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Original article
Research priorities for European paediatric emergency medicine
  1. Silvia Bressan1,
  2. Luigi Titomanlio2,3,
  3. Borja Gomez4,
  4. Santiago Mintegi4,
  5. Alain Gervaix5,
  6. Niccolo Parri6,
  7. Liviana Da Dalt1,
  8. Henriette A Moll7,
  9. Yehezkel Waisman8,
  10. Ian K Maconochie9,
  11. Rianne Oostenbrink7
  12. On behalf of REPEM
  1. 1 Department of Pediatrics, University of Padova, Padova, Italy
  2. 2 Pediatric Emergency Department, Hopital Universitaire Robert-Debre, Paris, France
  3. 3 Inserm U1141, Paris, France
  4. 4 Pediatric Emergency Department, Hospital Universitario Cruces, Barakaldo, País Vasco, Spain
  5. 5 Pediatrics, University of Geneva, Geneva, Switzerland
  6. 6 Emergency Department & Trauma Center, Ospedale Pediatrico Meyer Firenze, Florence, Italy
  7. 7 General Paediatrics, Erasmus MC-Sophia Children’s Hospital, Rotterdam, The Netherlands
  8. 8 Pediatric Emergency Department, Schneider Children’s Medical Center, Day Care Unit, Petah Tikva, Israel
  9. 9 Paediatric Emergency Department, Imperial College Hospital NHS Healthcare Trust, London, UK
  1. Correspondence to Dr Rianne Oostenbrink, General Paediatrics, ErasmusMC, Rotterdam 3015 GD, The Netherlands; r.oostenbrink{at}erasmusmc.nl

Abstract

Objective Research in European Paediatric Emergency Medicine (REPEM) network is a collaborative group of 69 paediatric emergency medicine (PEM) physicians from 20 countries in Europe, initiated in 2006. To further improve paediatric emergency care in Europe, the aim of this study was to define research priorities for PEM in Europe to guide the development of future research projects.

Design and Setting We carried out an online survey in a modified three-stage Delphi study. Eligible participants were members of the REPEM network. In stage 1, the REPEM steering committee prepared a list of research topics. In stage 2, REPEM members rated on a 6-point scale research topics and they could add research topics and comment on the list for further refinement. Stage 3 included further prioritisation using the Hanlon Process of Prioritisation (HPP) to give more emphasis to the feasibility of a research topic.

Results Based on 52 respondents (response rates per stage varying from 41% to 57%), we identified the conditions ‘fever’, ‘sepsis’ and ‘respiratory infections’, and the processes/interventions ‘biomarkers’, ‘risk stratification’ and ‘practice variation’ as common themes of research interest. The HPP identified highest priority for 4 of the 5 highest prioritised items by the Delphi process, incorporating prevalence and severity of each condition and feasibility of undertaking such research.

Conclusions While the high diversity in emergency department (ED) populations, cultures, healthcare systems and healthcare delivery in European PEM prompts to focus on practice variation of ED conditions, our defined research priority list will help guide further collaborative research efforts within the REPEM network to improve PEM care in Europe.

  • health services research
  • epidemiology

This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.

https://doi.org/10.1136/archdischild-2019-316918

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    Footnotes

    • Contributors SB and RO were main responsible for designing the study, developing the surveys and analysing and interpreting the results and writing the manuscript. LT, BG, SM, AG, NP, LD, HAM, YW and IKM participated as steering committee to the first stage of the Delphi and to the composition of the items of the initial list of 35 topics. They reviewed and commented on the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data sharing statement There are no additional data from this study to the data reported in this article.

    • Collaborators on behalf of the REPEM Research in European Pediatric Emergency Medicine: Anil Er, Murat Anil, Alkan Bal, Izmir Tepecik Teaching and Research hospital, Izmir, Turkey Sergio Manzano, Laurance Lacroix, Annick Galetto, Hôpitaux Universitaires de Genève, Switzerland Tom Beattie, Royal Hospital for Sick children, Edinburgh, Scotland UK Christoph Bidlingmaier, Children’s Hospital of the University of Munich, Germany Nieves de Lucas, SAUMUR-Proteccion Civil, Madrid, Spain Rafael Maranon, Gregorio Maranon University Hospital, Madrid, Spain Zanda Pucuka, Latvian Children’s Clinical University Hospital, Riga Latvia, Ruth Loellgen, Kristina Keitel, Julia Hoeffe, University Hospital Bern, Switzerland Dorien Geurts, ErasmusMC-Sophia, Rotterdam, The Netherlands Francois Dubos, Hopital Roger Salengro, Lille, France Mark Lyttle, Bristol Royal Hospital for Children, Bristol, UK Zsolt Bognar, Heim Pal Children’s Hospital, Budapest, Hungary Gabor Simon, Laszlo Fodor, Szent Gyorgy Teaching Hospital, Szekesfeherva, Hungary Marta Romanengo, Gaslini Children’s Hospital, Genova, Italy Christele Gras-le-Guen, Hopital femme-enfant-adolescent, Nantes, France Susanne Greber-Platzer, Medical University of Vienna, Austria Carles Luaces Cubells, Hospital Universitari Sant Joan de Deu, Barcelona, Spain Ozlem Teksam, Caner Turan, Hacettepe Universtiy Faculty of Medicine, Ihsan Dogramaci Children’s Hospital, Ankara, Turkey Patrick van de Voorde, Universital Hospital Ghent, Belgium Romain Basmaci, Robert Debre Hospital, Paris, France Antonella Frassanito, Sapienza University of Rome, Italy Ulas Saz, Ege University School of Medicine, Turkey Ionannis Irfanos, Jorge Sotoca, Skane University Hospital, Lund Sweden Ron Berant, Schneider Children’s Medical Center of Israel, Petah Tikva, Israel Ruth Farrugia, Mater Dei Hospital, Valleta, Malta Roberto Velasco, Rio Hortega University Hospital, Valladolid Spain Ruud Nijman, St Mary’s Hospital, London, UK Patricia Macao, Centro Hospitalar de Coimbra, Portugal

    • Correction notice This article has been corrected since it first published online. The open access licence type has been amended.

    • Patient consent for publication Not required.