Priorities for Nutrition Research in Pediatric Critical Care.
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Authors
Floh, Alejandro A
Goday, Praveen
Jotterand Chaparro, Corinne
Lee, Jan Hau
Pathan, Nazima
Verbruggen, Sascha
Mehta, Nilesh M
Publication Date
2019-09Journal Title
JPEN J Parenter Enteral Nutr
ISSN
0148-6071
Publisher
Wiley
Volume
43
Issue
7
Pages
853-862
Language
eng
Type
Article
This Version
AM
Physical Medium
Print-Electronic
Metadata
Show full item recordCitation
Tume, L. N., Valla, F. V., Floh, A. A., Goday, P., Jotterand Chaparro, C., Larsen, B., Lee, J. H., et al. (2019). Priorities for Nutrition Research in Pediatric Critical Care.. JPEN J Parenter Enteral Nutr, 43 (7), 853-862. https://doi.org/10.1002/jpen.1498
Abstract
BACKGROUND: Widespread variation exists in pediatric critical care nutrition practices, largely because of the scarcity of evidence to guide best practice recommendations. OBJECTIVE: The objective of this paper was to develop a list of topics to be prioritized for nutrition research in pediatric critical care in the next 10 years. METHODS: A modified 3-round Delphi process was undertaken by a newly established multidisciplinary group comprising 11 international researchers in the field of pediatric critical care nutrition. Items were ranked on a 5-point Likert scale. RESULTS: Forty-five research topics (with a mean priority score >3(0-5) were identified within the following 10 domains: the pathophysiology and impact of malnutrition in critical illness; nutrition assessment: nutrition risk assessment and biomarkers; accurate assessment of energy requirements in all phases of critical illness; the role of protein intake; the role of pharmaco-nutrition; effective and safe delivery of enteral nutrition; enteral feeding intolerance: assessment and management; the role of parenteral nutrition; the impact of nutrition status and nutrition therapies on long-term patient outcomes; and nutrition therapies for specific populations. Ten top research topics (that received a mean score >4(0-5) were identified as the highest priority for research. CONCLUSIONS: This paper has identified important consensus-derived priorities for clinical research in pediatric critical care nutrition. Future studies should determine topics that are a priority for patients and parents. Research funding should target these priority areas and promote an international collaborative approach to research in this field, with a focus on improving relevant patient outcomes.
Keywords
Humans, Child Nutrition Disorders, Critical Illness, Nutritional Support, Critical Care, Consensus, Research, Internationality, Delphi Technique, Child, Intensive Care Units, Pediatric, Child Nutritional Physiological Phenomena
Identifiers
External DOI: https://doi.org/10.1002/jpen.1498
This record's URL: https://www.repository.cam.ac.uk/handle/1810/287621
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