include prehospital care, septic shock, envenomation, intubation timing and optimization, point-of-care ultrasound, structured clinical assessment, and trauma.
- Prioritization of prehospital care highlights the need to address delayed interventions, especially in rural settings.
Conclusions:
- This study provides the first comprehensive list of multicenter research priorities in Indian PEM.
- The identified priorities will direct future research and the development of a collaborative PEM research network in India.
- This initiative is foundational for long-term collaboration and capacity building in PEM research across India.
Introduction:
Paediatric emergency medicine (PEM) in India is undergoing a period of rapid growth. A key step in the establishment of successful PEM research networks in high-income countries has been prioritisation of research questions. However, these may be less relevant to India due to differences in epidemiology (higher rates of infectious disease) and limited prehospital care. This gap highlights the importance of context-specific research priorities to address disparities in resource allocation and clinical outcomes.We report on a process to develop a prioritised list of research questions and topics aiming to improve the clinical care of children attending emergency departments across India.
Methods:
A nominal group technique (NGT) approach was used to set research priorities within a 1-day workshop attached to the Society for Emergency Medicine in India conference (EMCON2023) in October 2023. The workshop, which included 30 participants, was facilitated by four members of an established PEM research network from Australia and New Zealand.The priority-setting process included idea generation and recording, open discussion and clarification of ideas and voting. The NGT method facilitated balanced participation and focused discussions, ensuring all participants' input was equally considered. A final list of 48 prioritised research topics was generated.
Results:
Top-ranking areas included prehospital care, septic shock, envenomation, timing of and physiological optimisation prior to intubation, point-of-care ultrasound, the role of structured clinical assessment and trauma.
Conclusions:
This study has, for the first time, identified multicentre research priorities in PEM for India. The prioritisation of prehospital care reflects the urgent need to address delayed interventions, particularly in rural areas. The presented list of research questions will guide research efforts over the coming years and form the basis for the development of a multicentre research network. This initiative lays the groundwork for long-term collaboration and capacity building in PEM research across India.
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