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PREDICT prioritisation study: establishing the research priorities of paediatric emergency medicine physicians in Australia and New Zealand
  1. Heather Carol Deane1,2,
  2. Catherine L Wilson2,
  3. Franz E Babl1,2,
  4. Stuart R Dalziel3,4,
  5. John Alexander Cheek1,5,
  6. Simon S Craig5,6,
  7. Ed Oakley1,2,
  8. Meredith Borland7,8,
  9. Nicholas G Cheng9,
  10. Michael Zhang10,
  11. Elizabeth Cotterell11,
  12. Tibor Schuster12,13,
  13. David Krieser12,14
  14. on behalf of the PREDICT Research Network
  1. 1 Emergency Department, Royal Children’s Hospital, Melbourne, Victoria, Australia
  2. 2 Emergency Research Group, Murdoch Childrens Research Institute, Parkville, Victoria, Australia
  3. 3 Liggins Institute, University of Auckland, Auckland, New Zealand
  4. 4 Emergency Department, Starship Children’s Hospital, Liggins Institute, University of Auckland, Auckland, New Zealand
  5. 5 Paediatric Emergency Department, Monash Medical Centre, Emergency Program, Monash Health, Melbourne, Victoria, Australia
  6. 6 School of Clinical Sciences, Monash University, Melbourne, Victoria, Australia
  7. 7 Emergency Department, Princess Margaret Hospital for Children, Perth, Western Australia, Australia
  8. 8 Schools of Paediatric and Child Health and Primary, Rural and Aboriginal Healthcare, University of Western Australia, Perth, Western Australia, Australia
  9. 9 Emergency Department, The Children’s Hospital at Westmead, Sydney, New South Wales, Australia
  10. 10 Emergency Department, John Hunter Hospital, Newcastle, New South Wales, Australia
  11. 11 Tablelands Clinical School, University of New England, Armidale, New South Wales, Australia
  12. 12 Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia
  13. 13 Clinical Epidemiology and Biostatistics Unit, Melbourne Children’s Trial Centre, Murdoch Childrens Research Institute, Melbourne, Victoria, Australia
  14. 14 Department of Emergency Medicine, Sunshine Hospital, Melbourne, Victoria, Australia
  1. Correspondence to Dr Heather Carol Deane, PREDICT Research Network, Emergency Research Group, Murdoch Childrens Research Institute, Parkville, Melbourne, VIC 3052, Australia; heathercaroldeane{at}


Background The Paediatric Research in Emergency Departments International Collaborative (PREDICT) performs multicentre research in Australia and New Zealand. Research priorities are difficult to determine, often relying on individual interests or prior work.

Objective To identify the research priorities of paediatric emergency medicine (PEM) specialists working in Australia and New Zealand.

Methods Online surveys were administered in a two-stage, modified Delphi study. Eligible participants were PEM specialists (consultants and senior advanced trainees in PEM from 14 PREDICT sites). Participants submitted up to 3 of their most important research questions (survey 1). Responses were collated and refined, then a shortlist of refined questions was returned to participants for prioritisation (survey 2). A further prioritisation exercise was carried out at a PREDICT meeting using the Hanlon Process of Prioritisation. This determined the priorities of active researchers in PEM including an emphasis on the feasibility of a research question.

Results One hundred and six of 254 (42%) eligible participants responded to survey 1 and 142/245 (58%) to survey 2. One hundred and sixty-eight (66%) took part in either or both surveys. Two hundred forty-six individual research questions were submitted in survey 1. Survey 2 established a prioritised list of 35 research questions. Priority topics from both the Delphi and Hanlon process included high flow oxygenation in intubation, fluid volume resuscitation in sepsis, imaging in cervical spine injury, intravenous therapy for asthma and vasopressor use in sepsis.

Conclusion This prioritisation process has established a list of research questions, which will inform multicentre PEM research in Australia and New Zealand. It has also emphasised the importance of the translation of new knowledge.

  • Paediatric Emergency Medicine
  • Paediatrics
  • Research
  • Methods
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  • Contributors All authors contributed to the final manuscript, including conception and design of the study, drafting of the manuscript and final approval of the manuscript.

  • Funding The study was funded by grants from the National Health and Medical Research Council (Centre of Research Excellence for Paediatric Emergency Medicine GNT1058560), Canberra, Australia; the Murdoch Childrens Research Institute, Melbourne, Australia; and supported by the Victorian Government’s Infrastructure Support Program, Melbourne, Australia. FEB’s time was in part funded by a grant from the Royal Children’s Hospital Foundation, Melbourne, Australia. SRD’s time was in part funded by the Health Research Council of New Zealand (HRC13/556).

  • Competing interests None declared.

  • Ethics approval Ethics approval for the project was sought andgranted by The Royal Children’s Hospital, Melbourne (HREC35035_B).

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

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