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

Additional Metadata
Keywords child, children, enteral nutrition, intensive care, parenteral nutrition
Persistent URL dx.doi.org/10.1002/jpen.1498, hdl.handle.net/1765/121267
Journal Journal of Parenteral and Enteral Nutrition
Citation
Tume, L.N, Valla, F.V., Floh, A.A., Goday, P., Chaparro, C.J., Larsen, B., … Mehta, NM. (2018). Priorities for Nutrition Research in Pediatric Critical Care. Journal of Parenteral and Enteral Nutrition, 43(7), 853–862. doi:10.1002/jpen.1498