An estimate of missed pediatric sepsis in the emergency department.

ABSTRACT:

Background

Timely diagnosis of pediatric sepsis remains elusive. We estimated the risk of potentially missed pediatric sepsis in US emergency departments (EDs) and determined factors associated with its occurrence.

Methods

In a retrospective study of linked inpatient and ED records from four states using administrative data (excluding 40% with missing identifiers), we identified children admitted with severe sepsis and/or septic shock who had at least one ED treat-and-release visit in the 7 days prior to sepsis admission. An expert panel rated the likelihood of each ED visit being related to subsequent sepsis admission. We used multivariable regression to identify associations with potentially missed sepsis.

Results

Of 1945 patients admitted with severe sepsis/septic

SUBMITTER: Cifra CL 

PROVIDER: S-EPMC7732517 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature