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251926

Adaptation of Evidence-based Clinical Practice Guidelines for Management of Altered Level of Consciousness in Children: An Emergency Guide

Article

Last updated: 22 Jan 2023

OverviewSimilar Items

Subjects

-

Tags

Clinical Research (Medical)

Abstract

Background: We recently adapted the published Royal College of Pediatrics and Child Health (RCPCH) clinical practice guideline (CPG) for the management of children with an altered level of consciousness (ALOC) to the Alexandria University Children's Hospital (AUCH) context. It is hypothesized that adapting clinical practice guidelines (CPGs) to the local healthcare situation, rather than developing them, will increase their acceptance without putting a large strain on the resources. Aim: To present the adaptation pathway that was used to create the first local CPG in AUCH for the management of children with ALOC. Methods: For CPG adaption, we utilized the 'Adapted ADAPTE' approach. We went over the entire process in depth, including the setup, adaptation, and finalization phases. Results: Eight major recommendations were adopted by the panel from one source (RCPCH) guideline. The recommendations included: (i) service organization and training, (ii) recognition of the health problem and referral, (iii) diagnostic approach (iv) providing support (v) management of ALOC, and (vi) indication to PICU admission (vii) recommended medications (viii)monitoring and follow up. Conclusions: The finalized CPG provides evidence-based guidelines to healthcare providers for the management of children with ALOC in AUCH. The initiative also established the efficacy of the 'Adapted ADAPTE,' as well as the importance of clinical and methodology expert panel collaboration for local CPG adaptation.
 

DOI

10.21608/scumj.2022.251926

Keywords

ALOC, lumbar puncture, Hypoglycemia, Shock

Authors

First Name

Shimaa

Last Name

Anwar

MiddleName

A.M.

Affiliation

Pediatrics Department, Faculty of Medicine, Alexandria University Alexandria, Egypt.

Email

shimaa.anwar@gmail.com

City

-

Orcid

0000-0002-7089-5925

First Name

Yasser

Last Name

Amer

MiddleName

S.

Affiliation

Alexandria Center for Evidence-Based Clinical Practice Guidelines, Alexandria University, Alexandria, Egypt., Quality Management Department, King Saud University Medical City, Riyadh, Saudi Arabia

Email

-

City

-

Orcid

-

First Name

Marwa

Last Name

Shehata

MiddleName

-

Affiliation

Pediatrics Department, Faculty of Medicine, Alexandria University Alexandria, Egypt.

Email

m4u48shehata@gmail.com

City

-

Orcid

-

First Name

Elham

Last Name

Elsakka

MiddleName

-

Affiliation

Pediatrics Department, Faculty of Medicine, Alexandria University Alexandria, Egypt.

Email

dr.elham.elsakka@alexmed.edu.eg

City

-

Orcid

-

Volume

25

Article Issue

2

Related Issue

31648

Issue Date

2022-07-01

Receive Date

2022-07-30

Publish Date

2022-07-01

Page Start

87

Page End

95

Print ISSN

1110-6999

Online ISSN

2090-2581

Article File

SCUMJ_Volume 25_Issue 2_Pages 87-95.pdf

PDF . 316.1kB

Link

https://scumj.journals.ekb.eg/article_251926.html

Detail API

https://scumj.journals.ekb.eg/service?article_code=251926

Order

11

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023