A consensus building exercise to determine research priorities for silver trauma

Abdullah Alshibani,Timothy J Coats,Simon Conroy,Áine Mitchell,Matt Wensley,Fiona Lecky,Rebecca Prest,Jay Banerjee,Emily Laithwaite

doi:10.1186/s12873-020-00357-4

Abstract

BackgroundEmergency care research into ‘Silver Trauma’, which is simply defined as major trauma consequent upon relatively minor injury mechanisms, is facing many challenges including that at present, there is no clear prioritisation of the issues. This study aimed to determine the top research priorities to guide future research.MethodsThis consensus-based prioritization exercise used a three-stage modified Delphi technique. The study consisted of an idea generating (divergent) first round, a ranking evaluation in the second round, and a (convergent) consensus meeting in the third round.ResultsA total of 20 research questions advanced to the final round of this study. After discussing the importance and clinical significance of each research question, five research questions were prioritised by the experts; the top three research priorities were:What are older people’s preferred goals of trauma care?Beyond the Emergency Department (ED), what is the appropriate combined geriatric and trauma care?Do older adults benefit from access to trauma centres? If so, do older trauma patients have equitable access to trauma centre compared to younger adults?ConclusionThe results of this study will assist clinicians, researchers, and organisations that are interested in silver trauma in guiding their future efforts and funding toward addressing the identified research priorities.

Highlights

Emergency care research into ‘Silver Trauma’, which is defined as major trauma consequent upon relatively minor injury mechanisms, is facing many challenges including that at present, there is no clear prioritisation of the issues
Do older adults benefit from access to trauma centres? If so, do older trauma patients have equal access to trauma centre compared to younger adults?
The top three research priorities were identified in the final round as follows: (1) What are the older people’s preferred goals of trauma care?, (2) Beyond the Emergency Department (ED), what is the appropriate combined geriatric and trauma care?, and (3) Do older adults benefit from access to trauma centres? If so, do older trauma patients have equal access to trauma centre compared to younger adults? The experts at the consensus meeting considered that there is a need to determine the appropriate outcome measures for silver trauma patients, so the impact of emergency care interventions and diagnostics can be accurately assessed for this population

Summary

Introduction

Emergency care research into ‘Silver Trauma’, which is defined as major trauma consequent upon relatively minor injury mechanisms, is facing many challenges including that at present, there is no clear prioritisation of the issues. This study aimed to determine the top research priorities to guide future research. Methods: This consensus-based prioritization exercise used a three-stage modified Delphi technique. The study consisted of an idea generating (divergent) first round, a ranking evaluation in the second round, and a (convergent) consensus meeting in the third round. Results: A total of 20 research questions advanced to the final round of this study. After discussing the importance and clinical significance of each research question, five research questions were prioritised by the experts; the top three research priorities were:

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Results

Discussion

Conclusion