Core outcome set of daily monitoring of gastrointestinal function in adult critically ill patients: a modified Delphi consensus process (COSMOGI)

Bachmann, KF; Jenkins, B; Asrani, V; Bear, DE; Bolondi, G; Boraso, S; Casaer, MP; Chang, Z; Coopersmith, CM; Cotoia, A; Davies, T; De Man, A; Elke, G; Gundogan, K; Gunst, J; Kvolik, S; Laube, M; Lindner, M; Lopez-Delgado, JC; Loudet, C; Matsa, R; Pardo, E; Piva, S; Puthucheary, Z; Rice, TW; Ruiz-Santana, S; Schaller, SJ; Starkopf, J; Stoppe, C; Van Zanten, A; Reintam Blaser, A

doi:10.1186/s13054-024-05192-8

ICU sedation, delirium & recovery

Core outcome set of daily monitoring of gastrointestinal function in adult critically ill patients: a modified Delphi consensus process (COSMOGI)

Crit CarePublished 18 Dec 2024Modified Delphi consensus process

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Authors' conclusion

Using a modified Delphi consensus process, COSMOGI established a COS for monitoring GI function in critically ill patients in research.

Study context

Population: Healthcare providers, clinical researchers and patient representatives; Core Outcome Set (COS) for daily monitoring of gastrointestinal (GI) function in adult critically ill patientsregistered
Participants: 368 participants

Outcome: Core Outcome Set (COS) for daily monitoring of GI function

Methodological detailssystematic review-informed, two-stage Delphi, consensus meetings, ESICM-endorsed

Systematic review-informed
Two-stage Delphi
Consensus meetings
ESICM-endorsed

Recommendations

As reported in the abstract

Core Outcome Set for daily monitoring of GI function

Essential outcomes established, each with an agreed definition, from 77 potential outcomes: 13

Further findings

Delphi participation

Completed Stage 1: 285 (77.4%)
Completed Stage 2: 181 (63.5%)

Reference

Authors: Bachmann KF, Jenkins B, Asrani V, Bear DE, Bolondi G, Boraso S, et al.
All 31 authors
Bachmann KF, Jenkins B, Asrani V, Bear DE, Bolondi G, Boraso S, Casaer MP, Chang Z, Coopersmith CM, Cotoia A, Davies T, De Man A, Elke G, Gundogan K, Gunst J, Kvolik S, Laube M, Lindner M, Lopez-Delgado JC, Loudet C, Matsa R, Pardo E, Piva S, Puthucheary Z, Rice TW, Ruiz-Santana S, Schaller SJ, Starkopf J, Stoppe C, Van Zanten A, Reintam Blaser A
Journal: Critical Care
Published: 18 Dec 2024
DOI: 10.1186/s13054-024-05192-8
PubMed: 39695807
Registration: COMET 2609

Topic: ICU sedation, delirium & recovery

Key notes

Outcomes: abdominal distension, bowel dilatation, intra-abdominal pressure, abdominal pain, stool passage, vomiting, GI bleeding (upper and lower), use of parenteral nutrition due to intolerance of enteral nutrition, prokinetics, postpyloric feeding due to gastroparesis, lower GI paralysis, gastroparesis, intolerance to enteral nutrition

Original publication

Core outcome set of daily monitoring of gastrointestinal function in adult critically ill patients: a modified Delphi consensus process (COSMOGI). Crit Care. Published 18 December 2024. doi:10.1186/s13054-024-05192-8

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