Assessing and Predicting Outcomes in Children with Minor Injury

描述(由申请人提供)：这位研究员是一名儿科急诊医学(PEM)临床医生，其长期目标是成为该领域的独立临床调查员，在评估儿科急诊科(FED)护理后以患者为中心的结果方面具有专业知识。这些短期结果包括与健康相关的生活质量(HRQOL)和家庭影响，以及感兴趣的临床标记。这项工作是评估美联储对儿童的护理有效性的关键前提，目前大多数护理都不是基于证据的。该项目的总体目标是描述美联储照顾轻伤后儿童的短期结果，为这些儿童制定美联储出院后的量化结果衡量标准，并创建一个预测工具来识别处于不良结果风险中的儿童。在损伤、PEM、流行病学和儿科健康状况测量方面的知名研究人员的指导下，候选人提出了一个量身定做的职业发展计划，将导师指导的临床研究和独立的研究教程与教学课程和研讨会结合起来。该计划将提供针对我短期目标的理论和研究技能方面的必要培训：1)增加在伤害研究以及在儿童中使用、开发和验证HRQOL和健康状况测量方面的知识和方法技能；2)有效地交流我的研究想法和发现；3)有效地管理我的研究生涯；以及4)建立和维护我所在领域的同事网络。这项提案中计划的研究将首先描述(首次)，然后开发一种方法来衡量(量化结果量表)，儿童及其家人在美联储接受轻伤护理后的头两周表现如何。最重要的是，我们可以使用这种方法来测试我们目前治疗这些疾病的方法是否有效，以及新的治疗方法将如何比较。这项研究还将提供一种预测性工具，使FED临床医生能够在FED护理期间识别出有较差患者和家庭结局风险的轻伤儿童，使他们能够定制治疗和后续护理计划，试图改善儿童出院后的病程。将采取重要步骤，查明和测试目前对受轻伤儿童的护理所需的改变。能够比较对轻伤护理的反应，并确定针对美联储人口特定亚群(文化、种族和社会经济)的护理问题的能力将大大便利，从而加强ED对儿童的护理。

DESCRIPTION (provided by applicant): This investigator is a pediatric emergency medicine (PEM) clinician whose long-term objective is to become an independent clinical investigator in this field, with expertise in the assessment of patient-oriented outcomes after pediatric emergency department (FED) care. These short-term outcomes include health- related quality of life (HRQOL) and family impact, as well as clinical markers of interest. This work is a critical prerequisite to evaluating the effectiveness of the care given to children in the FED, most of which is not currently evidence-based. The overall goals of this project are to describe the short-term outcomes in children after FED care for minor injury, to develop a quantitative outcomes measure for these children after FED discharge, and create a predictive tool to identify children at risk for poor outcomes. Under the mentorship of well-established investigators in injury, PEM, epidemiology, and pediatric health status measurement, the candidate proposes a tailored career development program that combines mentor-guided clinical research and an independent study tutorial with didactic courses and seminars. The plan will provide necessary training in the theory and research skills specific to my short term goals: 1) to increase knowledge and methodological skills in injury research as well as in the use, development, and validation of HRQOL and health status measures in children, 2) effectively communicate my research ideas and findings, 3) effectively manage my research career, and 4) establish and maintain a network of colleagues in my field. The research planned in this proposal would first describe (for the first time), then develop a way to measure (a quantitative outcome scale), how children and their families do in the first 2 weeks after care in the FED for minor injury. Most importantly, we could use the measure to test if our current ways of treating them are effective, and how new treatments would compare. This research would also provide a predictive tool that would allow FED clinicians to identify children with minor injury, at the time of their FED care, who are at risk for poor patient and family outcomes, allowing them to tailor treatment and follow-up care plans to try to improve the child's course after discharge. Important steps towards the identification and testing of needed changes in current care for children with minor injuries will be made. The ability to make comparisons of the responses to care of minor injury, and identify care issues specific to particular subgroups (cultural, ethnic, and socioeconomic) of the FED population will be greatly facilitated, thus enhancing the ED care of children.