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Identification of sepsis in paediatric emergency departments: A scoping review

Oruganti, Sivakumar, Evans, Jordan, Cromarty, Thomas, Javaid, Assim and Roland, Damian 2022. Identification of sepsis in paediatric emergency departments: A scoping review. Acta Paediatrica: Nurturing the Child 111 (12) , pp. 2262-2277. 10.1111/apa.16536

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Abstract

Aim: Sepsis is an acute illness associated with significant morbidity and mortality. Early detection and time‐sensitive management of sepsis has been shown to improve outcomes. We report the results of a scoping review to explore methods evaluated for the identification of sepsis in children presenting to emergency departments. Methods: A systematic literature search was carried out on two databases, Medline and Web of Science, to identify relevant studies published from 1990 to 2022. Data were extracted for age groups including study design, reference standard used for comparison, sepsis identification method evaluated and study quality. Results: A total of 89 studies were identified from the literature search. There was significant heterogeneity in the age groups including study design and reference standards used for evaluating the performance of the sepsis identification methods. There has been a substantial increase in the number of published studies in the last 2 years. Conclusion: Our scoping review identifies marked heterogeneity in approaches to identifying sepsis but demonstrates a recent focus of research on patient outcomes. Using appropriate core outcome sets, developing reference standards, monitoring sepsis prevalence via registries and continuously monitoring process measures will provide robust evidence to identify the best performing identification tools and the impact they have on patient‐orientated outcomes.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Additional Information: License information from Publisher: LICENSE 1: URL: http://creativecommons.org/licenses/by-nc/4.0/
Publisher: Wiley
ISSN: 0803-5253
Date of First Compliant Deposit: 16 September 2022
Date of Acceptance: 1 September 2022
Last Modified: 09 May 2023 20:38
URI: https://orca.cardiff.ac.uk/id/eprint/152660

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