Improving Pediatric Brain Injury Outcomes Through Equitable Care Implementation

通过实施公平护理改善儿童脑损伤的结果

• 批准号: 10597474
• 负责人: MICHAEL J BELL
• 金额: $ 10万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-01 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10597474
• 关键词: Acute; Address; Adherence; Administrative Supplement; Adult; Adverse event; Area; Assessment tool; Blood Pressure; Caring; Cause of Death; Characteristics; Child; Childhood; Cohort Studies; Communities; Consolidated Framework for Implementation Research; Development; Enrollment; Evidence based practice; Focus Groups; Foundations; Funding; Future; Geographic Locations; Geography; Goals; Guideline Adherence; Guidelines; Hospital Costs; Infant Care; Interview; Intracranial Pressure; Measures; Medical center; Methods; Monitor; National Institute of Neurological Disorders and Stroke; Outcome; Patients; Pediatric Brain Injury; Performance; Population; Preparation; Procedures; Process; Protocols documentation; Public Health; Race; Randomized Controlled Trials; Reporting; Research; Site; South America; Surveys; System; Testing; Time; Trauma; Traumatic Brain Injury; United States; Work; acute care; anti-racism; base; care outcomes; cost; data repository; disability; disparity reduction; ethnic disparity; ethnic diversity; evidence base; evidence based guidelines; health equity; implementation framework; implementation science; improved; improved outcome; lens; nutrition; pediatric trauma; pediatric traumatic brain injury; pilot test; programs; racial and ethnic; racial and ethnic disparities; racial diversity; trauma centers; ventilation

Project Abstract Pediatric traumatic brain injury (TBI) is a public health crisis in the U.S. and worldwide. Adherence to the Brain Trauma Foundation Guidelines for the care of infants and children with acute TBI improves pediatric TBI outcomes but does not address additional outcome improvements that could be achieved by considering equity in acute TBI care. Addressing disparities in acute TBI care represents an important unmet need. We leverage the availability of the Pediatric Guideline Adherence and Outcomes (PEGASUS) program and ongoing randomized controlled trial and propose a one-year project to achieve equitable acute pediatric TBI care. The overarching aim is to incorporate an anti-racism lens to strengthen equitable implementation of the PEGASUS program for use by Level I and Level II U.S. trauma centers. The two Specific Aims are: 1) To characterize racial/ethnic disparities in acute pediatric TBI care and 2) To identify barriers, facilitators, and strategies to achieving equitable acute pediatric TBI care provision. An expected outcome of the proposed research is a PEGASUS equity assessment toolkit that Level I and II trauma centers can use to improve equitable implementation of the PEGASUS program in the United States.

项目摘要 小儿创伤性脑损伤（TBI）是美国和全球的公共卫生危机。 遵循脑创伤基金会指南护理婴儿和儿童 急性TBI改善了儿科TBI结局，但未解决其他结局 通过考虑急性创伤性脑损伤护理的公平性可以实现的改善。解决 急性TBI护理中的差异代表了重要的未满足的需求。我们利用可用性 儿科指南依从性和结局（PEGASUS）计划的一部分， 随机对照试验，并提出一个为期一年的项目，以实现公平的急性儿科 TBI护理。总体目标是纳入反种族主义的透镜，以加强公平的 实施PEGASUS计划，供美国一级和二级创伤中心使用。 两个具体目的是：1）描述急性儿科TBI中的种族/民族差异 2）确定实现公平急性儿科治疗的障碍、促进因素和策略 提供TBI护理。拟议研究的预期成果是PEGASUS股权 一级和二级创伤中心可以用来改善公平的评估工具包， 在美国实施PEGASUS计划。

项目成果

The Status of Quality Improvement Programs for Pediatric Traumatic Brain Injury Care in Argentina.

• DOI: 10.1016/j.jss.2021.03.024
• 发表时间: 2021-09
• 期刊: The Journal of surgical research
• 作者: Lujan S;Petroni G;Castellani P;Bollada S;Bell MJ;Velonjara J;Vavilala MS;Mock C;PEGASUS-Argentina author group
• 通讯作者: PEGASUS-Argentina author group