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Clarification Kanthimathinathan HK, Scholefield BR. Dilemmas in undertaking research in paediatric intensive care (Arch Dis Child 2014;99:1043–9). The authors would like to note a clarification to their recent paper. In the final paragraph of the section on deferred consent they used the Fluid Expansion as Supportive Therapy (FEAST) trial1 as an example where deferred consent has been used successfully and where parents or families were appropriately not approached for consent if their child died prior to the opportunity to approach. The authors followed this example with their concerns if ethics review committees required the exclusion of these patients in data analysis due to a lack of any form of consent and the potential introduction of systematic bias. This remains a legitimate concern; however, the authors wish to clarify that the FEAST study did have approval from all their ethics review committees for use of data from children whose families could not be consented due to early death. These data were therefore included in their intention to treat analysis, avoiding any introduction of bias. For future trials of emergency interventions in children, the authors hope ethics review committees will follow this good example. The authors felt the need for this clarification in case of misinterpretation of their paper.

REFERENCE 1. Maitland K, Kiguli S, Opoka RO, et al. Mortality after fluid bolus in African children with severe infection. N Engl J Med 2011;364:2483–95.

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