New PREDICT publications

Congratulations to the following PREDICT authors:

Tavender E, Eapen N, Wang J, Rausa VC, Babl FE, Phillips N. Triage tools for detecting cervical spine injury in paediatric trauma patients. Cochrane Database of Systematic Reviews 2024, Issue 3. Art. No.: CD011686. DOI: 10.1002/14651858.CD011686.pub3.

A new PEM research network!

Four members of the PREDICT Executive (Elliot Long, Stuart Dalziel, Franz Babl and Simon Craig) were invited to assist with a workshop aimed at furthering the development of a Paediatric Emergency Medicine (PEM) research network in India. The March 2024 workshop was held in Bengaluru alongside the National Assembly on Pediatric Emergency Medicine (NAPEM) and built upon an initial development and prioritisation workshop held in Hyderabad last year.

Over twenty delegates attended the workshop, which resulted in the formation of a new national PEM research network in India: the Pediatric Resuscitation and Emergency Research Network of India (PRERNI).

We would like to extend our congratulations to the inaugural co-chairs of PRERNI – Prof Indumathy Santhanam and Prof Jayashree Muralidharan, as well as the other PRERNI executive members (Dr Suresh Kumar Angurana, Dr Raghu Vanaki, Dr Bharat Choudhary and Dr Mounika Reddy).

We look forward to continued collaboration over the coming years!

 

The new PRERNI executive team

 

Elliot and Stuart discuss network specifics with the team

Research resources added to library

A number of new documents have been added to the Research Resources section of the PREDICT website.
Please take a look at this section of the website as there are some useful research tools and information available to download.

New resources include: 
Family Engagement resources
–  Recruitment advertisement template (can be adapted when you need to recruit consumer advisors)
–  Training meeting agenda example (example agenda of what you might include in training for consumer advisors)
–  Evaluation form, PIERS and PEET surveys (examples of evaluation questions for clinicians and consumer advisors working together)

Study Workload Measurement 
– This tool is designed to help estimate the workload of new research projects. We will be asking lead PIs to complete this for new projects so that it can be sent out with a request for an expression of interest from sites to participate in the study. 

Expression of Interest – Survey Example AND Expression of Interest – Project Example.
– These are templates for lead PIs to draft an Expression of Interest email inviting sites to participate in PREDICT endorsed surveys or projects.  (This email would be sent out by the PREDICT network coordinator). 

Expression of Interest – REDcap – Survey AND Expression of Interest – REDcap – Project.
– These are examples of mini REDcap databases that can be used to collect the response from sites that wish to express interest for their site to participate in a PREDICT endorsed survey or project. 

 

Project Snapshot – Bronchiolitis sustainability study

Sustaining improvements in the management of infants with bronchiolitis – a PREDICT study

Co-ordinating PI

Emma Tavender/Sandy Middleton/Stuart Dalziel/ Ed Oakley

Study Co-ordinator

Emma Tavender/Tory Ramsden (PhD student)

Aim/s:

The aim of this study is to:

  1. determine if the use of targeted interventions from the PREDICT Bronchiolitis KT Study have been effective at sustaining improvements in evidence-based practices in Australasian paediatric acute care settings one and two years after completion of the trial at intervention group hospitals (n=13);
  2. determine if there are any improvements in control group hospitals (n=13);
  3. understand the factors which influenced the sustainability of improvements in intervention group hospitals and;
  4. explore factors which may have contributed to improvements at control group hospitals.
Study design:

A mixed-methods study design: retrospective medical record audit (approximately 150 infants per site for the years 2018 and 2019) and qualitative semi-structured individual or group interviews (3-5 individuals per site).

Primary outcomes:
  • Outcomes: medical record audit:
    The proportion of infants presenting with bronchiolitis to intervention and control group hospitals, who received care that adhered with five inappropriate therapies (chest X-ray, salbutamol, glucocorticoids, antibiotics, and adrenaline) one year (2018) and two years (2019) following delivery of an intervention designed to promote evidence-based practice adherence (composite of all five practices).
  • Outcomes: Qualitative interviews:
    Factors that contributed to sustainability of improvements of evidence-based practice adherence at intervention group hospitals four years post-implementation; Factors that contributed to improvements/deterioration of evidence-based practice adherence at control group hospitals four years post-implementation; Fidelity and adaptation to the PREDICT Bronchiolitis KT Study implementation strategy at intervention and control group hospitals four years following intervention delivery (2018, 2019, 2020, 2021) (Control group hospitals received the intervention materials post trial completion).
Current status:
  • 16 Australian and 6 New Zealand sites recruited. All sites have completed governance and commenced the study. Medical Record Audit data collection has been completed at all 21 sites. Qualitative interviews are now completed at all 12 Australian and New Zealand intervention hospitals.
  • Conducting preliminary data analysis.
Publication:

Ramsden, V., Babl, F.E., Dalziel, S.R. et al. Sustainability of evidence-based practices in the management of infants with bronchiolitis in hospital settings – a PREDICT study protocol. BMC Health Serv Res 22, 1099 (2022). https://doi.org/10.1186/s12913-022-08450-z.

 

Getting to know you – meet Kate Loveys

Our “Getting to Know You” segment ensures PREDICT members are aware of new members, their interests and areas of expertise and where they are located.

This month we introduce Kate Loveys, Research Fellow from the University of Auckland.

“I am a Research Fellow at the Department of Paediatrics: Child and Youth Health at the University of Auckland School of Medicine in Auckland, New Zealand, where I work with Prof Stuart Dalziel and Dr Libby Haskell. I am also a Consultant for the World Health Organization (Department of Maternal, Newborn, Child and Adolescent Health and Ageing). In my Research Fellow role, I am supporting the development of PREDICT’s Australasian bronchiolitis guideline update through performing evidence syntheses and appraisals, and running a qualitative study with families of children who were hospitalised for bronchiolitis. My PhD is in Health Psychology and I have a background in evidence synthesis, guideline development, and digital health research involving quantitative and qualitative methodologies.”

Welcome to PREDICT Kate!

 

 

 

 

 

More grant success for PREDICT

PREDICT has been awarded a $3.8 million Rapid Applied Research Translation (RART) grant to spearhead a nation-wide project to boost healthcare and research across regional and rural Australia – with a focus on bronchiolitis. Bronchiolitis is an acute lung disease caused by viral infections and the most common reason for hospital admissions in infants.

This study will bring together clinicians and researchers across craft groups and specialties from nursing, paediatrics, general practice, emergency, and intensive care to improve bronchiolitis care and build national capacity in research, implementation of research evidence and innovation.  Thirty different hospitals from rural, regional and urban areas will be involved.

Ultimately, the aim is to ensure that no matter where a young child is in Australia, they are able to receive the best possible care for acute illnesses.

 

 

 

New PREDICT publications

Congratulations to the following PREDICT authors:

Long E, Borland ML, George S, Jani S, Tan E, Neutze J, Phillips N, Kochar A, Craig S, Lithgow A, Rao A, Dalziel S, Oakley E, Hearps S, Singh S, Gelbart B, McNab S, Balamuth F, Weiss S, Kuppermann N, Williams A, Babl FE; Paediatric Research In Emergency Departments International Collaborative (PREDICT); Children’s Inpatient Research Collaborative of Australia and New Zealand (CIRCAN). Sepsis epidemiology in Australian and New Zealand children (SENTINEL): protocol for a multicountry prospective observational study. BMJ Open. 2024 Jan 12;14(1):e077471. doi: 10.1136/bmjopen-2023-077471. PMID: 38216206.

Robertson T, Borland ML, O’Brien S, Haskell L, Babl FE, Dalziel SR, Tavender E. Understanding the uptake and adaption of targeted implementation interventions for reducing bronchiolitis investigations and therapies. Acta Paediatr. 2024 Jan 8. doi: 10.1111/apa.17090. Epub ahead of print. PMID: 38189212.

Craig S, Collings M, Gray C, Benito J, Velasco R, Lyttle MD, Roland D, Schuh S, Shihabuddin B, Kwok M, Mahajan P, Johnson M, Zorc J, Khanna K, Fernandes R, Yock-Corrales A, Santhanam I, Cheema B, Ong GY, Jaiganesh T, Powell C, Nixon G, Dalziel S, Babl FE, Graudins A. Analysis of guideline recommendations for treatment of asthma exacerbations in children: a Pediatric Emergency Research Networks (PERN) study. Arch Dis Child. 2024 Feb 7:archdischild-2023-326739. doi: 10.1136/archdischild-2023-326739. Epub ahead of print. PMID: 38325912.

Sasse R, Borland ML, George S, Jani S, Tan E, Neutze J, Phillips N, Kochar A, Craig S, Lithgow A, Rao A, Dalziel SR, Williams A, Babl FE, Went G, Long E; Paediatric Research in Emergency Departments International Collaborative (PREDICT) Network. Appraisal of Australian and New Zealand paediatric sepsis guidelines. Emerg Med Australas. 2024 Feb 25. doi: 10.1111/1742-6723.14381. Epub ahead of print. PMID: 38403429.

Research education sessions

A series of online research education sessions will be held bi-monthly throughout 2024.  All PREDICT members are invited to attend, however sessions will be recorded and uploaded to the PREDICT website if you want to tune in later.

The first session is scheduled for 7th March from 11am-12noon (AEDT) with calendar invites emailed shortly.  Topics to be covered in our inaugural session are different types of research designs and consumer involvement.  See timetable for further details.

Dates for the remaining sessions for 2024 are still to be confirmed with sessions running between one to two hours depending on the content. See timetable here.

 

 

 

Getting to know you – meet Valerie Astle

Our “Getting to Know You” segment ensures PREDICT members are aware of new members, their interests and areas of expertise and where they are located.

This month we introduce Valerie Astle from Perth Children’s Hospital.

“I’m a FACEM PEM at Perth Children’s Hospital. I sit at the desk next to Prof Meredith Borland and so it is hard not to become enveloped in the world of research. I joined PREDICT out of interest in research and because I sit on the ACEM national PEM network and the WA PEM network committees and would like to be able to inform the members about the latest research paper results.”

Welcome to PREDICT Val!

 

 

 

 

 

Getting to know you – meet Weihao Lee

Our “Getting to Know You” segment ensures PREDICT members are aware of new members, their interests and areas of expertise and where they are located.

This month we introduce Weihao Lee from Perth Children’s Hospital.

“I’m a paediatric Advanced Trainee currently working at Perth Children’s Hospital, the sole tertiary paediatric hospital in Western Australia. I am interested in paediatric emergency medicine and clinical research, and am one of the investigators on the Study of Paediatric Appendicitis Scores and Management Strategies (SPASMS) looking at clinical prediction scores in paediatric appendicitis for which I am currently undertaking a PhD at the University of Western Australia under the supervision of Professor Meredith Borland. I am also currently involved in research looking at child protection referrals and the use of injury proformas in ED in my role as the Child Protection Unit fellow.”

Welcome to PREDICT Weihao!