• Daniel H Grossoehme, Sarah Friebert, Carrie Brown, Miraides Brown, Richard Lou, Esther Teo, and Anjay Khandelwal.
• Haslinger Family Pediatric Palliative Care Center, 215 West Bowery St, Akron Children's Hospital, Akron, OH 44308-1062 USA; Rebecca D. Considine Research Institute, Akron Children's Hospital, One Perkins Square, Akron, OH 44308-1062, USA. Electronic address: dgrossoehme@akronchildrens.org.
• Burns. 2024 Mar 1; 50 (2): 507516507-516.

AbstractA paucity of evidence is available to guide integration of specialist palliative care into burn care. This study's purpose was to develop consensus on referral criteria using a modified Delphi process. Content experts were defined as burn or palliative care providers in locations where the teams have collaborative history; published at least one manuscript or presented nationally on burn and palliative care collaboration; or nomination as having equivalent expertise. N = 202 eligible persons were identified; n = 43 participated in Iteration 1 and Iteration 3 retained 79%. Iteration 1 invited participants to rank published referral criteria on a 9-point Likert-style scale. Consensus was defined as an interquartile range ≤ 2. Consensus items with median scores ≤ 3 were dropped from further consideration. Consensus items with median scores ≥ 7 were considered to be important and excluded in Iteration 2. Iteration 2 which presented non-consensus items with their associated median (interquartile range) and the participant's own ranking from Iteration 1. Iteration 3 presented three models; participants ranked in order of preference and suggested revisions. Consensus was achieved on a final set of criteria for specialist palliative care for persons who sustain burn injuries. Future research should prospectively evaluate the criteria against meaningful outcomes.Copyright © 2023 Elsevier Ltd and International Society of Burns Injuries. All rights reserved.

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