Evaluation of clinical research priorities in Asian intensive care units (ERA-ICU).

IF 4.7 2区 医学 Q1 CRITICAL CARE MEDICINE
Andrew Li, Prashant Nasa, Sheila Nainan Myatra, Gentle Sunder Shrestha, Abdulrahman Al-Fares, Ming-Cheng Chan, Young-Jae Cho, Moritoki Egi, Mohammad Omar Faruq, Carine Harmouche, Seyed Mohammad Reza Hashemian, Ayman Kharaba, Aidos Konkayev, Faisal Muchtar, Khalid Mahmood Khan Nafees, Mendsaikhan Naranpurev, Do Ngoc Son, Pauline Yeung Ng, Mohd Basri Mat-Nor, Jose Emmanuel Palo, Mehmet Uyar, Zhongheng Zhang, Jigeeshu Divatia, Jason Phua, Yaseen M Arabi, Lowell Ling
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引用次数: 0

Abstract

Background: Practice and delivery of critical care in Asia varies according to healthcare structure, income setting, and cultural factors. Identifying research priorities specific to ICU patients and healthcare workers in Asia is needed to guide advancement of critical care in the region.

Methods: This was an international cross-sectional survey study with adapted methods from nominal group techniques. All members of the Asian Critical Care Clinical Trials (ACCCT) Group were invited to submit research question suggestions. Submitted research questions were combined into summarized research questions, grouped into research themes, and individually ranked by number of mentions based on the original question submission (popularity). National and Regional Representatives rated the top 15% most popular summarized research questions by pre-defined importance and feasibility criteria.

Results: Between September 20, 2024 and December 10, 2024, 160 of 228 general members of the ACCCT Group (response rate 70.2%) participated in this survey study. The participants were from 112 hospitals across 24 countries and regions within Asia. Participants submitted 408 research questions, which were categorized into 15 themes and combined into 197 summarized research questions. The top three themes, as ranked by the number of mentions, were infection/sepsis, general ICU care, and structure/training/staffing/teamwork/safety. A threshold of 4 mentions was used to identify 26 summarized research questions that represented the top 15% most popular questions. Research questions related to sepsis and acute respiratory distress syndrome were ranked most important and feasible across the region.

Conclusion: Twenty-six of the most popular research questions in critical care were identified by Asian ICU workers and researchers to drive research agenda in Asia for the next decade.

亚洲重症监护病房(ERA-ICU)临床研究重点评估
背景:在亚洲,重症监护的实践和交付因医疗结构、收入环境和文化因素而异。需要确定针对亚洲ICU患者和医护人员的研究重点,以指导该地区重症监护的发展。方法:这是一项国际横断面调查研究,采用了名义群体技术的改编方法。亚洲重症临床试验(ACCCT)小组的所有成员被邀请提交研究问题建议。提交的研究问题被合并为总结研究问题,分组为研究主题,并根据原始问题提交的提及次数(受欢迎程度)单独排名。国家和地区代表根据预先定义的重要性和可行性标准对前15%最受欢迎的总结研究问题进行了评级。结果:在2024年9月20日至2024年12月10日期间,ACCCT集团228名普通会员中有160人参与了本次调查研究,回复率为70.2%。参与者来自亚洲24个国家和地区的112家医院。参与者提交了408个研究问题,这些问题分为15个主题,并合并为197个总结研究问题。按提及次数排名前三的主题分别是感染/败血症、普通ICU护理和结构/培训/人员配置/团队合作/安全。使用4次提及的阈值来确定26个总结的研究问题,这些问题代表了最受欢迎的前15%的问题。与败血症和急性呼吸窘迫综合征相关的研究问题在该地区被列为最重要和最可行的。结论:亚洲ICU工作人员和研究人员确定了危重病护理中最受欢迎的26个研究问题,以推动亚洲未来十年的研究议程。
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来源期刊
Journal of Intensive Care
Journal of Intensive Care Medicine-Critical Care and Intensive Care Medicine
CiteScore
11.90
自引率
1.40%
发文量
51
审稿时长
15 weeks
期刊介绍: "Journal of Intensive Care" is an open access journal dedicated to the comprehensive coverage of intensive care medicine, providing a platform for the latest research and clinical insights in this critical field. The journal covers a wide range of topics, including intensive and critical care, trauma and surgical intensive care, pediatric intensive care, acute and emergency medicine, perioperative medicine, resuscitation, infection control, and organ dysfunction. Recognizing the importance of cultural diversity in healthcare practices, "Journal of Intensive Care" also encourages submissions that explore and discuss the cultural aspects of intensive care, aiming to promote a more inclusive and culturally sensitive approach to patient care. By fostering a global exchange of knowledge and expertise, the journal contributes to the continuous improvement of intensive care practices worldwide.
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