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. 2020 Apr:91:105968.
doi: 10.1016/j.cct.2020.105968. Epub 2020 Mar 5.

Development of a core outcome set for pediatric critical care outcomes research

Ericka L Fink  1 , Jessica M Jarvis  2 , Aline B Maddux  3 , Neethi Pinto  4 , Patrick Galyean  5 , Lenora M Olson  6 , Susan Zickmund  7 , Melissa Ringwood  8 , Samuel Sorenson  9 , J Michael Dean  10 , Joseph A Carcillo  11 , Robert A Berg  12 , Athena Zuppa  13 , Murray M Pollack  14 , Kathleen L Meert  15 , Mark W Hall  16 , Anil Sapru  17 , Patrick S McQuillen  18 , Peter M Mourani  19 , R Scott Watson  20 ; Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Long-term Outcomes Subgroup Investigators, and; Eunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Research Network (CPCCRN)
Affiliations

Development of a core outcome set for pediatric critical care outcomes research

Ericka L Fink et al. Contemp Clin Trials. 2020 Apr.

Abstract

Background: Pediatric Intensive Care Unit (PICU) teams provide care for critically ill children with diverse and often complex medical and surgical conditions. Researchers often lack guidance on an approach to select the best outcomes when evaluating this critically ill population. Studies would be enhanced by incorporating multi-stakeholder preferences to better evaluate clinical care. This manuscript outlines the methodology currently being used to develop a PICU Core Outcome Set (COS). This PICU COS utilizes mixed methods, an inclusive stakeholder approach, and a modified Delphi consensus process that will serve as a resource for PICU research programs.

Methods: A Scoping Review of the PICU literature evaluating outcomes after pediatric critical illness, a qualitative study interviewing PICU survivors and their parents, and other relevant literature will serve to inform a modified, international Delphi consensus process. The Delphi process will derive a set of minimum domains for evaluation of outcomes of critically ill children and their families. Delphi respondents include researchers, multidisciplinary clinicians, families and former patients, research funding agencies, payors, and advocates. Consensus meetings will refine and finalize the domains of the COS, outline a battery instruments for use in future studies, and prepare for extensive dissemination for broad implementation.

Discussion: The PICU COS will be a guideline resource for investigators to assure that outcomes most important to all stakeholders are considered in PICU clinical research in addition to those deemed most important to individual scientists.

Trial registration: COMET database (http://www.comet-initiative.org/, Record ID 1131, 01/01/18).

Keywords: Clinical research; Core outcomes set; Critical illness; Morbidity; Pediatrics.

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Conflict of interest statement

Declaration of Competing Interest The authors declare not competing interests.

Figures

Figure 1.
Figure 1.
PICU-Core Outcomes Set study design. PICU, pediatric intensive care unit; COS, core outcomes set 1Merritt et al. PCCM 2018, Pasek et al. Crit Care Nurse 2019, Turnbull et al. Crit Care Med 2017, Gershon et al. Journal of Applied Measurement 2010.
See this image and copyright information in PMC

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