Evidence map›Paper›PMID 28315043›Full record

ReviewIntensive care medicine2017

The intensive care medicine clinical research agenda in paediatrics.

Mark J Peters, Andrew Argent, Marino Festa, Stéphane Leteurtre, Jefferson Piva, Ann Thompson, Douglas Willson, Pierre Tissières, Marisa Tucci, Jacques Lacroix

Abstract readReview
PubMed Publisher
In one paragraph

Review in Intensive care medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Priorities for paediatric critical care research: a modified Delphi study by the Australian and New Zealand Intensive Care Society Paediatric Study Group.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2021
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Focus on paediatrics 2018.Intensive care medicine · 2018
    Article
  13. Risks and benefits of oxygen therapy.Journal of inherited metabolic disease · 2018
    Article
  14. Article
  15. Focus on paediatrics: 2017.Intensive care medicine · 2018
    Article
  16. Article
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Mark J PetersPaediatric Intensive Care Society Study Group (PICS-SG), UCL Great Ormond Street Institute of Child Health, London, UK.ORCID http://orcid.org/0000-0003-3653-4808
Andrew ArgentPICU, Red Cross War Memorial Children's Hospital, School of Child and Adolescent Health, University of Cape Town, Cape Town, Republic of South Africa.
Marino FestaPaediatric Intensive Care Unit, the Children's Hospital at Westmead, the Sydney Children's Hospital Network, Westmead, NSW, Australia.
Stéphane LeteurtrePediatric Intensive Care Unit, University Lille, CHU Lille, EA 2694, Santé publique: épidémiologie et qualité des soins, 59000, Lille, France.
Jefferson PivaPediatric Emergency and Critical Care Department, H Clinicas, UFRGS University, Porto Alegre, Brazil.
Ann ThompsonPediatric Acute Lung Injury and Sepsis Investigators (PALISI Network), Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.
Douglas WillsonExecutive Committee, PALISI, John Mickell Professor of Pediatric Critical Care, Children's Hospital of Richmond at VCU, Richmond, VA, USA.
Pierre TissièresRéanimation Pédiatrique et Médecine Néonatale, Hôpitaux Universitaires Paris-Sud AP-HP, Le Kremlin-Bicêtre, France.
Marisa TucciPediatric Interest Group, Canadian Critical Care Trials Group, Montreal, Canada.
Jacques LacroixDivision of Pediatric Intensive Care Medicine, Department of Pediatrics, CHU Sainte-Justine, Université de Montréal, Sainte-Justine Hospital, Room 3431, 3175 Côte Sainte-Catherine, Montreal, QC, H3T 1C5, Canada. Jacques_lacroix@ssss.gouv.qc.ca.

Funding

Department of Health 15/44/01
6 · The paper itself

Abstract

backgroundIntensive Care Medicine set us the task of outlining a global clinical research agenda for paediatric intensive care (PIC). In line with the clinical focus of this journal, we have limited this to research that may directly influence patient care.

methodsClinician researchers from PIC research networks of varying degrees of formality from around the world were invited to answer two main questions: (1) What have been the major recent advances in paediatric critical care research? (2) What are the top 10 studies for the next 10 years?

results(1) Inclusive databases are well established in many countries. These registries allow detailed observational studies and feasibility testing of clinical trial protocols. Recent trials are larger and more valuable, and (2) most common interventions in PIC are not evidenced-based. Clinical studies for the next 10 years should address this deficit, including: ventilation techniques and interfaces; fluid, transfusion and feeding strategies; optimal targets for vital signs; multiple organ failure definitions, mechanisms and treatments; trauma, prevention and treatment; improving safety; comfort of the patient and their family; appropriate care in the face of medical complexity; defining post-PICU outcomes; and improving knowledge generation and adoption, with novel trial design and implementation strategies. The group specifically highlighted the need for research in resource-limited environments wherein mortality remains often tenfold higher than in well-resourced settings.

conclusionPaediatric intensive care research has never been healthier, but many gaps in knowledge remain. We need to close these urgently. The impact of new knowledge will be greatest in resource-limited environments.

Indexed as

Outcome Assessment, Health CareBiomedical ResearchChildChronic DiseaseCritical CareEmergency TreatmentEvidence-Based MedicineGlobal HealthHumansIntensive Care Units, PediatricMonitoring, PhysiologicPediatricsRespiration, ArtificialChildrenCritical careIntensive carePaediatricsResearch

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.