A Consensus-Driven Agenda for Emergency Medicine Firearm Injury Prevention Research
A Consensus-Driven Agenda for Emergency Medicine Firearm Injury Prevention Research
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DOI：
10.1016/j.annemergmed.2016.08.454
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发表时间：
2017-02-01
影响因子：
6.2
通讯作者：
Shah, Manish N.
中科院分区：
文献类型：
--
作者：
Ranney, Megan L.;Fletcher, Jonathan;Shah, Manish N.
研究目的：确定以急诊医学为重点的枪支伤害关键研究问题，并制定一个基于证据的研究议程。
方法：为美国急诊医师学会研究委员会招募全国性的内容专家组成一个技术咨询小组。采用名义群体技术通过共识来确定研究问题。技术咨询小组决定聚焦于5种被广泛认可的枪支伤害分类。各小组针对每个主题进行文献综述，并制定与急诊医学相关的研究问题初步清单。按照名义群体技术指南，通过面对面会议和电话会议反复细化大量的研究问题清单。对外部利益相关者的反馈进行审查和整合。
结果：确定了59个最终的与急诊医学相关的研究问题，包括涉及所有枪支伤害主题的问题以及针对自我伤害（自杀和自杀未遂）、亲密伴侣暴力、同龄人（非伴侣）暴力、大规模暴力和意外（“偶然”）伤害的特定问题。一些问题可以通过在急诊科进行的研究来解决；其他问题则需要在其他环境中开展工作。
结论：技术咨询小组确定了与急诊医学相关的枪支伤害关键研究问题。对于大多数这些问题，急诊医学特定的数据有限。资助者和研究人员应考虑更加关注枪支伤害的预防和控制，特别是这里以及其他近期制定的研究议程中确定的问题。
Study objective: To identify critical emergency medicine-focused firearm injury research questions and develop an evidence-based research agenda.Methods: National content experts were recruited to a technical advisory group for the American College of Emergency Physicians Research Committee. Nominal group technique was used to identify research questions by consensus. The technical advisory group decided to focus on 5 widely accepted categorizations of firearm injury. Subgroups conducted literature reviews on each topic and developed preliminary lists of emergency medicine-relevant research questions. In person meetings and conference calls were held to iteratively refine the extensive list of research questions, following nominal group technique guidelines. Feedback from external stakeholders was reviewed and integrated.Results: Fifty-nine final emergency medicine-relevant research questions were identified, including questions that cut across all firearm injury topics and questions specific to self-directed violence (suicide and attempted suicide), intimate partner violence, peer (nonpartner) violence, mass violence, and unintentional ("accidental") injury. Some questions could be addressed through research conducted in emergency departments; others would require work in other settings.Conclusion: The technical advisory group identified key emergency medicine-relevant firearm injury research questions. Emergency medicine-specific data are limited for most of these questions. Funders and researchers should consider increasing their attention to firearm injury prevention and control, particularly to the questions identified here and in other recently developed research agendas.