PT - JOURNAL ARTICLE AU - Lynne Moore AU - Gabrielle Freire AU - Anis Ben Abdeljelil AU - Melanie Berube AU - Pier-Alexandre Tardif AU - Eunice Gnanvi AU - Henry Thomas Stelfox AU - Marianne Beaudin AU - Sasha Carsen AU - Antonia Stang AU - Suzanne Beno AU - Matthew Weiss AU - Melanie Labrosse AU - Roger Zemek AU - Isabelle J Gagnon AU - Emilie Beaulieu AU - Simon Berthelot AU - Terry Klassen AU - Alexis F Turgeon AU - François Lauzier AU - Ian Pike AU - Alison Macpherson AU - Belinda J Gabbe AU - Natalie Yanchar TI - Clinical practice guideline recommendations for pediatric injury care: protocol for a systematic review AID - 10.1136/bmjopen-2021-060054 DP - 2022 Apr 01 TA - BMJ Open PG - e060054 VI - 12 IP - 4 4099 - http://bmjopen.bmj.com/content/12/4/e060054.short 4100 - http://bmjopen.bmj.com/content/12/4/e060054.full SO - BMJ Open2022 Apr 01; 12 AB - Introduction Evidence suggests the presence of deficiencies in the quality of care provided to up to half of all paediatric trauma patients in Canada, the USA and Australia. Lack of adherence to evidence-based recommendations may be driven by lack of knowledge of clinical practice guidelines (CPGs), heterogeneity in recommendations or concerns about their quality. We aim to systematically review CPG recommendations for paediatric injury care and appraise their quality.Methods and analysis We will identify CPG recommendations through a comprehensive search strategy including Medical Literature Analysis and Retrieval System Online, Excerpta Medica dataBASE, Cochrane library, Web of Science, ClinicalTrials and websites of organisations publishing recommendations on paediatric injury care. We will consider CPGs including at least one recommendation targeting paediatric injury populations on any diagnostic or therapeutic intervention from the acute phase of care with any comparator developed in high-income countries in the last 15 years (January 2007 to a maximum of 6 months prior to submission). Pairs of reviewers will independently screen titles, abstracts and full text of eligible articles, extract data and evaluate the quality of CPGs and their recommendations using Appraisal of Guidelines Research and Evaluation (AGREE) II and AGREE Recommendations Excellence instruments, respectively. We will synthesise evidence on recommendations using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) Evidence-to-Decision framework and present results within a recommendations matrix.Ethics and dissemination Ethics approval is not a requirement as this study is based on available published data. The results of this systematic review will be published in a peer-reviewed journal, presented at international scientific meetings and distributed to healthcare providers.PROSPERO registration number International Prospective Register of Systematic Reviews (CRD42021226934).