Strategies to Maximize Enrollment in a Prospective Study of Comatose Children in the PICU.
Pediatr Crit Care Med
; 17(3): 246-50, 2016 Mar.
Article
em En
| MEDLINE
| ID: mdl-26825045
ABSTRACT
OBJECTIVES:
To analyze barriers to recruitment encountered during a prospective study in the PICU and evaluate strategies implemented to improve recruitment.DESIGN:
Prospective observational study of continuous electroencephalogram monitoring in comatose children.SETTING:
PICUs at four North American institutions. PATIENTS Patients with a Glasgow Coma Scale score of less than or equal to 8 for at least an hour.INTERVENTIONS:
Four strategies to increase recruitment were sequentially implemented. MEASUREMENTS AND MAINRESULTS:
The baseline enrollment rate was 2.1 subjects/mo, which increased following the single-site introduction of real-time patient screening using an online dashboard (4.5 subjects/mo), deferred consenting (5.2 subjects/mo), and weekend screening (6.1 subjects/mo). However, the subsequent addition of three new study sites was the greatest accelerator of enrollment (21 subjects/mo), representing a 10-fold increase from baseline (p < 0.0001).CONCLUSIONS:
Identifying barriers to recruitment and implementing creative strategies to increase recruitment can successfully increase enrollment rates in the challenging ICU environment.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Unidades de Terapia Intensiva Pediátrica
/
Coma
/
Seleção de Pacientes
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Child
/
Humans
Idioma:
En
Revista:
Pediatr Crit Care Med
Assunto da revista:
PEDIATRIA
/
TERAPIA INTENSIVA
Ano de publicação:
2016
Tipo de documento:
Article