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Priorities for Nutrition Research in Pediatric Critical Care
Author(s) -
Tume Lyvonne N.,
Valla Frédéric V.,
Floh Alejandro A.,
Goday Praveen,
Jotterand Chaparro Corinne,
Larsen Bodil,
Lee Jan Hau,
Moreno Yara M. F.,
Pathan Nazima,
Verbruggen Sascha,
Mehta Nilesh M.
Publication year - 2019
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1002/jpen.1498
Subject(s) - intensive care medicine , medicine , parenteral nutrition
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.