Systematic Evaluation of Research Priorities in Critical Care Electroencephalography

PURPOSE

The Critical Care EEG Monitoring Research Consortium (CCEMRC) is an international research group focusing on critical care EEG and epilepsy. As CCEMRC grew to include 50+ institutions over the past decade, members met to establish research priorities.

METHODS

The authors used an analytical hierarchy process-based research prioritization method, adapted from an approach previously applied to a Department of Defense health-related research program. Forty-six CCEMRC members identified and scored a set of eight clinical problems (CPs) and 15 research topic areas (RTAs) at an annual CCEMRC meeting. Members scored CPs on three criteria using a five-point ordinal scale: Incidence, Impact, and Gap Size; and RTAs on four additional criteria: Niche, Feasibility, Scientific Importance, and Medical Importance, each of which was assigned a weight. The first three RTA criteria were scored using a five-point scale, and CPs were mapped to RTAs using a four-point scale. The Medical Importance score was a weighted average of its mapping scores and the CP score. Finally, a Priority score was calculated for each RTA as a product of the four RTA criteria scores.

RESULTS

The CPs with the highest scores were "Altered mental status" and "Long-term neurologic disability after hospital discharge." The RTAs with the highest priority scores were "Development of risk prediction tools," "Multicenter observational studies," and "Outcome prediction."

CONCLUSIONS

Research prioritization helped CCEMRC evaluate its current research trajectory, identify high-priority near-term research pursuits, and create a roadmap for future research plans aligned with its mission. This approach may be helpful to other academic consortia and research programs.

In the Circulation Sphere of the Biomolecular Age: Economics and Gender Matter

This contribution draws attention to the circulation of materialities and persons as a central feature in the constitution of experimental cultures. The protein and ribosome research at the Max Planck Society (MPG)-with a main focus on the research conducted by Brigitte Wittmann-Liebold at the Max Planck Institute for Molecular Genetics-serves as an example to highlight some of the central conditions that determined the material circulation in molecular biology: the very organizational framework of gender and economics. In doing so, this contribution argues for a historical narrative that stresses the conditions facilitating the circulation of technologies, materials, and personnel. Histories of this kind contribute to an integrated view of the scientific, technological, social, political, economic, and cultural specificities of experimental cultures.