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Top 10 research priorities for sepsis research determined by patients, carers and clinicians

医学 败血症 临时的 普通合伙企业 中期分析 严重败血症 重症监护医学 家庭医学 临床试验 外科 内科学 财务 历史 经济 考古 感染性休克
作者
Joanne McPeake,Nahid Ahmad,Kimberley Bradley,Andrew Conway Morris,Paul Dark,Colin A. Graham,Walter Hall,Susan Moug,Mark Oakes,Emily Perry,Simon Stockley,James Weaver,Bronwen Connolly,Nazir Lone
出处
期刊:Anaesthesia [Wiley]
标识
DOI:10.1111/anae.16634
摘要

Summary Introduction Sepsis is a high burden syndrome associated with increased morbidity and mortality in both the acute and longer‐term phases of illness. Multiple treatment uncertainties remain that require resolution through high‐quality research. This study aimed to identify the top 10 research priorities for sepsis research in the UK. Methods We conducted a priority setting partnership study co‐produced by sepsis survivors, carers and clinicians. This included five stages: initiation of steering group formation and confirmation of the scope of the priority setting partnership; identification of clinical uncertainties through an electronic survey; analysis and verification of uncertainties; interim prioritisation to the top 25 ranked questions; and final prioritisation to determine the top 10 research priorities, using the nominal group technique. Results Our initial survey respondents comprised 447/718 (62.3%) people who had survived sepsis, their friends and family members; 218/718 (30.4%) clinicians; and 53/718 (7.1%) multiple/other roles who identified 53 distinct research uncertainties. Our interim prioritisation survey comprised 429/941 (45.8%) people who had survived sepsis, their friends and family members; 431/941 (46.0%) clinicians; and 73/941 (8.2%) multiple/other roles, with the top 25 ranked summary questions taken forwards for final prioritisation. From these, final workshop participants (n = 27) agreed a top 10 list of research priorities. Improved sepsis diagnosis; characterisation and management of the post‐sepsis syndrome; and non‐antibiotic treatment of sepsis were the top three priorities. Discussion We establised priorities for sepsis research through a rigorous process of consensus involving sepsis survivors, carers and clinicians. These priorities will support future delivery of meaningful research to improve outcomes from sepsis.
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