A core outcome measurement set for pediatric critical care

Author
Manning, Joseph C
Keyword
Child
Critical care
Intensive care units
Delphi method
Date
2022

Metadata
Show full item record
Publisher's URL
https://doi.org/10.1097/pcc.0000000000003055
Abstract
Objectives: To identify a PICU Core Outcome Measurement Set (PICU COMS), a set of measures that can be used to evaluate the PICU Core Outcome Set (PICU COS) domains in PICU patients and their families. Design(s): A modified Delphi consensus process. Setting(s): Four webinars attended by PICU physicians and nurses, pediatric surgeons, rehabilitation physicians, and scientists with expertise in PICU clinical care or research (n = 35). Attendees were from eight countries and convened from the Pediatric Acute Lung Injury and Sepsis Investigators Pediatric Outcomes STudies after PICU Investigators and the Eunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Research Network PICU COS Investigators. Subjects: Measures to assess outcome domains of the PICU COS are as follows: cognitive, emotional, overall (including health-related quality of life), physical, and family health. Measures evaluating social health were also considered. Intervention(s): None. Measurements and Main Results: Measures were classified as general or additional based on generalizability across PICU populations, feasibility, and relevance to specific COS domains. Measures with high consensus, defined as 80% agreement for inclusion, were selected for the PICU COMS. Among 140 candidate measures, 24 were delineated as general (broadly applicable) and, of these, 10 achieved consensus for inclusion in the COMS (7 patient-oriented and 3 family-oriented). Six of the seven patient measures were applicable to the broadest range of patients, diagnoses, and developmental abilities. All were validated in pediatric populations and have normative pediatric data. Twenty additional measures focusing on specific populations or in-depth evaluation of a COS subdomain also met consensus for inclusion as COMS additional measures. Conclusion(s): The PICU COMS delineates measures to evaluate domains in the PICU COS and facilitates comparability across future research studies to characterize PICU survivorship and enable interventional studies to target long-term outcomes after critical illness. Copyright © 2022 Lippincott Williams and Wilkins. All rights reserved.
Citation
Pinto N.P., Maddux A.B., Dervan L.A., Woodruff A.G., Jarvis J.M., Nett S., Killien E.Y., Graham R.J., Choong K., Luckett P.M., Heneghan J.A., Biagas K., Carlton E.F., Hartman M.E., Yagiela L., Michelson K.N., Manning J.C., Long D.A., Lee J.H., Slomine B.S., Beers S.R., Hall T., Morrow B.M., Meert K., Arias Lopez M.D.P., Knoester H., Houtrow A., Olson L., Steele L., Schlapbach L.J., Burd R.S., Grosskreuz R., Butt W., Fink E.L., Watson R.S., Cronin M., Geneslaw A., Loi M., Murphy S., Nadkarni V., Nielsen K.R., Shein S.L., Smith K., Abu-Sultaneh S., Topjian A., Balmaks R., Di Gennaro J.(., Farris R.W.D., Hallman M., Leimanis M., McNally M., Menzies J., Van Damme D., Whitney J.E., Hoehn K.S., Marupudi N., Clark J., Jarvis J.D., Loftis L., Muszynski J.A., Rissmiller B., Singleton M., White B., Zimmerman J., Alcamo A.M., Ames S.G., Bhalla A., Bone M., Hunter J.M., Kudchadkar S.R., Mtaweh H., Prout A., Raees M., Roberts J.S., Shah S., Akande M., Hummel K., Madurski C., O'Meara A.M.I., Pace E., Radman M., Whyte-Nesfield M., Christie L.M., Derrington S., Evans I., Goodman D.M., Li S., Lin J.C., Madden M.A., Moake L., Slain K.N., Vandenbranden S.K., Berg R.A., Carcillo J.A., Dean J.M., Hall M.W., McQuillen P.S., Mourani P.M., Pollack M.M., Sapru A., Wessel D. and Zuppa A. (2022) 'A core outcome measurement set for pediatric critical care', Pediatric Critical Care Medicine, 23(11), pp. 893 - 907. doi: 10.1097/PCC.0000000000003055 https://doi.org/10.1097/pcc.0000000000003055.
Type
Article
URI
http://hdl.handle.net/20.500.12904/19149
Collections