PP332 Topic: AS09–Global Health/Resource Limited Setting/Health Inequalities/Impact of Global Warming/Other: GLOBAL RESOURCE NEEDS IN PAEDIARTRIC EMERGENCY AND CRITICAL CARE: AN INTERNATIONAL SURVEY
Bibliographic record
Abstract
Aims & Objectives: Access to life-saving paediatric acute care resources is limited globally, particularly in regions with the highest burden of paediatric critical illness. We aim to determine the essential paediatric emergency and critical care resources that critically ill children should have access to in resource limited settings (RLS) as determined by providers in those settings. Methods: An international, two stage modified Delphi study is underway. Core researchers established a list of hospital readiness requirements based on existing clinical guidelines and tools, including equipment, drugs, consumables, laboratory tests, human resources, training, and infrastructure. Medical providers from RLS answered the availability of these items in their settings and their perception of the need for them on a Likert scale. Respondents were recruited via a broad, international sampling strategy. The survey is provided in English, Arabic, French, and Spanish. Results: The 198 respondents were distributed primarily throughout the global south, with 60% of respondents working low and low-middle income countries. Data analysis of round one of the Delphi found limited access to the preliminary list of hospital readiness requirements, and consensus (>75% agreement) that the listed items were essential for the care of critically ill children in their settings. Round two of the Delphi will include newly suggested items by participants. Conclusions: This global consensus survey will establish the paediatric acute care standards that critically ill children should have access to in settings where resources limit care. The resulting cohesive list could be used to inform effective emergency and critical care capacity-building in RLS. Keywords: International survey, Resource Limited Settings (RLS), Paediatric Emergency & Critical Care
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.009 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.057 | 0.011 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".